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

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Presentation transcript:

Randomized comparison of cold blood and cold crystalloid renal perfusion for renal protection during thoracoabdominal aortic aneurysm repair Scott A. LeMaire, MD, Marisa M. Jones, BS, Lori D. Conklin, MD, Stacey A. Carter, BA, Monique D. Criddell, BS, Xing Li Wang, MD, PhD, Steven A. Raskin, CCP, Joseph S. Coselli, MD Journal of Vascular Surgery Volume 49, Issue 1, Pages 11-19 (January 2009) DOI: 10.1016/j.jvs.2008.08.048 Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

Fig 1 Flow of study patients. HCA, hypothermic circulatory arrest; LHB, left heart bypass; OR, operating room; TAAA, thoracoabdominal aortic aneurysm. *Some patients met more than one exclusion criterion. Journal of Vascular Surgery 2009 49, 11-19DOI: (10.1016/j.jvs.2008.08.048) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

Fig 2 Diagram illustrating the circuit used for delivering cold blood renal perfusion. Journal of Vascular Surgery 2009 49, 11-19DOI: (10.1016/j.jvs.2008.08.048) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

Fig 3 Representative pattern of change in left kidney temperature during intermittent cold perfusion. This patient received cold blood during an extent III thoracoabdominal aortic repair. Arrows indicate delivery of a cold blood bolus to both renal arteries; the volume infused is indicated above each arrow. Seven boluses (100-300 mL each) were given, providing a total renal perfusion volume of 1300 mL. The initial left kidney temperature was 32.6°C. After perfusion, kidney temperature ranged from 12.5°C to 20.0°C. Journal of Vascular Surgery 2009 49, 11-19DOI: (10.1016/j.jvs.2008.08.048) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions