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复杂主动脉腔内修复术患者的术中自体血回输技术

Intraoperative cell salvage technique in patients undergoing complex endovascular aortic repair.

作者信息

Park Simon S, Weise Lorela, Bechara Carlos F, DeChristopher Phillip J, Soult Michael C

机构信息

Loyola University Chicago, Stritch School of Medicine, Maywood, IL.

Department of Surgery, Loyola University Medical Center, Maywood, IL.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Jul 22;10(5):101582. doi: 10.1016/j.jvscit.2024.101582. eCollection 2024 Oct.

DOI:10.1016/j.jvscit.2024.101582
PMID:39239619
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11374963/
Abstract

Complex endovascular aortic repair (EVAR) requires the use of multiple small sheath cannulation inside a large sheath. Because the large sheath is not designed for multiple small sheath cannulation, large amounts of blood loss can be encountered in complex EVARs. Cell Saver can be used effectively in complex EVARs using a modified draping technique, allowing for increased cell salvage and autogenous transfusions as needed.

摘要

复杂的血管腔内主动脉修复术（EVAR）需要在大鞘管内使用多个小鞘管插管。由于大鞘管并非为多个小鞘管插管设计，因此在复杂的EVAR手术中可能会出现大量失血。使用改良铺巾技术，细胞回收机可有效地用于复杂的EVAR手术，从而增加细胞回收量，并根据需要进行自体输血。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1355/11374963/0ab9146a25ac/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1355/11374963/3d9148610a7f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1355/11374963/0ab9146a25ac/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1355/11374963/3d9148610a7f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1355/11374963/0ab9146a25ac/gr2.jpg

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本文引用的文献

1
Effect of Blood Loss and Transfusion Requirements on Clinical Outcomes of Fenestrated-Branched Endovascular Aortic Repair.失血和输血需求对覆膜分支型血管腔内修复术临床结局的影响。
Cardiovasc Intervent Radiol. 2020 Nov;43(11):1600-1607. doi: 10.1007/s00270-020-02573-8. Epub 2020 Aug 30.
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Clinical Utility of Autologous Salvaged Blood: a Review.自体血回收的临床应用：综述。
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Predictors of bleeding or anemia requiring transfusion in complex endovascular aortic repair and its impact on outcomes in health insurance claims.
复杂血管内主动脉修复术的出血或贫血需要输血的预测因素及其对医疗保险索赔结果的影响。
J Vasc Surg. 2020 Feb;71(2):382-389. doi: 10.1016/j.jvs.2019.02.059. Epub 2019 May 27.
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Intraoperative blood salvage in vascular surgery - worth the effort?血管外科手术中的术中血液回收——值得这么做吗？
Crit Care. 2004;8 Suppl 2(Suppl 2):S53-6. doi: 10.1186/cc2409. Epub 2004 Jun 14.
8
Autologous transfusion techniques: a systematic review of their efficacy.自体输血技术：对其疗效的系统评价
Transfus Med. 2004 Apr;14(2):123-44. doi: 10.1111/j.0958-7578.2004.0489.x.
9
Quality of red blood cells using autotransfusion devices: a comparative analysis.使用自体输血装置时红细胞的质量：一项对比分析。
J Extra Corpor Technol. 2003 Mar;35(1):28-34.
10
A multicenter controlled clinical trial of open versus endovascular treatment of abdominal aortic aneurysm.一项关于腹主动脉瘤开放手术与血管内治疗的多中心对照临床试验。
J Vasc Surg. 2003 Feb;37(2):262-71. doi: 10.1067/mva.2003.120.