Retrograde autologous priming in surgery of thoracic aortic aneurysm.

Abstract:

OBJECTIVES:Surgery of thoracic aortic aneurysm (TAA) is associated with blood loss and coagulopathy and a high need for red blood cell (RBC) volume. Retrograde autologous priming (RAP) decreases haemodilution during cardiopulmonary bypass (CPB). The aim of this study was to show the effect of RAP during surgery of TAA repair on haemodilution, the need for RBC transfusion and the postoperative course compared to conventional CPB (cCPB). METHODS:A retrospective study was performed on 120 patients with TAA. Half of these patients underwent cCPB and the other half received RAP. Statistical analysis was performed using IBM SPSS statistics 23. The χ2 test, the Fisher's exact tests, the independent t-test and the Mann-Whitney U-test were used. Statistical significance was assumed at P-value <0.05. RESULTS:Lower blood product requirements were observed for the RAP group regarding the transfusion of intraoperative RBC (0.87 ± 1.33 vs 1.97 ± 2.43, P = 0.013), postoperative RBC (0.57 ± 1.4 vs 1.32 ± 1.82, P = 0.002) and postoperative fresh frozen plasma (0.52 ± 1.63 vs 1.48 ± 3.32, P = 0.036). The postoperative drainage loss showed significantly lower measurements for the RAP group after 6 h (295.9 ± 342.6 vs 490.6 ± 414.4 ml, P ≤ 0.001), 12 h (450.1 ± 415.5 vs 652.1 ± 463.9 ml, P < 0.001) and 24 h (693.1 ± 483.9 vs 866.4 ± 508.4 ml, P = 0.004). CONCLUSIONS:RAP is a safe and easy method to reduce RBC transfusion in TAA surgery without any adverse effects on the clinical outcome. We were also able to show beneficial effects on fresh frozen plasma requirements and postoperative chest drainage volume. Furthermore, improved microcirculation can be suspected. In consequence, we have implemented RAP as a clinical standard during thoracic aortic surgery.

authors

Williams HC,Schiller W,Mellert F,Fimmers R,Welz A,Probst C

doi

10.1093/icvts/ivz014

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

876-883

issue

6

eissn

1569-9293

issn

1569-9285

pii

5306595

journal_volume

28

pub_type

杂志文章
  • Is video-assisted thoracic surgery indicated in the first episode primary spontaneous pneumothorax?

    abstract::Primary spontaneous pneumothorax (PSP) is a very common disease and recurrence is a major concern for the post-first-time victims. Owing to the convenience and popularity of video-assisted thoracoscopic surgery (VATS), should we still wait for recurrence before we perform this minimal invasive procedure to cure the di...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/S1569-9293(03)00143-9

    authors: Chou SH,Cheng YJ,Kao EL

    更新日期:2003-12-01 00:00:00

  • Circulating particles during cardiac surgery.

    abstract::Shed blood is known to be a source of lipid micro-emboli in cardiac surgery. The aim of this study was to characterize the occurrence of these particles at different stages of the operation, and to study their occurrence in the circulation at multiple time-points after the retransfusion of shed blood. Forty-four patie...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2008.187021

    authors: Jönsson H,Eyjolfsson A,Scicluna S,Paulsson P,Johnsson P

    更新日期:2009-05-01 00:00:00

  • Bronchoscopically undiagnosed small peripheral lung tumors.

    abstract::Small peripheral lung cancers (2 cm or less maximum diameter) are often surgically resected, and the survival rate of those patients has been reported to be significantly higher than that of patients with tumors 2.1 cm or more in diameter. We evaluated the status of these small tumors diagnosed during surgery, followi...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/S1569-9293(03)00078-1

    authors: Funakoshi Y,Sawabata N,Takeda S,Okumura Y,Hayakawa M,Maeda H

    更新日期:2003-12-01 00:00:00

  • Long-term membrane oxygenator use to support an infant with acute respiratory distress syndrome on biventricular assist device.

    abstract::Ventricular assist devices (VADs) are used in children with severe heart failure as a bridge to heart transplantation or recovery. Severe pulmonary dysfunction may preclude their use, leaving extracorporeal membrane oxygenation (ECMO) as the most frequently used option for combined cardiac and respiratory failure. The...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivt131

    authors: Zaccagni HJ,Timpa JG,O'Meara LC,Alten JA

    更新日期:2013-07-01 00:00:00

  • The role of contrast enhanced three-dimensional MR angiography in pulmonary sequestration.

    abstract::Pulmonary sequestration is a relatively rare but clinically significant form of congenital broncho-pulmonary foregut malformation. It is characterized by a segment of non-functioning lung parenchyma that receives its blood supply from anomalous systemic arteries. This report shows the role of contrast enhanced three-d...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/S1569-9293(03)00118-X

    authors: Sancak T,Cangir AK,Atasoy C,Ozdemir N

    更新日期:2003-12-01 00:00:00

  • Thoraflex hybrid as frozen elephant trunk in chronic, residual type A and chronic type B aortic dissection.

    abstract:OBJECTIVES:The frozen elephant trunk technique is an increasingly common treatment for extensive disease of the thoracic aorta. The objective of the study was to evaluate the outcomes of frozen elephant trunk specifically in chronic (residual) aortic dissections, focusing on downstream aortic remodelling. METHODS:Betw...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivaa305

    authors: Fiorentino M,de Beaufort HWL,Sonker U,Heijmen RH

    更新日期:2020-12-12 00:00:00

  • Conservative management of cardiac haemangioma.

    abstract::Cardiac haemangiomas are rare forms of cardiac tumours which can present at any age and in any cardiac location. The clinical presentations of patients vary and preoperative diagnosis of cardiac haemangiomas is usually made using echocardiography and magnetic resonance imaging (MRI). Surgical resection is the treatmen...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.237032

    authors: Beebeejaun MY,Deshpande R

    更新日期:2011-03-01 00:00:00

  • Prognostic significance of cyclin D1 expression in resected stage I, II non-small cell lung cancer in Arabs.

    abstract::The aim of this study was to evaluate the prognostic significance of cyclin D1 expression in primary, resected stage I and II non-small cell lung cancer (NSCLC) in Arabs. A longitudinal cohort study of 98 consecutive patients with resected stage I and II NSCLC were evaluated immunohistochemically for the expression of...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2005.120030

    authors: K Ayed A,Adesina A

    更新日期:2006-02-01 00:00:00

  • Long-term outcomes after transcatheter aortic valve implantation: the impact of intraoperative tissue Doppler echocardiography.

    abstract:OBJECTIVES:Transcatheter aortic valve implantation improves survival in patients with severe aortic stenosis who are ineligible for surgical valve replacement; however, not all patients benefit from the procedure. We endeavoured to identify these patients using intraoperative echocardiography and hypothesized that intr...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw159

    authors: Eidet J,Dahle G,Bugge JF,Bendz B,Rein KA,Aaberge L,Offstad JT,Fosse E,Aakhus S,Halvorsen PS

    更新日期:2016-09-01 00:00:00

  • Reduction of aberrant aortic haemodynamics following aortic root replacement with a mechanical valved conduit.

    abstract:OBJECTIVES:Previous work suggests that aortic root and valve prostheses alter blood flow patterns in the ascending aorta, creating aberrant haemodynamics compared with those of healthy volunteers. Various valve designs have been proposed to better restore physiological haemodynamics. In this study, magnetic resonance i...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw173

    authors: Keller EJ,Malaisrie SC,Kruse J,McCarthy PM,Carr JC,Markl M,Barker AJ,Collins JD

    更新日期:2016-09-01 00:00:00

  • Impact of surgical aortic root enlargement on the outcomes of aortic valve replacement: a meta-analysis of 13 174 patients.

    abstract:OBJECTIVES:This study sought to evaluate the impact of surgical aortic root enlargement (ARE) on the perioperative outcomes of aortic valve replacement (AVR). METHODS:Databases were searched for studies published until April 2018 to carry out a systematic review followed by meta-analysis of results. RESULTS:The searc...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1093/icvts/ivy364

    authors: Sá MPBO,Carvalho MMB,Sobral Filho DC,Cavalcanti LRP,Diniz RGS,Rayol SC,Soares AMMN,Sá FBCA,Menezes AM,Clavel MA,Pibarot P,Lima RC

    更新日期:2019-07-01 00:00:00

  • A new extracorporeal vacuum-assisted device to optimize cardiopulmonary bypass. Comparison with the conventional system.

    abstract::Miniaturized cardiopulmonary bypass (CPB) systems, though more biocompatible, are limited by not being adaptable to all cardiac surgical operations. We evaluate a versatile CPB system [extracorporeal vacuum-assisted device optimized (EVADO)] based on the elimination of roller pumps, separation of extracavitary suction...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1510/icvts.2010.258921

    authors: Nasso G,Costantini C,Petralia A,Del Prete A,Lopriore V,Fattouch K,Paterno C,Speziale G

    更新日期:2011-04-01 00:00:00

  • Chylopericardial tamponade.

    abstract::Pericardial tamponade is a life-threatening emergency. Chyle is a rare cause of pericardial effusion and can lead to cardiac tamponade. This case illustrates the presentation, work-up and operative video of a patient in pericardial tamponade secondary to chylopericardium. ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2005.120899

    authors: Liberman M,Klopfenstein JJ

    更新日期:2006-06-01 00:00:00

  • Pulmonary artery pseudoaneurysm after lung resection successfully treated by coil embolization.

    abstract::A 60-year-old man complaining of pyrexia and hemoptysis was diagnosed with a squamous cell carcinoma in his right lung. He underwent a right lower lobectomy with lymph node dissection. Following chest tube removal, he suffered from pyrexia and hemoptysis necessitating CT-scans which detected a pulmonary artery pseudoa...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.236661

    authors: Matsumura Y,Shiono S,Saito K,Sato T

    更新日期:2010-09-01 00:00:00

  • The influence of seasons and lunar cycle on hospital outcomes following ascending aortic dissection repair.

    abstract:OBJECTIVES:The effect of the lunar cycle and seasonal variation on ascending aortic dissection surgery outcomes is unknown. We investigated these temporal effects on risk-adjusted hospital mortality and then on the length of stay (LOS) following surgery for survivors. METHODS:We examined prospectively collected data f...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1093/icvts/ivt299

    authors: Shuhaiber JH,Fava JL,Shin T,Dobrilovic N,Ehsan A,Bert A,Sellke F

    更新日期:2013-11-01 00:00:00

  • What is the impact of preoperative aspirin administration on patients undergoing coronary artery bypass grafting?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether continuation of administration of preoperative aspirin until the day of coronary artery bypass grafting (CABG) could minimize postoperative mortality, prevalence of postoperative myocardial infar...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivw317

    authors: Aboul-Hassan SS,Stankowski T,Marczak J,Cichon R

    更新日期:2017-02-01 00:00:00

  • Asymptomatic aortic mural thrombus in a minimally atherosclerotic vessel.

    abstract::Aortic mural thrombi in a normal (non-aneurysmal or minimally atherosclerotic) vessel are an uncommon condition. They are usually located in the descending aorta and, less frequently, in the aortic arch or in the abdominal aorta. The typical clinical presentation is the appearance of symptoms/signs of peripheral arter...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivv349

    authors: Maloberti A,Oliva F,De Chiara B,Giannattasio C

    更新日期:2016-03-01 00:00:00

  • Traumatic false aneurysms of the left ventricle after an attempt at video-thoracoscopic surgery.

    abstract::OBJECTIVES Video-thoracoscopic surgery (VTS) has been accepted as a safe and credible technique since 1990. Lung injury is one of the main perioperative complications. Few data are available about cardiac trauma and VTS-related false aneurysm of the left ventricular (LV) wall has not yet been reported. METHODS A 62-y...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs119

    authors: Guihaire J,Flecher E,de Latour B,Verhoye JP

    更新日期:2012-07-01 00:00:00

  • Comparing bipolar electrothermal device and endostapler in endoscopic lung wedge resection.

    abstract::Video-assisted thoracoscopy (VATS) is gaining on thoracic surgery, having newly developed devices next to endostaplers for haemostatic and airtight sealing of lung parenchyma. Though the bipolar electrothermal Ligasure has good results for pulmonary wedge resection, its literature is small in numbers. Authors compared...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2008.199307

    authors: Kovács O,Szántó Z,Krasznai G,Herr G

    更新日期:2009-07-01 00:00:00

  • Lateral thoracotomy for epicardial pacemaker placement in patients with congenital heart disease.

    abstract:OBJECTIVES:Our institution adopted a lateral thoracotomy approach to epicaridal pacemaker implantation with the objective of avoiding epicardial scar tissue and to achieve adequate lead pacing and sensing. We sought to assess the short-term outcomes of this approach. METHODS:A single-centre review was conducted in pae...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx379

    authors: Haight PJ,Stewart RE,Saarel EV,Pettersson GB,Najm HK,Aziz PF

    更新日期:2018-05-01 00:00:00

  • Early atrial septal defect surgery due to a bronchogenic cyst causing congestive heart failure by left atrium compression.

    abstract::We report on an uncommon case of a 10-month-old patient who required early surgical closure of an ostium secumdum atrial septal defect due to the concomitant presence of a big subcarinal bronchogenic cyst compressing the left atrium and, therefore, increasing the left-to-right shunt. It led to refractory congestive he...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2007.171280

    authors: Mosquera VX,Rijlaarsdam M,Filippini L,Hazekamp MG

    更新日期:2008-05-01 00:00:00

  • Recovery of severe neurological dysfunction after restoration of cerebral blood flow in acute aortic dissection.

    abstract::Emergency repair has been successfully performed in acute type A aortic dissection complicated by cerebral malperfusion. Despite the lack of criteria to define irreversible brain damage, immediate surgery is often denied in case of stroke or coma. We report two patients presenting with coma and altered brainstem refle...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.228908

    authors: Pocar M,Passolunghi D,Moneta A,Donatelli F

    更新日期:2010-05-01 00:00:00

  • A new method of grafting the circumflex through lateral MIDCAB with the use of the radial loop technique.

    abstract::We report a technique that allows total arterial revascularization of the circumflex territory without cardiopulmonary bypass through limited thoracotomy with the radial as a composite graft. The technique includes anastomosis of the distal end of the radial artery to its more proximal part after the division of the c...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/S1569-9293(02)00113-5

    authors: Athanasiou T,Casula R,Glenville B,Stanbridge RD

    更新日期:2003-03-01 00:00:00

  • Annual case volume on mortality after coronary artery bypass grafting: a dose-response meta-analysis.

    abstract:OBJECTIVES:This study evaluated the effect of both hospital and surgeon annual case volumes on patient mortality following coronary artery bypass grafting (CABG). METHODS:PubMed and Embase databases were searched for clinical studies on CABG. The outcome was mortality, including operative mortality, in-hospital mortal...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,meta分析

    doi:10.1093/icvts/ivz151

    authors: Tie HT,Shi R,Zhou Q,Wang K,Zheng XQ,Wu QC

    更新日期:2019-10-01 00:00:00

  • Does Warden's procedure reduce sinus node dysfunction after surgery for partial anomalous pulmonary venous connection?

    abstract::A best evidence topic in cardiothoracic surgery was written according to a structured protocol. The question addressed was 'Does Warden's procedure reduce sinus node dysfunction (SND) after surgery for partial anomalous pulmonary venous connection?' Altogether 101 papers were found using the reported search; of which ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivs038

    authors: Okonta KE,Agarwal V

    更新日期:2012-06-01 00:00:00

  • Which is the best tissue valve used in the pulmonary position, late after previous repair of tetralogy of Fallot?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was: which is the best tissue valve for use in the pulmonary position, late after previous repair of tetralogy of Fallot? Altogether 141 papers were found using the reported search, of which 13 represented t...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivt332

    authors: Abbas JR,Hoschtitzky JA

    更新日期:2013-11-01 00:00:00

  • Evaluation of differential pulmonary perfusion using 99mTc macroaggregated albumin after the Fontan procedure.

    abstract:OBJECTIVES:The Fontan procedure [total cavopulmonary connection (TCPC)] is the final palliation for patients with univentricular physiology. We studied differential perfusion ratio and percentage uptake of a radiotracer in different zones of each lung following TCPC. METHODS:Between July 2015 and June 2017, 45 patient...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx377

    authors: Talwar S,Sankhyan L,Patel C,Sreenivas V,Choudhary SK,Airan B

    更新日期:2018-04-01 00:00:00

  • Late inflow or outflow obstruction requiring surgical intervention after HeartMate 3 left ventricular assist device insertion.

    abstract::Inflow or outflow obstruction is a rare, but critical complication after HeartMate 3 left ventricular assist device implantation. We retrospectively reviewed 166 patients who underwent primary HeartMate 3 implantation at our centre between November 2014 and July 2019. Three cases of inflow obstruction and 3 cases of o...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivaa158

    authors: Kaku Y,Naka Y,Witer L,Topkara V,Colombo P,Sayer G,Uriel N,Takeda K

    更新日期:2020-11-01 00:00:00

  • Temporary cardiac support with a mini-circuit system consisting of a centrifugal pump and a membrane ventilator.

    abstract::Commonly used extracorporeal membrane oxygenation (ECMO) systems for cardiac support are limited by bleeding complications, especially after surgery in the adult patient. Recently, we have switched from the use of a conventional ECMO system to a miniature-circuit including a centrifugal pump and the Novalung membrane ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.209783

    authors: Meyer AL,Strueber M,Tomaszek S,Goerler A,Simon AR,Haverich A,Fischer S

    更新日期:2009-11-01 00:00:00

  • Experimental use of an elastomeric surgical sealant for arterial hemostasis and its long-term tissue response.

    abstract:OBJECTIVES:Reliable suture line hemostasis should improve the outcome of aortic surgery. We examined the hemostatic effect and the tissue response of a novel elastomeric surgical sealant. METHODS:Using porcine internal carotid arteries, we performed 16 end-to-end anastomoses with four stitches of simple interrupted su...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.217620

    authors: Oda S,Morita S,Tanoue Y,Eto M,Matsuda T,Tominaga R

    更新日期:2010-02-01 00:00:00