Use of Carmeda-coated femoral-femoral bypass during repair of traumatic aortic pseudoaneurysms
| Autor: | Hugo G. Bogren, Joseph P. Contino, David M. Follette, Marc E. Pollock, Herbert A. Berkoff, David H. Wisner |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Adult
Male medicine.medical_specialty Blood transfusion Adolescent medicine.medical_treatment law.invention Pseudoaneurysm Aortic aneurysm law medicine.artery Cardiopulmonary bypass Medicine Humans Heart bypass Child Intraoperative Complications Aged Retrospective Studies Aorta Cardiopulmonary Bypass Aortic Aneurysm Thoracic business.industry Middle Aged medicine.disease Surgery Femoral Artery Treatment Outcome Cardiothoracic surgery Anesthesia cardiovascular system Injury Severity Score Wounds and Injuries Female business |
| Zdroj: | Archives of surgery (Chicago, Ill. : 1960). 129(9) |
| ISSN: | 0004-0010 |
| Popis: | Objective: To compare the results and outcomes of three different approaches to posttraumatic pseudoaneurysm repair: clamp and sew, left heart bypass, and the most recent approach, cardiopulmonary support using femoral-femoral bypass. Design: Retrospective series. Setting: A university-based, level 1 trauma center. Patients: Forty-two consecutive patients treated for posttraumatic aortic pseudoaneurysm whose mean (±SEM) Injury Severity Score was 37± 1.7. Intervention: Methods of repair included clamp and sew in nine patients, left heart bypass in 24 patients, and cardiopulmonary support in nine patients. Methods: Student's t test was used to compare intraoperative blood loss, need for blood transfusion, and aortic cross-clamp time. Complications and mortality were also reviewed. Results: Mean (±SEM) aortic cross-clamp time for clamp and sew was 28.1±3.3 minutes vs 52.5±3.7 for left heart bypass and 49.3±5.6 for cardiopulmonary support. Blood loss and the need for transfusion were comparable between groups. Complications were also comparable. Conclusion: Femoral-femoral cardiopulmonary support is safe to use, has a very low risk of complications, and should provide protection for the spinal cord during aortic repair. We encourage a randomized prospective trial to determine if cardiopulmonary support has a significantly lower rate of paraplegia than the clamp-and-sew technique. (Arch Surg. 1994;129:933-939) |
| Databáze: | OpenAIRE |
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