Cardiotomy suction versus red cell spinning during repair of descending thoracic aortic aneurysms

Details

Serval ID
serval:BIB_65CEC467896A
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Cardiotomy suction versus red cell spinning during repair of descending thoracic aortic aneurysms
Journal
Journal of Extra-Corporeal Technology
Author(s)
von Segesser  L. K., Weiss  B. M., Garcia  E., Turina  M. I.
ISSN
0022-1058
Publication state
Published
Issued date
1993
Volume
25
Number
2
Pages
47-52
Notes
Comparative Study
Journal Article
Abstract
Two consecutive series of patients undergoing repair of descending thoracic and thoracoabdominal aortic aneurysms with partial cardiopulmonary bypass and low systemic heparinization (activated coagulation time: ACT greater than 180 sec) for proximal unloading and distal protection were analyzed. During the surgical procedures, thoracic shed blood was recovered either with a red cell spinning autotransfusion device (n=10) or two pump suckers and Duraflo II heparin surface coated cardiotomy reservoirs (n=10). There were 5/10 acute lesions and 1/10 ruptures for the autotransfusion group versus 5/10 acute lesions and 2/10 ruptures for the cardiotomy group (NS). Extension of aortic resection (range 1-8) was 3.6+/-1.2 for autotransfusion versus 3.5+/-1.4 for cardiotomy suction (NS). Mean number of reimplanted patches for intercostal and visceral reperfusion was 0.3+/-0.6 for autotransfusion versus 0.6+/-1.0 for cardiotomy (NS). Perfusion time was 41+/-17 min for autotransfusion versus 60+/-19 min for cardiotomy (p less than 0.05) and cross clamp time was 33+/-14 min for autotransfusion versus 43+/-17 min for cardiotomy (p less than 0.01). Total heparin dose was for 9500+/-2100 IU for autotransfusion versus 9800+/-1300 IU for cardiotomy (NS). The mean of the lowest ACTs measured during perfusion was 281+/-121 sec for autotransfusion versus 258+/-58 sec for cardiotomy (NS). The total protamine dose given was 7800+/-2100 IU for autotransfusion versus 9700+/-1900 IU for cardiotomy (p less than 0.05). The volume of washed red cells prepared was 3186+/-1318 ml for autotransfusion versus 0 for cardiotomy (p less than 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)
Keywords
Aged Aortic Aneurysm, Abdominal/*surgery Aortic Aneurysm, Thoracic/*surgery Blood Transfusion, Autologous/*instrumentation Cardiopulmonary Bypass/methods Equipment Design Evaluation Studies as Topic Female Humans Male Middle Aged Perfusion/methods Treatment Outcome
Pubmed
Create date
14/02/2008 14:16
Last modification date
20/08/2019 14:21
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