胸腹主动脉手术中的内脏和肾脏保护
Visceral and renal protection in thoracoabdominal aortic surgery.
作者信息
Vijayashankar Cuddalore Sadasivan, Valooran George Jose
机构信息
Department of Cardiothoracic Surgery, Apollo Hospitals, Graem's Lane, Chennai, 600006 India.
Department of Cardiothoracic Surgery, Rajagiri Hospital, Chunangamvely, Aluva, Kochi, Kerala 683112 India.
出版信息
Indian J Thorac Cardiovasc Surg. 2022 Apr;38(Suppl 1):157-162. doi: 10.1007/s12055-020-01129-2. Epub 2021 Jan 20.
Abstract
Ischemic renal failure and visceral ischemia are two serious complications of the surgery for thoracoabdominal aortic aneurysm. The introduction of left atrial bypass, partial bypass, total circulatory arrest, and selective visceral perfusion has reduced the incidence of these complications over the past two decades. Yet these complications still persist, suggesting the sub-optimal nature of the available strategies.
摘要
缺血性肾衰竭和内脏缺血是胸腹主动脉瘤手术的两种严重并发症。在过去二十年中，左心房旁路、部分旁路、全循环停止和选择性内脏灌注的引入降低了这些并发症的发生率。然而，这些并发症仍然存在，这表明现有策略的效果并不理想。
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