Postoperative renal function after an abdominal aortic aneurysm repair requiring a suprarenal aortic cross-clamp.

Abstract:

:We describe herein the postoperative renal functions of patients who required a suprarenal aortic cross-clamp during abdominal aortic surgery. Seven patients required a unilateral suprarenal aortic cross-clamp (group A) and six patients required a bilateral suprarenal clamp (group B). Eighty-three patients who required an infrarenal aortic clamp were assigned to group C. Renal hypothermia with renal perfusion or topical cooling during suprarenal clamp was not performed. No hospital deaths were encountered. In group B, the postoperative creatinine and blood urea nitrogen (BUN) levels remained statistically significantly higher than that of group C until the seventh postoperative day. The postoperative renal dysfunction (serum creatinine level >2.0 mg/dl) was 28.6% in group A and 50% in group B, while it was only 8.4% in group C, although no patient required either temporary or permanent hemodialysis. The postoperative peak BUN over 30 min suprarenal clamp was significantly higher than that within 30 min. In summary, the postoperative renal function was impaired after an extended bilateral suprarenal clamp. These findings suggest that if prolonged renal ischemia is thus expected, then renal preservation should be considered.

journal_name

Surg Today

journal_title

Surgery today

authors

Sasaki T,Ohsawa S,Ogawa M,Mukaida M,Nakajima T,Komoda K,Tachieda R,Niinuma H,Kawazoe K

doi

10.1007/PL00010043

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

33-6

issue

1

eissn

0941-1291

issn

1436-2813

pii

10.1007/PL00010043

journal_volume

30

pub_type

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