1998
DOI: 10.1016/s0741-5214(98)70301-5
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Impact of distal aortic and visceral perfusion on liver function during thoracoabdominal and descending thoracic aortic repair

Abstract: Visceral perfusion negates the rise in postoperative liver function-related clinical laboratory values associated with type II thoracoabdominal aortic aneurysm repair.

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Cited by 51 publications
(24 citation statements)
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“…On the other hand, Coselli's group, using a lower flow rate of 400 ml/min for four branches at normothermia, reported that intermittent cold crystalloid perfusion provides superior renal protection than selective perfusion [13]. Safi and Colleagues [14], using a lower flow rate of 200-600 ml/min for four branches at moderate hypothermia, also reported no beneficial effect of selective perfusion on renal function. However, both of them reported no clinically deleterious effect of their perfusion protocol on liver function.…”
Section: Discussionmentioning
confidence: 99%
“…On the other hand, Coselli's group, using a lower flow rate of 400 ml/min for four branches at normothermia, reported that intermittent cold crystalloid perfusion provides superior renal protection than selective perfusion [13]. Safi and Colleagues [14], using a lower flow rate of 200-600 ml/min for four branches at moderate hypothermia, also reported no beneficial effect of selective perfusion on renal function. However, both of them reported no clinically deleterious effect of their perfusion protocol on liver function.…”
Section: Discussionmentioning
confidence: 99%
“…[3][4][5] In general, a combination of permissive mild hypothermia, sequential aortic clamping, an aggressive reattachment of the critical intercostal and/or lumbar arteries, and distal aortic perfusion has been used to prevent spinal cord injury. 6,7 However, the extent of an aneurysm does not always allow for the placement of appropriate segmental clampings. Therefore, a descending thoracic or thoracoabdominal aortic aneurysm repair still focuses on the speed of the operation.…”
Section: Discussionmentioning
confidence: 99%
“…Anastomoses are performed using a segmental (sequential) clamp technique to reduce spinal ischemic time [64,81]. In cases with extended lesions including the visceral arteries, visceral perfusion is added, using 10-14-Fr branched balloon-chipped tubes of the CPB circuit [82]. Cerebrospinal fluid drainage is performed, particularly, for high-risk patients with Crawford type II TAAA [83][84][85][86].…”
Section: Spinal Cord Protection During Aortic Surgerymentioning
confidence: 99%