Postoperative Renal Failure in Thoracoabdominal Aortic Aneurysm (TAAA) Repair Using Simple Cross-Clamp Technique and 4-Degree Centigrade Renal Perfusion
نویسندگان
چکیده
منابع مشابه
Selective 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 کاملSelective 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 ...
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POSTOPERATIVE paraplegia resulting from spinal cord ischemia is a devastating complication of thoracic aneurysm (TA) or thoracoabdominal aortic aneurysm (TAAA) surgery. Permanent neurologic deficits are a major cause of morbidity and may shorten long-term survival. Factors that are associated with the development of paraplegia are previous aortic surgery, preoperative renal function, age, aorti...
متن کاملPerfusion techniques for renal protection during thoracoabdominal aortic surgery.
Open thoracoabdominal aortic aneurysm (TAAA) repair includes aortic clamping that interrupts antegrade blood flow to distal organs. Ischemia involving the kidneys can lead to renal failure and poor outcomes. To this end, prevention of ischemic kidney damage has led to several perfusion strategies that protect the kidneys during TAAA surgery. Options for renal perfusion include the use of passiv...
متن کاملDescending Aortic Aneurysm Repair Utilizing Moderate Hypothermia (300C) in Conjunction with Left Heart Bypass
Thoracic and thoracoabdominal aortic aneurysm repair are frequently associated with ischemic paraplegia, renal failure and death. In order to decrease the incidence of ischemic events and allow for a longer aortic cross clamp time, we combined our previous technique of segmental sequential repair, left heart bypass and cerebral spinal fluid drainage in conjunction with moderate hypothermia (30°...
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ژورنال
عنوان ژورنال: Journal of Vascular Surgery
سال: 2014
ISSN: 0741-5214
DOI: 10.1016/j.jvs.2014.07.072