Thromboelastometry-guided administration of fibrinogen concentrate for the treatment of excessive intraoperative bleeding in thoracoabdominal aortic aneurysm.

Slides:

Advertisements

Similar presentations

Of mice and men and surgical transcatheter aortic valve insertion

Advertisements

Lost in translation The Journal of Thoracic and Cardiovascular Surgery

Manuel J. Antunes, MD, PhD, DSc

Thromboelastometrically guided transfusion protocol during aortic surgery with circulatory arrest: A prospective, randomized trial Evaldas Girdauskas,

LiQian Chen, MD, PhD, Arthur W

Jennifer Chung, MD, MSc, Maral Ouzounian, MD, PhD

Right internal thoracic artery or saphenous vein grafting

William M. DeCampli, MD, PhD

Multilevel data analysis: What? Why? How?

New treatment approaches create new disease processes: A short guide on how to reduce unexpected events to a minimum Martin Czerny, MD, MBA The Journal.

Bicuspid aortic valve aortopathy: One size fits all?

Roland Assi, MD, MMS, Wilson Y. Szeto, MD

An option for intraoperative placement of an intra-aortic balloon pump in patients with occlusive peripheral vascular disease Domenico Calcaterra, MD,

Use of human fibrinogen concentrate during proximal aortic reconstruction with deep hypothermic circulatory arrest Jennifer M. Hanna, MD, MBA, Jeffrey.

The lord of the rings Antonio Miceli, MD, PhD

Five-minute parameter of thromboelastometry is sufficient to detect thrombocytopenia and hypofibrinogenaemia in patients undergoing liver transplantation

Surgical economics: MACRA, MIPS, and bundles—Lessons learned in the first 3 years of a coronary artery bypass grafting alternative payment model Daniel.

Conduit conundrum: If not two, why three?

Zoe K. McQuilten, MBBS, Nick Andrianopoulos, MBBS, MBiostat, Erica M

Fibrinogen concentrate reduces intraoperative bleeding when used as first-line hemostatic therapy during major aortic replacement surgery: Results from.

Oh, father, where art we? Left internal mammary artery with greater saphenous vein grafts still rules surgical coronary revascularization after 30 years

The assessment of cost effectiveness and the effectiveness of cost assessment in cardiothoracic surgery Vinay Badhwar, MD The Journal of Thoracic and.

It's not “just a shunt” but sometimes it should be…

Fixing the supply problem

Military surgeons just want to have fun

Do we need a bibliometrician to know which way the wind is blowing?

A first start for lung transplantation?

Transcatheter aortic valve replacement and surgical aortic valve replacement: Both excellent therapies J. James Edelman, MBBS(Hons), PhD, Vinod H. Thourani,

Surgery for aortic and mitral valve disease in the United States: A trend of change in surgical practice between 1998 and 2005 Scott D. Barnett, PhD,

Joseph A. Dearani, MD, Michael J. Ackerman, MD, PhD

Intraoperative vacuum-assisted closure following in situ graft replacement for an infected thoracic aortic graft Katsuhiro Hosoyama, MD, Shunsuke Kawamoto,

Jeevanantham Rajeswaran, PhD, Eugene H. Blackstone, MD

Derrick Y. Tam, MD, Stephen E. Fremes, MD, MSc

Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD

Sinus of Valsalva aneurysms: Stabilizing the repair destabilizing the aortic valve? M. Sertaç Çiçek, MD, FACC The Journal of Thoracic and Cardiovascular.

Replicating the success of mitral valve repair in the aortic valve

Attachment disorder in thoracoabdominal surgery

The Ross procedure: Time to reevaluate the guidelines

Video-assisted resection for lung cancer results in fewer complications Lunxu Liu, PhD, MD, FRCS The Journal of Thoracic and Cardiovascular Surgery

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

The thoracoabdominal saga and heroes

Ralph S. Mosca, MD The Journal of Thoracic and Cardiovascular Surgery

Innovation in cardiothoracic surgical training

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

The future of cardiac surgery training: A survival guide

The patent internal thoracic artery graft: Increased degree of difficulty for left-sided pulmonary resections Robbin G. Cohen, MD, MMM The Journal of.

The continuing challenge of congenital heart disease in China

Between a rock and a hard place

Maral Ouzounian, MD, PhD, Amine Mazine, MD, MSc, Tirone E. David, MD

Vinay Badhwar, MD, John S. Ikonomidis, MD, PhD, Jeffrey P. Jacobs, MD

“The more things change…”: The challenges ahead

Why arch curvature affects arch resistance

Toward a more rational approach in treating type B aortic dissection

Evaluating the best approach to treatment of aortic stenosis: The jury is still out Glen B. Taksler, PhD The Journal of Thoracic and Cardiovascular Surgery

Apples remain apples NO matter what

The evolution of cardiothoracic critical care

Perioperative renal function and thoracoabdominal aneurysm repair: Where do we go from here? Leonard N. Girardi, MD The Journal of Thoracic and Cardiovascular.

Of mice and men… The Journal of Thoracic and Cardiovascular Surgery

Grant T. Fankhauser, MD, Abe DeAnda, MD, Patrick T. Roughneen, MD

Indications for thoracoabdominal aortic surgery

Did you like Terminator 3 better than Terminator 2

A good chimney requires a good sweep

Commentary: Evaluation of primary graft dysfunction after lung transplantation—It is time to teach an old dog new tricks! W. Hampton Gray, MD, P. Michael.

Descending thoracic and thoracoabdominal aortic aneurysms: “Busted”

IS local wound infection rate more important than long-term graft patency in coronary artery bypass grafting? Tomislav Kopjar, MD, PhD, Michael R. Dashwood,

Edward Y. Chan, MD, Michael J. Reardon, MD

Zone zero thoracic endovascular aortic repair is all about “location, location, location” Kevin L. Greason, MD The Journal of Thoracic and Cardiovascular.

Prediction of the excessive perioperative bleeding in patients undergoing coronary artery bypass grafting: Role of aspirin and platelet glycoprotein IIIa.

Akiko Tanaka, MD, PhD, Takeyoshi Ota, MD, PhD

Presentation transcript:

Thromboelastometry-guided administration of fibrinogen concentrate for the treatment of excessive intraoperative bleeding in thoracoabdominal aortic aneurysm surgery Niels Rahe-Meyer, MD, MSc, PhD, Cristina Solomon, MD, Michael Winterhalter, MD, Siegfried Piepenbrock, MD, Kenichi Tanaka, MD, MSc, PhD, Axel Haverich, MD, Maximilian Pichlmaier, MD The Journal of Thoracic and Cardiovascular Surgery Volume 138, Issue 3, Pages 694-702 (September 2009) DOI: 10.1016/j.jtcvs.2008.11.065 Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Flow chart of transfusion algorithm. Platelet count is expressed as 1000/μL. PLT, Platelet count measured at the last suture time point (the suture of the last collateral artery on the aortic graft); FFP, fresh frozen plasma; PC, platelet concentrates. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 694-702DOI: (10.1016/j.jtcvs.2008.11.065) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Examples of thromboelastometry curves (ROTEM). A, Traces before fibrinogen concentrate therapy. The upper MCF limit of 68 mm is indicated by a solid line. B, Traces after fibrinogen concentrate therapy. MCF, Maximum clot firmness; EXTEM, ROTEM test with extrinsic activation of coagulation; FIBTEM, ROTEM test with extrinsic activation of coagulation and platelet inhibition with cytochalasin D. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 694-702DOI: (10.1016/j.jtcvs.2008.11.065) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions