Open Surgical Repair of 2286 Thoracoabdominal Aortic Aneurysms

Acute kidney injury following total joint arthroplasty: retrospective analysis

“…19 The RIFLE criteria 19 and subsequent AKIN definition 11 have addressed this methodological deficiency. Acute kidney injury following cardiac, vascular surgery, and major noncardiac surgery has been well studied; 5,16,[20][21][22][23] however, AKI following joint arthroplasty has received less attention. 6,7,24 Though our study was not designed to determine the incidence of postoperative AKI, the percentage of cases (1.8%) that experienced postoperative AKI is higher than previous estimates (0.4-0.55%), likely reflecting increased sensitivity of our modified AKIN criteria compared with RIFLE criteria, 11,19 which may introduce an ascertainment bias.…”

A Novel Microwave Sensor to Detect Specific Biomarkers in Human Cerebrospinal Fluid and Their Relationship to Cellular Ischemia During Thoracoabdominal Aortic Aneurysm Repair

“…This is a direct consequence of the restriction of spinal cord blood flow during surgical repair and consequently causes spinal cord ischaemia (SCI) [5]. Published rates of spinal cord ischaemia are varied worldwide can have been reported as high as 30% [6][7][8][9][10] . 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 Over the past half century numerous adjuncts to reduce the risk of SCI have been developed and are routinely employed to provide neuro-protection through the maintenance of adequate perfusion to the spinal cord.…”

Acute Subdural Hematoma Following Thoracoabdominal Aortic Repair in a Patient with Marfan Syndrome: A Rare Complication of Cerebrospinal Fluid Drainage

“…The intercostals (TH8-12), celiac, superior mesenteric, renal and inferior mesenteric arteries were reimplanted. The operation technique used standard methods previously detailed by many authors, 1,2,8) including permissive mild hypothermia (32°C-34°C, nasopharyngeal), warm blood perfusion of celiac and superior mesenteric arteries, perfusion of renal arteries with 4°C crystalloid solution, aggressive reattachment of segmental arteries, especially between Th8 and Th12, normal heparinization (3 mg/kg) and a distal aortic perfusion technique. 2) Distal aortic perfusion was used to maintain arterial pressure at about 60 mm Hg from the distal site of the cross clump by femoro-femoral bypass.…”

“…[1][2][3] Although CSF drainage has become a standard method to reduce the risk of paraplegia in thoracoabdominal aortic aneurysm (TAAA) repair, acute subdural hematoma (SDH) associated with the placement of lumbar CSF drainage catheters has been reported. [4][5][6] In particular, it has been reported that a larger volume of CSF drainage is a significant risk factor for SDH.…”