Minimizing blood transfusions during abdominal aortic surgery: Recent advances in rapid autotrnsfusion J.W. Hallett, M.D., Mark Popovsky, M.D., Duane.

Slides:

Advertisements

Similar presentations

Endothelial cell seeding reduces thrombogenicity of Dacron grafts in humans Per Örtenwall, MD, PhD *, Hans Wadenvik, MD, PhD **, Jack Kutti, MD, PhD **,

Advertisements

The role of arteriovenous shunts in the pathogenesis of varicose veins Howard C. Baron, M.D., Sebastiano Cassaro, M.D. Journal of Vascular Surgery Volume.

The effect of inguinal lymphatic manipulation on regional lymph flow patterns Jeffrey R. Rubin, MD, Lisa B. Eberlin, MD Journal of Vascular Surgery Volume.

A review of 100 consecutive reconstructions of the distal vertebral artery for embolic and hemodynamic disease Ramon Berguer, MD, PhD, Mark D. Morasch,

Clinical evaluation of recombinant human platelet – derived growth factor for the treatment of lower extremity diabetic ulcers David L. Steed, MD, the.

Aortic injury occurring after minor trauma in ankylosing spondylitis

Heparin-coated catheters and heparin-induced thrombocytopenia

Late survival in abdominal aortic aneurysm patients: The role of selective myocardial revascularization on the basis of clinical symptoms Martha M. Reigel,

Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease Joseph P. Archie, PhD, MD Journal of Vascular.

Ultrasound measurement of the luminal diameter of the abdominal aorta and iliac arteries in patients without vascular disease Ole Martin Pedersen, MD,

Graft-related complications after abdominal aortic aneurysm repair: Reassurance from a 36-year population-based experience John W. Hallett, MD, Donna.

Richard T. Purdy, M. D. , Frederick C. Beyer, M. D. , William D

Reduced postoperative blood loss and transfusion requirement after beating-heart coronary operations: A prospective randomized study Raimondo Ascione,

Abdominal aortic pseudoaneurysm after blunt trauma

Surgical management of infected abdominal aortic grafts: Review of a 25-year experience Patrick J. O'Hara, M.D., Norman R. Hertzer, M.D., Edwin G. Beven,

The percutaneous Greenfield filter: Outcomes and practice patterns

A new valvulotome for in situ bypass grafts

Aortic injury occurring after minor trauma in ankylosing spondylitis

Walter J. Scott, M.D., Bruce L. Gewertz, M.D.

Effects of exercise rehabilitation on cardiovascular risk factors in older patients with peripheral arterial occlusive disease Anna Maria Izquierdo-Porrera,

Malcolm O. Perry, MD, Richard Kempczinski, MD

Recurrent thoracic outlet syndrome

Protecting the brain and spinal cord

Inflammatory abdominal aortic aneurysms: A case-control study

Heparin-coated catheters and heparin-induced thrombocytopenia

Milton M. Slocum, MD, John G. Adams, MD, Rosemary Teel, MT, Donald P

Intraoperative autotransfusion in aortic surgery: Comparison of whole blood autotransfusion versus cell separation Claus Bartels, MD, J.V. Matthias Bechtel,

Aortic collagenase activity as affected by laparotomy, cecal resection, aortic mobilization, and aortotomy in rats Jon R. Cohen, M.D., Malcolm O. Perry,

Marc M. Sedwitz, M. D. , Richard J. Davies, M. D. , Harold T

Reduction of hospital resources utilization in vascular surgery: A four-year experience Sean P. Roddy, MD, Thomas F. O'Donnell, MD, Mark D. Iafrati, MD,

Objective tinnitus resulting from internal carotid artery stenosis

Depressed cardiovascular function and altered platelet kinetics following protamine sulfate reversal of heparin activity Thomas W. Wakefield, M.D., Walter.

Jae-Sung Cho, MD, Peter Gloviczki, MD, Eugenio Martelli, MD, W

S.Amjad Hussain, MD, FRCSC, Ahmet Bayar, MD

Recreational weight lifting and aortic dissection: Case report

Calvin B. Ernst, MD Journal of Vascular Surgery

Ruptured abdominal aortic aneurysm: A population-based study

Results of six hundred thirty-six esophageal transections with paraesophagogastric devascularization in the treatment of esophageal varices Mitsuo Sugiura,

Ramesh Lokanathan, MD, FRCS(C), David C. Taylor, MD, FRCS(C)

Cardiovascular surgery—The rocket and its stars: Presidential address

The role of a defined protocol for cardiac risk assessment in decreasing perioperative myocardial infarction in vascular surgery T.J. Bunt, MD Journal.

Decreased oxygen consumption as a toxic manifestation of protamine sulfate reversal of heparin anticoagulation Thomas W. Wakefield, MD, Ignacio Ucros,

Dipyridamole-thallium scintigraphy predicts perioperative and long-term survival after major vascular surgery Bruce S. Cutler, MD, Robert C. Hendel,

Composite sequential bypasses to the ankle and beyond for limb salvage

Heparin-associated thrombocytopenia and thrombosis: A serious clinical problem and potential solution Raymond G. Makhoul, M.D., Charles S. Greenberg,

Research and research funding in vascular surgery

Safer shunt insertion during carotid endarterectomy

J.Dennis Baker, MD Journal of Vascular Surgery

Nitroglycerin to control blood pressure during endovascular stent-grafting of descending thoracic aortic aneurysms Emanuel O. Bernard, MD, Edith R. Schmid,

Discussion The Journal of Thoracic and Cardiovascular Surgery

Seizures following subclavian-carotid bypass

Should patient age be a consideration in carotid endarterectomy?

Acute aortic occlusion – Factors that influence outcome

Monitoring vascular surgical performance

William E. Evans, M.D., James P. Hayes, M.S.

D. Emerick Szilagyi, MD—An appreciation

Presidential address: The second-generation vascular surgeon

The Propranolol Aneurysm Trial Investigators

George D. Lilly 1906–1988 Journal of Vascular Surgery

James A. DeWeese, MD Journal of Vascular Surgery

Mid-term results of a second generation bifurcated endovascular graft for abdominal aortic aneurysm repair: The French Vanguard trial Jean-Pierre Becquemin,

Jerry Goldstone, MD Journal of Vascular Surgery

Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease Joseph P. Archie, PhD, MD Journal of Vascular.

Innominate artery trauma: A thirty-year experience

Popliteal entrapment syndrome: A report of tibial nerve entrapment

Supraclavicular reoperation for neurogenic thoracic outlet syndrome

The cause of perioperative stroke after carotid endarterectomy

Endovascular repair of two abdominal aortic aneurysms

Cornelius A. Sullivan, MD, Michael J. Rohrer, MD, Bruce S. Cutler, MD

Vivienne J. Halpern, MD, Roxana G. Kline, MD, Anthony J

Presentation transcript:

Minimizing blood transfusions during abdominal aortic surgery: Recent advances in rapid autotrnsfusion J.W. Hallett, M.D., Mark Popovsky, M.D., Duane Ilstrup, M.S. Journal of Vascular Surgery Volume 5, Issue 4, Pages 601-606 (April 1987) DOI: 10.1016/0741-5214(87)90227-8 Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Mayo Rapid Autotransfusion Device (RAD). The RAD mixes aspirated blood with heparin, collects it in a plastic cardiotomy reservoir (1), washes red blood cells free of heparin, plasma, white blood cells, platelets, and other debris (2), and packages red blood cells in units of 225 ml with a hematocrit of 55% to 60% (3). The entire process takes 3 to 5 minutes, and the packaged blood is passed to the anesthesia team for reinfusion (4). Journal of Vascular Surgery 1987 5, 601-606DOI: (10.1016/0741-5214(87)90227-8) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Total perioperative blood utilization. Autotransfusion reduced homologous blood bank usage by 75%. Journal of Vascular Surgery 1987 5, 601-606DOI: (10.1016/0741-5214(87)90227-8) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Serial hemoglobin with rapid autotransfusion. With these hemoglobin levels, 68% of autotransfusion patients required no supplemental homologous bank blood during the entire perioperative period. Journal of Vascular Surgery 1987 5, 601-606DOI: (10.1016/0741-5214(87)90227-8) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Serial platelet counts with rapid autotransfusion. Although platelet count decreases with rapid autotransfusion, no significant difference was noted for platelet transfusions between autotransfusion group and control group. Journal of Vascular Surgery 1987 5, 601-606DOI: (10.1016/0741-5214(87)90227-8) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions