Kidney protection in thoracoabdominal aortic aneurysm surgery

2021 ◽  
Vol 62 (4) ◽  
Author(s):  
Diletta LOSCHI ◽  
Andrea MELLONI ◽  
Andrea KAHLBERG ◽  
Roberto CHIESA ◽  
Germano MELISSANO
Keyword(s):  
Aortic Aneurysm ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Aneurysm Surgery ◽  
Kidney Protection ◽  
Aortic Aneurysm Surgery

Renal protection in thoracoabdominal aortic aneurysm surgery

2017 ◽  
Vol 67 (1) ◽  
pp. 192-195
Author(s):  
Mohamad Bashir ◽  
Amer Harky ◽  
Benjamin Adams ◽  
Kit Wong ◽  
Carmelo Di Salvo ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Aneurysm Surgery ◽  
Renal Protection ◽  
Aortic Aneurysm Surgery

scholarly journals Acute diastolic dysfunction in thoracoabdominal aortic aneurysm surgery

2006 ◽  
Vol 53 (2) ◽  
pp. 168-173 ◽  
Author(s):  
Ashraf Fayad ◽  
Homer Yang ◽  
Howard Nathan ◽  
Gregory L. Bryson ◽  
Claudio S. Cina
Keyword(s):  
Aortic Aneurysm ◽  
Diastolic Dysfunction ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Aneurysm Surgery ◽  
Aortic Aneurysm Surgery

Cefamandole levels during thoracoabdominal aortic aneurysm surgery

1991 ◽  
Vol 14 (5) ◽  
pp. 668-672 ◽  
Author(s):  
Richard S. C. Cobbold ◽  
Richard L. Harris ◽  
Jae H. Yuk ◽  
Chris H. Cribari ◽  
Dan H. Jernigan ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Aneurysm Surgery ◽  
Aortic Aneurysm Surgery

Changes in Cerebrospinal Fluid Pressure and Lactate Concentrations during Thoracoabdominal Aortic Aneurysm Surgery

1997 ◽  
Vol 86 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Benjamin Drenger ◽  
Stephen D. Parker ◽  
Steven M. Frank ◽  
Charles Beattie
Keyword(s):  
Spinal Cord ◽  
Cerebrospinal Fluid ◽  
Aortic Aneurysm ◽  
Aortic Surgery ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Aortic Occlusion ◽  
Aneurysm Surgery ◽  
Csf Pressure ◽  
Csf Lactate ◽  
Aortic Aneurysm Surgery

Background Although ischemic injury to the spinal cord is a well-known complication of aortic surgery, no metabolic markers have been identified as predictors of an adverse outcome. This study evaluated the effect of cerebrospinal fluid (CSF) drainage, with and without distal femoral perfusion or moderate hypothermia on blood and CSF lactate concentrations and CSF pressure during thoracoabdominal aortic aneurysm surgery. Methods Three nonconcurrent groups of patients were studied prospectively: patients with normal body temperature (35 degrees C) but without distal femoral bypass (n = 6), patients with normal body temperature with bypass (n = 7), and patients with hypothermia (30 degrees C) and bypass (n = 8). In all patients, CSF pressure was recorded before, during, and after aortic cross-clamping. During the surgical repair, CSF drainage was performed using a 4-Fr intrathecal silicone catheter. Blood and CSF lactate concentrations were measured throughout the operation. Results Significant increases in blood (490%) and CSF (173%) lactate concentrations were observed during and after thoracic aortic occlusion in patients with normothermia and no bypass (P < 0.02 and 0.05, respectively). Distal perfusion attenuated the increase in both blood and CSF lactate (P < 0.01), and a further reduction was achieved with hypothermia of 30 degrees C (P < 0.001). Patients who became paraplegic showed a greater increase in CSF lactate concentrations after aortic clamp release compared with those who suffered no neurological damage (275% vs. 123% of baseline; P < 0.05). Increased CSF pressure of 42-60% (P < 0.005) was noted soon after thoracic aortic occlusion, both with and without distal femoral bypass. Conclusions Incremental reductions in CSF lactate concentrations were achieved using distal femoral bypass and hypothermia. The reduction in CSF lactate correlated with the methods used to protect the spinal cord during thoracoabdominal aortic aneurysm surgery and was associated with better outcome. Decompression by distal bypass of the hemodynamic overload caused by aortic occlusion was insufficient to eliminate the acute increase in CSF pressure. Cerebrospinal fluid lactate measurements during high aortic surgery may accurately represent the spinal cord metabolic balance.

TRANSPLANT KIDNEY PROTECTION DURING AORTIC ANEURYSM SURGERY

1999 ◽  
pp. 891-892
Author(s):  
K. NINAN CHACKO ◽  
SARAH NINAN ◽  
C. K. JACOB ◽  
ROY KORULA
Keyword(s):  
Aortic Aneurysm ◽  
Aneurysm Surgery ◽  
Kidney Protection ◽  
Transplant Kidney ◽  
Aortic Aneurysm Surgery
Sign in / Sign up

Export Citation Format

Share Document