Intraoperative autologous blood transfusion in intracranial surgery.

Abstract:

OBJECTIVE:The purpose of this study was to evaluate the benefits of intraoperative autotransfusion of autologous blood on the conservation of allogenic blood, including cost-effectiveness and the consequences for hemoglobin level and coagulation tests. METHODS:The Hoemonetics Cell Saver 4 autotransfusion system (Hoemonetics Corporation, MA) was used when the estimated blood loss was equal to or more than 500 ml. A total of 472 patients undergoing intracranial surgery were included in the study. RESULTS:Ninety patients (19%) received transfusions either with autologous blood or allogenic blood. Fifty-five patients (61%) received only autologous blood transfusions, 10 patients (11%) received both autologous and allogenic blood transfusions, and 25 patients (28%) received only allogenic blood transfusions. The amount of autologous blood transfused was 600 +/- 590 ml (range, 230-3000 ml). The amount of allogenic blood transfused was 3 +/- 3 units (range, 2-15 units). Autologous blood represented 68% of all blood products transfused. Mild abnormalities during coagulation tests occurred without clinical bleeding. CONCLUSION:Autologous blood transfusions were demonstrated to be safe in patients undergoing intracranial surgery and to be more cost-effective than allogenic blood transfusions. Intraoperative autologous blood transfusions may be used alone in more than half of the patients requiring transfusions during intracranial surgery and decrease the amount of allogenic blood used. Improvements in the monitoring for the need of performing this technique, as well as preoperative blood donations, would decrease the amount of allogenic blood transfused.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Cataldi S,Bruder N,Dufour H,Lefevre P,Grisoli F,François G

doi

10.1097/00006123-199704000-00021

subject

Has Abstract

pub_date

1997-04-01 00:00:00

pages

765-71; discussion 771-2

issue

4

eissn

0148-396X

issn

1524-4040

journal_volume

40

pub_type

杂志文章
  • Deep venous thrombosis and thromboembolism in patients with cervical spinal cord injuries.

    abstract:STANDARDS:Prophylactic treatment of thromboembolism in patients with severe motor deficits due to spinal cord injury is recommended. The use of low-molecular-weight heparins, rotating beds, adjusted dose heparin, or a combination of modalities is recommended as a prophylactic treatment strategy. Low-dose heparin in com...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-200203001-00014

    authors: Hadley MN,Walters BC,Grabb PA,Oyesiku NM,Przybylski GJ,Resnick DK,Ryken TC

    更新日期:2002-03-01 00:00:00

  • Treatment of traumatic brain injury with a combination therapy of marrow stromal cells and atorvastatin in rats.

    abstract:OBJECTIVE:This study investigated the effects of a combination therapy of marrow stromal cells (MSCs) and statins (atorvastatin) after traumatic brain injury in rats. METHODS:Thirty-two female Wistar rats were injured by controlled cortical impact and divided into four groups. Group I was injected with MSCs (1 x 10(6)...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000255346.25959.99

    authors: Mahmood A,Lu D,Qu C,Goussev A,Chopp M

    更新日期:2007-03-01 00:00:00

  • Dorsal brain stem lipomas: case report.

    abstract::Intracranial lipomas are uncommon and rarely symptomatic lesions accounting for 0.06 to 0.46% of intracranial lesions. The management of symptomatic dorsal brain stem lipomas was once limited to cerebrospinal fluid diversion, but with recent advances in microsurgery, they now may be directly treated. We report three p...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199605000-00035

    authors: Baeesa SS,Higgins MJ,Ventureyra EC

    更新日期:1996-05-01 00:00:00

  • New endoscope shaft for endoscopic transsphenoidal pituitary surgery.

    abstract:OBJECTIVE:To describe a new endoscope shaft developed for suction-aspiration during endoscopic transsphenoidal pituitary surgery. METHODS:A custom-made shaft for a Wolf endoscope (Richard Wolf GmbH, Knittlingen, Germany) was developed with a height of 10 mm and a width of 5 mm, allowing an additional working channel f...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000163681.28487.2f

    authors: van Lindert EJ,Grotenhuis JA

    更新日期:2005-07-01 00:00:00

  • Myelolipomatous change in an interhemispheric lipoma associated with corpus callosum agenesis: case report.

    abstract:OBJECTIVE:Interhemisperic lipomas are almost always associated with hypogenesis or agenesis of the corpus callosum. These lesions are stable. CLINICAL PRESENTATION:We report a case of an interhemispheric lipoma in a 72-year-old man who had undergone myelolipomatous differentiation. INTERVENTION:Gross total excision o...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000317326.09601.51

    authors: Suri V,Sharma MC,Suri A,Karak AK,Garg A,Sarkar C,Jain D

    更新日期:2008-03-01 00:00:00

  • Circumferential spinal cord decompression through a posterior midline approach with lateral auxiliary ports for lower thoracic compressive myelopathy.

    abstract:BACKGROUND:The lower thoracic spine is a complicated area within the vertebral column because of its anatomic complexity and inaccessibility. A variety of surgical procedures have been applied to access lower thoracic spinal lesions. When hard compressive pathologies are located on the ventral side of the dura, existin...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/NEU.0b013e31823261b0

    authors: Lee SE,Jahng TA,Chung CK,Kim HJ

    更新日期:2012-06-01 00:00:00

  • Traumatic bilateral ophthalmic artery aneurysms: a case report.

    abstract::A case of bilateral ophthalmic artery aneurysm of traumatic origin is discussed. The patient presented with progressive loss of vision, memory deficit, and expressive aphasia. A computed tomographic scan revealed enhancing lesions near the region of the optic chiasm. The diagnosis of cerebral aneurysm was confirmed by...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198707000-00019

    authors: Hahn YS,McLone DG

    更新日期:1987-07-01 00:00:00

  • Covered Stents for the Prevention and Treatment of Carotid Blowout Syndrome.

    abstract:BACKGROUND:Carotid blowout syndrome (CBS) is a life-threatening emergency resulting from compromise of the carotid artery caused by malignancy in the head and neck. OBJECTIVE:To report our experience with covered stents for the prevention or treatment of carotid blowout syndrome secondary to head and neck cancer to as...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000738

    authors: Gaynor BG,Haussen DC,Ambekar S,Peterson EC,Yavagal DR,Elhammady MS

    更新日期:2015-08-01 00:00:00

  • Aneurysm of the anterior inferior cerebellar artery-posterior inferior cerebellar artery variant: case report with anatomical description in the cadaver.

    abstract:OBJECTIVE AND IMPORTANCE:The authors report a very rare case of an aneurysm at the distal segment of the anterior inferior cerebellar artery-posterior inferior cerebellar artery (AICA-PICA) variant along with a description of the surgical anatomy of this variation in a cadaveric specimen. CLINICAL PRESENTATION:A 44-ye...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000199344.63306.DD

    authors: Baskaya MK,Coscarella E,Jea A,Morcos JJ

    更新日期:2006-02-01 00:00:00

  • Laser or razor? A novel experimental peripheral nerve repair technique.

    abstract::An operative repair technique for crushed sciatic nerve in the rat was used to examine whether removal of the damaged tissue could be better achieved with a low wattage CO2 laser or a blade. This approach was compared to results in rats undergoing conventional end-to-end nerve anastomosis using a microsurgical approac...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198803000-00014

    authors: de la Torre JC,Karaca M,Merali Z,Fortin T,Richard M

    更新日期:1988-03-01 00:00:00

  • Pressure-mounted cottonoids: technical note.

    abstract::A newly designed cottonoid is fixed to the tip of the suction device by the negative pressure. It is especially useful during microsurgical procedures in areas crowded with neurovascular elements. The advantage of pressure-mounted cottonoids lies in the protection provided to the brain and neurovascular elements durin...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-198212000-00010

    authors: Arbit E

    更新日期:1982-12-01 00:00:00

  • Apoptosis occurs after cerebral contusions in humans.

    abstract:OBJECTIVE:Animal model systems have shown that head trauma can induce cell death in regions of the brain away from the site of the impact via a process of apoptosis. We sought to determine whether there was evidence of cellular apoptosis in clinically collected materials from human head trauma patients, as well as to a...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200004000-00034

    authors: Ng I,Yeo TT,Tang WY,Soong R,Ng PY,Smith DR

    更新日期:2000-04-01 00:00:00

  • Magnetic resonance imaging in cases of spinal dural arteriovenous malformation.

    abstract::Two patients with spinal dural arteriovenous malformations associated with intramedullary changes confirmed by the T2-weighted magnetic resonance imaging (MRI) scans are reported. The characteristics of the MRI findings for these 2 patients were as follows. 1) In the T2-weighted spin-echo image, intramedullary changes...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198906000-00023

    authors: Isu T,Iwasaki Y,Akino M,Koyanagi I,Abe H

    更新日期:1989-06-01 00:00:00

  • Transsphenoidal surgery for Cushing's disease: outcome in patients with a normal magnetic resonance imaging scan.

    abstract:OBJECTIVE:Transsphenoidal surgery for Cushing's disease from a pituitary adenoma is an effective and safe treatment. Definitive preoperative diagnosis of Cushing's disease caused by a pituitary adenoma is often difficult, particularly in patients with normal imaging studies and a normal sella turcica. We present the ou...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200003000-00005

    authors: Semple PL,Vance ML,Findling J,Laws ER Jr

    更新日期:2000-03-01 00:00:00

  • p53 in nonneoplastic central nervous system lesions: an immunohistochemical and genetic sequencing study.

    abstract:OBJECTIVE:Immunostaining for p53 commonly is considered a marker of neoplasia. Previous studies of nonneoplastic processes have yielded conflicting results. METHODS:To test the assumption that p53 immunoreactivity indicates neoplasia, we examined 60 formalin-fixed, paraffin-embedded biopsies of nonneoplastic central n...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200211000-00021

    authors: Kurtkaya-Yapicier O,Scheithauer BW,Hebrink D,James CD

    更新日期:2002-11-01 00:00:00

  • External ventricular drain insertion accuracy: is there a need for change in practice?

    abstract:OBJECTIVE:Free-hand insertion of an external ventricular drain (EVD) is a common emergency neurosurgical procedure, mostly performed for critically ill patients. Although EVD complications have been studied thoroughly, the accuracy of EVD positioning has been audited only occasionally. METHODS:Post-EVD insertion compu...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000356973.39913.0B

    authors: Toma AK,Camp S,Watkins LD,Grieve J,Kitchen ND

    更新日期:2009-12-01 00:00:00

  • Preservation of facial nerve function after postoperative vasoactive treatment in vestibular schwannoma surgery.

    abstract:OBJECTIVE:Facial nerve paresis and hearing loss are common complications after vestibular schwannoma surgery. Experimental and clinical studies point to a beneficial effect of nimodipine and hydroxyethyl starch for preservation of cochlear nerve function. A retrospective analysis was undertaken to evaluate the effect o...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000230260.95477.0A

    authors: Strauss C,Romstöck J,Fahlbusch R,Rampp S,Scheller C

    更新日期:2006-09-01 00:00:00

  • Moyamoya disorder in the United States.

    abstract:BACKGROUND:In Asian populations, moyamoya disease has a well-defined phenotype including a bimodal age of presentation with children typically presenting with ischemic phenomena and adults presenting with hemorrhage. Studies have provided evidence that moyamoya disease in the United States may exhibit a different pheno...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318253ab8e

    authors: Starke RM,Crowley RW,Maltenfort M,Jabbour PM,Gonzalez LF,Tjoumakaris SI,Randazzo CG,Rosenwasser RH,Dumont AS

    更新日期:2012-07-01 00:00:00

  • Inhibition of NFkappaB reduces cellular viability in GH3 pituitary adenoma cells.

    abstract:OBJECTIVE:Adenomas of the pituitary gland are among the most common types of tumors of the adult brain. Although adenomas are histologically benign, they may be associated with significant morbidity and mortality, mostly because of their invasive growth pattern and hormone hypersecretion. Current medical therapies are ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000325874.82999.75

    authors: Vender JR,Laird MD,Dhandapani KM

    更新日期:2008-05-01 00:00:00

  • Evaluating the effect of superficial temporal artery to middle cerebral artery bypass on pure motor function using motor activation single photon emission computed tomography.

    abstract:OBJECTIVE:We evaluated and analyzed the effect of superficial temporal artery to middle cerebral artery bypass for internal carotid artery occlusion on pure motor function using motor activation single photon emission computed tomography. METHODS:Motor activation single photon emission computed tomographic (SPECT) ima...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199711000-00009

    authors: Kawaguchi S,Noguchi H,Sakaki T,Morimoto T,Hoshida T,Yonezawa T,Imai T,Ohishi H

    更新日期:1997-11-01 00:00:00

  • Sporadic unilateral vestibular schwannoma with islets of meningioma: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Vestibular schwannomas with meningioma islets have been rarely reported in the literature; they have been observed only among patients with neurofibromatosis Type II. We present a case of a sporadic mixed tumor in a patient without neurofibromatosis Type II that was not suspected before surgery...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200008000-00037

    authors: Lüdemann W,Stan AC,Tatagiba M,Samii M

    更新日期:2000-08-01 00:00:00

  • The asleep-awake-asleep anesthetic technique for intraoperative language mapping.

    abstract:OBJECTIVE:We evaluated a combined technique designed for procedures requiring intraoperative language mapping. We planned to induce general anesthesia with endotracheal intubation and hyperventilation and then to awaken and extubate the patient for speech testing. After the latter, endotracheal reintubation and general...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199806000-00069

    authors: Huncke K,Van de Wiele B,Fried I,Rubinstein EH

    更新日期:1998-06-01 00:00:00

  • Aneurysmal and microaneurysmal "angiogram-negative" subarachnoid hemorrhage.

    abstract::The source of bleeding remains obscure in most cases of subarachnoid hemorrhage (SAH) with a negative angiogram. From January 1, 1989, to July 1, 1993, 40 patients were admitted to the Massachusetts General Hospital with angiogram-negative SAH; 9 of these patients underwent surgical exploration. In seven of these expl...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199507000-00007

    authors: Tatter SB,Crowell RM,Ogilvy CS

    更新日期:1995-07-01 00:00:00

  • In-hospital mortality and morbidity after surgical treatment of unruptured intracranial aneurysms in the United States, 1996-2000: the effect of hospital and surgeon volume.

    abstract:OBJECTIVE:We sought to determine the risk of adverse outcome after contemporary surgical treatment of patients with unruptured intracranial aneurysms in the United States. Patient, surgeon, and hospital characteristics were tested as potential outcome predictors, with particular attention to the surgeon's and hospital'...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Barker FG 2nd,Amin-Hanjani S,Butler WE,Ogilvy CS,Carter BS

    更新日期:2003-05-01 00:00:00

  • Bupivacaine Field Block With Clonidine for Postoperative Pain Control in Posterior Spine Approaches: A Randomized Double-Blind Trial.

    abstract:BACKGROUND:The synergistic effect of clonidine with bupivacaine, well established in peripheral nerve blocks, remains controversial in local field block for postoperative analgesia. OBJECTIVE:To investigate the potential analgesic benefit of adding clonidine to bupivacaine during preincisional field block in posterior...

    journal_title:Neurosurgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/neuros/nyx313

    authors: Abdel Hay J,Kobaiter-Maarrawi S,Tabet P,Moussa R,Rizk T,Nohra G,Okais N,Samaha E,Maarrawi J

    更新日期:2018-06-01 00:00:00

  • Role of subtemporal decompression in severe closed head injury.

    abstract::There is general agreement that aggressive management and monitoring of the patient with closed head injury with control of intracranial pressure (ICP) will improve patient survival and eventual outcome. Conversely, there is little agreement on the value of surgical craniectomy for increasing intracranial volume and s...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198810000-00002

    authors: Gower DJ,Lee KS,McWhorter JM

    更新日期:1988-10-01 00:00:00

  • Seizure Outcomes in Occipital Lobe and Posterior Quadrant Epilepsy Surgery: A Systematic Review and Meta-Analysis.

    abstract:BACKGROUND:Occipital lobe epilepsy (OLE) is an uncommon but debilitating focal epilepsy syndrome with seizures often refractory to medical management. While surgical resection has proven a viable treatment, previous studies examining postoperative seizure freedom rates are limited by small sample size and patient heter...

    journal_title:Neurosurgery

    pub_type: 杂志文章,meta分析

    doi:10.1093/neuros/nyx158

    authors: Harward SC,Chen WC,Rolston JD,Haglund MM,Englot DJ

    更新日期:2018-03-01 00:00:00

  • Craniotomy and clipping of intracranial aneurysm in a stereoscopic virtual reality environment.

    abstract:OBJECTIVE:The release of results of International Subarachnoid Aneurysm Trial in 2003 caused a shift in the paradigm of management of ruptured intracranial aneurysms. The cases selected for microsurgical clipping nowadays are usually those patients with aneurysms that are not suitable for embolization, and are often co...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000290904.46061.0D

    authors: Wong GK,Zhu CX,Ahuja AT,Poon WS

    更新日期:2007-09-01 00:00:00

  • Endovascular therapy of very small aneurysms of the anterior communicating artery: five-fold increased incidence of rupture.

    abstract:BACKGROUND:Intraprocedural rupture is a dangerous complication of endovascular treatment. Small ruptured anterior communicating artery (ACoA) aneurysms and microaneurysms present a challenge for both surgical and endovascular therapies to achieve obliteration. An understanding of the complication rates of treating rupt...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/NEU.0b013e3182077373

    authors: Schuette AJ,Hui FK,Spiotta AM,Obuchowski NA,Gupta R,Moskowitz SI,Tong FC,Dion JE,Cawley CM

    更新日期:2011-03-01 00:00:00

  • cerebellar oligodendroglioma in a child.

    abstract::Oligodendrogliomas occur primarily in the cerebral hemispheres of adults. A rare case of an oligodendroglioma in the cerebellum of a child is presented. The tendency for oligodendroglioma to metastasize through the cerebrospinal fluid (CSF) is reviewed and emphasized. A recommendation for CSF cytology and possible spi...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198005000-00010

    authors: Holladay FP,Fruin AH

    更新日期:1980-05-01 00:00:00