Perfusion management of thoracoabdominal aortic aneurysm repair using partial femoral to femoral cardiopulmonary bypass
10.3760/cma.j.cn112434-20200918-00424
- VernacularTitle:股静脉至股动脉体外循环下全胸腹主动脉替换术转流经验
- Author:
Jing YANG
1
;
Jialin XING
;
Rong WANG
;
Yongmin LIU
;
Junming ZHU
;
Xiaotong HOU
;
Lizhong SUN
Author Information
1. 首都医科大学附属北京安贞医院心脏外科危重症中心 体外循环与机械辅助循环科 100029
- Keywords:
Thoracoabdominal aortic aneurysm repair;
Partial cardiopulmonary bypass;
Spinal cord protection;
Organ protection
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2021;37(7):418-421
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Analysis the protective effect of the partial femoral to femoral cardiopulmonary bypass(CPB) on thoracoabdominal aortic aneurysm repair(TAAAR).Methods:From September 2016 to August 2020, 50 cases of TAAAR under partial CPB were performed at our hospital. Thirty males and 20 females with an average age of(40.5±12.4) years old(ranging 21 to 69 years old) were involved. Partial CPB without selective organ perfusion were applied at the early stage. Since November 2019, the adjunct of perfuse the celiac and superior mesenteric artery with warm blood and irrigate the renal artery with 4℃ HTK solution was used in TAAAR, and 25 patients were operated under this adjunct.Results:The average CPB time was(116.9±35.4) min, the lowest central body temperature during the partial CPB was(34.7±0.7)℃. Total early postoperative mortality was 6%(3/50, 3 deaths in partial CPB alone group). Paraplegia occurred in 4 cases(8%), new happened postoperative hemodialysis was in 6 cases(16%). Among the hemodialysis event, 2 cases(8%, 2/25) were in the group with selective organ perfusion, and 4 cases(16%, 4/25) in the group without using the adjunct.Conclusion:Mild hypothermic partial cardiopulmonary bypass combined with selective organ perfusion have protective effects on spinal cord and abdominal organ in patients underwent TAAAR.
