Intraoperative Autotransfusion during Abdominal Aortic Aneurysm Repair.
10.4326/jjcvs.23.11
- VernacularTitle:術中回収式自己血輸血の有用性と限界 腹部大動脈りゅう手術例での検討
- Author:
Susumu Ishikawa
;
Masahiro Aizaki
;
Akio Otaki
;
Hajime Yanagisawa
;
Yoshimi Otani
;
Kazuhiro Sakata
;
Toru Takahashi
;
Yasushi Sato
;
Ichiro Yoshida
;
Yasuo Morishita
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1994;23(1):11-14
- CountryJapan
- Language:Japanese
-
Abstract:
In a consecutive series of abdominal aortic aneurysm repairs, a non-washing autotransfusion unit system was used in 47 patients, and was not used in 25. In the 47 patients treated with the autotransfusion unit, the average amount of autotransfused blood was 1, 109±131ml in elective cases. The amount of banked blood transfusion was significantly smaller in autotransfused patients (mean; 712ml), compared to non-autotransfused patients (mean; 1, 405ml). Postoperative levels of serum bilirubin were higher in patients with greater autotransfused blood volumes than those with smaller volumes. The combination of preoperative autologous blood donation (2-3 units) and intraoperative autotransfusion is necessary to perform abdominal aortic aneurysm repair without homologous blood transfusion.
