Presentation is loading. Please wait.

Presentation is loading. Please wait.

Charles W. Acher, MD, Martha M. Wynn, MD, John R. Hoch, MD, Paul W

Published byJózsef Dudás Modified over 5 years ago

Similar presentations

Presentation on theme: "Charles W. Acher, MD, Martha M. Wynn, MD, John R. Hoch, MD, Paul W"— Presentation transcript:

1 Cardiac function is a risk factor for paralysis in thoracoabdominal aortic replacement 
Charles W. Acher, MD, Martha M. Wynn, MD, John R. Hoch, MD, Paul W. Kranner, MD  Journal of Vascular Surgery  Volume 27, Issue 5, Pages (May 1998) DOI: /S (98) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 Regression plot for preoperative and postoperative serum creatinine levels (mg/dl). The only significant predictor of the postoperative creatinine level was the preoperative creatinine level (p < ). With the slope of the regression line used as a measure of renal function before and after aneurysm repair, patients with renal revascularization had improved renal function (slope = 0.55) compared with patients who did not (slope = 0.91). Journal of Vascular Surgery  , DOI: ( /S (98) ) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Plot of the cardiac index (CI) before (CI1), during (CI2), and after (CI3) aortic occlusion in patients with and without deficits. The change in CI with aortic occlusion (delta CI) was a significant factor for paraplegia risk and may reflect the heart's ability to augment collateral blood flow to the spinal cord. Journal of Vascular Surgery  , DOI: ( /S (98) ) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 3 Paraplegia risk by technique of repair. In the regression plot of predicted versus actual number of deficits, the slope is an estimate of the paraplegia risk of that technique of repair, which is predictable and stable over time. Graft inclusion and intercostal reimplantation with or without assisted circulation had identical and perfectly predictable (slope = 0.98) paraplegia risks. XCLMP, cross clamp; AFB, assisted circulation; CSFD, cerebrospinal fluid drainage; GROUP A, patients who received CSFD and low-dose naloxone (1 μg/kg/hour) as adjuncts to reduce the risk of paralysis. Journal of Vascular Surgery  , DOI: ( /S (98) ) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Download ppt "Charles W. Acher, MD, Martha M. Wynn, MD, John R. Hoch, MD, Paul W"

Similar presentations

The effect of inguinal lymphatic manipulation on regional lymph flow patterns Jeffrey R. Rubin, MD, Lisa B. Eberlin, MD 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.
The risk of ischemic spinal cord injury in patients undergoing graft replacement for thoracoabdominal aortic aneurysms  Klaus Grabitz, MD, Wilhelm Sandmann,

The risk of ischemic spinal cord injury in patients undergoing graft replacement for thoracoabdominal aortic aneurysms  Klaus Grabitz, MD, Wilhelm Sandmann,
Acute traumatic aortic aneurysm: The Duke experience from 1970 to 1990

Acute traumatic aortic aneurysm: The Duke experience from 1970 to 1990
Late survival in abdominal aortic aneurysm patients: The role of selective myocardial revascularization on the basis of clinical symptoms  Martha M. Reigel,

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.

Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease  Joseph P. Archie, PhD, MD  Journal of Vascular.
Richard T. Purdy, M. D. , Frederick C. Beyer, M. D. , William D

Richard T. Purdy, M. D. , Frederick C. Beyer, M. D. , William D
Infected renal artery pseudoaneurysm and mycotic aortic aneurysm after percutaneous transluminal renal artery angioplasty and stent placement in a patient.

Infected renal artery pseudoaneurysm and mycotic aortic aneurysm after percutaneous transluminal renal artery angioplasty and stent placement in a patient.
Systemic inflammation, coagulopathy, and acute renal insufficiency following endovascular thoracoabdominal aortic aneurysm repair  Catherine K. Chang,

Systemic inflammation, coagulopathy, and acute renal insufficiency following endovascular thoracoabdominal aortic aneurysm repair  Catherine K. Chang,
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,

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,
Acute traumatic aortic aneurysm: The Duke experience from 1970 to 1990

Acute traumatic aortic aneurysm: The Duke experience from 1970 to 1990
Elliot L. Chaikof, MD, PhD, Robert B. Smith, MD, Atef A

Elliot L. Chaikof, MD, PhD, Robert B. Smith, MD, Atef A
Postoperative renal failure in thoracoabdominal aortic aneurysm repair with simple cross-clamp technique and 4°C renal perfusion  Martha M. Wynn, MD,

Postoperative renal failure in thoracoabdominal aortic aneurysm repair with simple cross-clamp technique and 4°C renal perfusion  Martha M. Wynn, MD,
A new valvulotome for in situ bypass grafts

A new valvulotome for in situ bypass grafts
Axillofemoral bypass: A tool with a limited role

Axillofemoral bypass: A tool with a limited role
Grace J. Wang, MD, Ronald M. Fairman, MD, Benjamin M

Grace J. Wang, MD, Ronald M. Fairman, MD, Benjamin M
Joseph S. Coselli, MD, Peter Oberwalder, MD 

Joseph S. Coselli, MD, Peter Oberwalder, MD 
Malcolm O. Perry, MD, Richard Kempczinski, MD 

Malcolm O. Perry, MD, Richard Kempczinski, MD 
Transaortic endarterectomy of renal visceral artery lesions in association with infrarenal aortic surgery  Robert A. Mason, MD, George B. Newton, MD,

Transaortic endarterectomy of renal visceral artery lesions in association with infrarenal aortic surgery  Robert A. Mason, MD, George B. Newton, MD,
Protecting the brain and spinal cord

Protecting the brain and spinal cord
Cerebrospinal fluid drainage reduces paraplegia after thoracoabdominal aortic aneurysm repair: Results of a randomized clinical trial  Joseph S. Coselli,

Cerebrospinal fluid drainage reduces paraplegia after thoracoabdominal aortic aneurysm repair: Results of a randomized clinical trial  Joseph S. Coselli,

Similar presentations

Ads by Google