Reduction in Allogeneic Blood Products With Routine Use of Autotransfusion in Open Elective Infrarenal Abdominal Aortic Aneurysm Repair

Abstract

The rIAT reduced the exposure to allogeneic blood products by more than 50%, in particular for patients with AAA larger than 60 mm. These results support the use of rIAT for open elective infrarenal AAA repair.

Effects of a targeted blood management programme on allogeneic blood transfusion in abdominal aortic aneurysm surgery

“…Previous studies of patients undergoing AAA have shown significant reductions in allogeneic blood exposure with the use of ICS (Courtemanche et al ., ; Pasternak et al, ). However, none have shown such a large case series with total avoidance of blood products unless the pre‐operative haemoglobin concentration was already below 106 g L −1 .…”

“…Previous studies have demonstrated that ICS for AAA reduces the need for allogeneic red cells by more than 50%, and possibly attenuates the incidence of post‐operative SIRS and infection (Shantikumar et al ., ; Tavare & Parvizi, ). The reduction in allogeneic transfusion is particularly relevant for patients with aneurysmal diameter greater than 60 mm (Courtemanche et al ., ).…”

Estudio de la morbimortalidad en pacientes intervenidos de estenosis carotídea que precisan transfusión sanguínea

“…Se realiza mediante la recolección de sangre recuperada del campo operatorio o de un circuito extracorpóreo. Está contraindicado en caso de padecer el paciente infección o neoplasia, así mismo no podrá realizarse si se utilizan soluciones yodadas sobre el campo quirúrgico o si se produce contaminación del mismo 184 .…”