Lokshin L S, Kirillov M V, Lur'e G O, Barysheva I E
Anesteziol Reanimatol. 1999 Sep-Oct(5):29-32.
Fifteen patients were operated on for aortic aneurysms and were fitted with prostheses of the thoracoabdominal portion of the aorta in March 1997-February 1999. The operations were performed under conditions of a left atrial-femoral bypass with a centrifuge pump with a working heart. The patients were divided into 2 groups. In group 1 (10 pts), standard extracorporeal shunting and Cell-Saver were used, in group 2 (5 pts) the extracorporeal contour included an original system for rapid collection and return of autoblood. A left-atrial bypass prevented ischemia of the organs of the abdominal cavity and lower part of the body. Incorporation of a system for rapid collection and return of autoblood into the extracorporeal contour maintained stable hemodynamics, decreased heparin dose, preserved autoblood, and decreased the amount of transfused donor blood and its components.
1997年3月至1999年2月期间，15例患者接受了主动脉瘤手术，并植入了胸腹段主动脉假体。手术在带有工作心脏的离心泵的左心房-股动脉旁路条件下进行。患者被分为2组。第1组（10例）采用标准体外分流和血液回收机，第2组（5例）体外循环系统包括一个用于快速收集和回输自体血的创新系统。左心房旁路可防止腹腔和身体下部器官缺血。将快速收集和回输自体血的系统纳入体外循环可维持稳定的血流动力学，减少肝素用量，保存自体血，并减少输注的供血及其成分的量。
