Abstract | BACKGROUND: METHODS: RESULTS: The in-hospital mortality was 15%. Distal organ dysfunction included spinal cord dysfunction in 2 patients (0.7%) and renal failure necessitating hemodialysis in 15 patients (5%, 15/297: excluded 12 dialysis patients). Multivariate analyses showed that preoperative hemodialysis and emergency operation were risk factors for operative mortality and that emergency operation was a risk factor for requiring hemodialysis. Renal and hepatic function normalized by 2 weeks after surgery. There were no significant differences between the heparin-coated group and nonheparin-coated group in amounts of packed red cells, fresh frozen plasma, and platelets transfused during the procedures. CONCLUSIONS: Our data showed that partial cardiopulmonary bypass is a safe and effective method for distal perfusion. Using this technique, descending thoracic aortic aneurysm repair can be performed with acceptable mortality and morbidity. However, the superiority of heparin-coated circuits over nonheparin-coated ones was not proved.
|
Authors | Kiyofumi Morishita, Nobuyoshi Kawaharada, Johji Fukada, Yoshikazu Hachiro, Yoshihiko Kurimoto, Yasuaki Fujisawa, Tatsuya Saito, Tomio Abe |
Journal | Artificial organs
(Artif Organs)
Vol. 29
Issue 4
Pg. 300-5
(Apr 2005)
ISSN: 0160-564X [Print] United States |
PMID | 15787624
(Publication Type: Journal Article)
|
Chemical References |
- Anticoagulants
- Heparin
- Creatinine
- Alanine Transaminase
|
Topics |
- Adult
- Aged
- Aged, 80 and over
- Alanine Transaminase
(blood)
- Anticoagulants
(administration & dosage)
- Aortic Aneurysm, Thoracic
(blood, surgery)
- Cardiopulmonary Bypass
(methods)
- Creatinine
(blood)
- Female
- Heparin
(administration & dosage)
- Humans
- Kidney
(physiopathology)
- Liver
(physiopathology)
- Male
- Middle Aged
- Perfusion
(instrumentation)
- Postoperative Hemorrhage
(prevention & control)
- Treatment Outcome
|