Mesenteric shunting decreases visceral ischemia during thoracoabdominal aneurysm repair
نویسندگان
چکیده
منابع مشابه
Selective visceral perfusion during thoracoabdominal aortic aneurysm repair.
PURPOSE To evaluate the effectiveness of selective visceral perfusion during repair of an thoracoabdominal aortic aneurysm (TAAA), we compared the postoperative renal and hepatic functions (blood urea nitrogen, serum creatinine, total bilirubin, glutamate pyruvate transaminase) between the two groups with and without perfusion. PATIENTS AND METHODS We operated on 52 patients with TAAA. Among ...
متن کاملSelective visceral and renal perfusion in thoracoabdominal aneurysm repair.
OBJECTIVE Whether or not selective visceral and renal perfusion during thoracoabdominal aortic aneurysm (TAAA) repair has a protective effect on visceral and renal function remains unknown. The aim of this study was to clarify if selective perfusion has such an effect. METHODS From May 1982 to December 1997, 82 consecutive patients underwent TAAA repair. Patients receiving hypothermic circula...
متن کاملAssessment of hepatosplanchnic pathophysiology during thoracoabdominal aortic aneurysm repair using visceral perfusion and shunt.
OBJECTIVE Despite the recognition of importance to avoid visceral ischemia during thoracoabdominal aortic aneurysm (TAAA) repair, the methodology of visceral perfusion seems still controversial and its pathophysiology has not been clearly understood. We investigated hepatosplanchnic metabolism during visceral perfusion/shunt in TAAA repair. METHODS Seventeen patients (10 male, 64+/-15 years o...
متن کاملVisceral Debranching Thoracic Endovascular Aneurysm Repair for Chronic Dissecting Thoracoabdominal Aortic Aneurysm
Type II chronic dissecting thoracoabdominal aortic aneurysms are a surgically challenging disease. The conventional thoracoabdominal aortic aneurysm repair technique using cardiopulmonary bypass is a high-risk procedure. However, a recently developed endovascular technique may be an alternative treatment for the disease, but faces the obstacle of lesional restriction. This new technique uses a ...
متن کاملReview Articles Spinal Cord Protection During Thoracoabdominal Aneurysm Repair
one reported series, the 5-year survival rate for patients with spinal cord injury was 44%, whereas it was 62% for those without spinal cord injury.19 Postoperative spinal cord injury is caused by several factors including ischemia, reperfusion injury, and postoperative hemodynamics. Many methods of protecting the spinal cord during thoracoabdominal aneurysm repair have been devised. These incl...
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ژورنال
عنوان ژورنال: Journal of Vascular Surgery
سال: 1998
ISSN: 0741-5214
DOI: 10.1016/s0741-5214(98)70242-3