A Modified Technique of Atriofemoral Bypass for Visceral and Distal Aortic Perfusion in Thoracoabdominal Aortic Surgery

Randomized comparison of cold blood and cold crystalloid renal perfusion for renal protection during thoracoabdominal aortic aneurysm repair

“…Furthermore, several centers have used cold blood perfusion to provide renal protection. 8,[19][20][21]23 It was this clinical precedence that stimulated us to formally compare cold blood with cold crystalloid.…”

Emergency surgery for thoracoabdominal aortic aneurysms with acute presentation

“…21 Strategies for providing visceral and renal protection during TAAA repair have evolved substantially during the series. 21,[23][24][25][26] In selected patients treated with LHB, we perfused the celiac, superior mesenteric, and renal arteries with blood during their reattachment with balloon catheters attached to the LHB circuit. In those treated without LHB, we often administer cold crystalloid to the renal arteries via balloon catheters.…”

The effect of thoracoabdominal aneurysm repair on quality of life

“…Mortality and morbidity of the surgery have been reported elsewhere. [22][23][24][25] Statistical analysis. All data was tabulated in an electronic database using Microsoft Access.…”

“…3 The rationale for surgical intervention in thoracoabdominal aneurysms is the prevention of spontaneous rupture and death. Without treatment, the risk of rupture and 5-year survival in thoracic aortic aneurysms (aneurysm greater than 5 cm or twice the size of the normal proximal or distal aorta) is estimated to be 47% to 74% and 21% (95% CI [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32], respectively, in cohort studies from tertiary care centers. 1,4 Other cohort studies of thoracoabdominal aortic aneurysms have documented a 5-year survival rate of 39% (95% CI 46% to 73%) and 4-year risk of rupture of 32% (95% CI 11% to 41%).…”