Renal and visceral protection in thoracoabdominal aortic surgery
نویسندگان
چکیده
منابع مشابه
Perfusion 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 کاملSpinal cord protection during thoracoabdominal aortic aneurysm surgery
Introduction Postoperative paraplegia including paraparesis is a devastating complication after descending thoracic aortic aneurysm (DTAA) and thoracoabdominal aortic aneurysm (TAAA) repair surgery. This lecture will be focused on the pathophysiological mechanisms for the development of postoperative paraplegia, the strategies to prevent the development of postoperative paraplegia, and anesthet...
متن کاملSurgery for thoracoabdominal aortic aneurysm
Material and methods From January 2008 till May 2013, 16 patients age 55 ± 7 years, had been treated. They were symptomatic, with mean aneurysm dimension of 10 ± 2 centimeters. One patient had Crawford type IV TAAA that was unrecognized, mistaken for tumor and biopsied following explorative laparotomy for acute abdominal pain in another hospital. Surgery was performed through thoracophrenolapar...
متن کاملHybrid surgery in chronic thoracoabdominal aortic dissection.
The authors describe and analyse their experience gained in performing prosthetic repair of the thoracoabdominal portion of the aorta, combined with open aortic stenting using the Djumbodis uncovered metal stent. Over the period from 2013 to 2015 we performed a total of 16 hybrid interventions. All patients were found to have type B aortic dissection, with their false and true lumens patent. Al...
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...
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ژورنال
عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery
سال: 2014
ISSN: 0022-5223
DOI: 10.1016/j.jtcvs.2014.06.072