Protective Effects of Cold Ringer's Solution Perfusion in Abdominal Aortic Surgery Requiring Renal Artery Clamp.

• 資料種別: 博士論文
• タイトル: Protective Effects of Cold Ringer's Solution Perfusion in Abdominal Aortic Surgery Requiring Renal Artery Clamp.
• 著者・編者: Hirose, Tomoaki; Sawabata, Noriyoshi; Abe, Takehisa; Hayata, Yoshihiro; Hiraga, Syun; Nishikawa, Hiroshi; Taniguchi, Shigeki
• 著者標目: Hirose, Tomoaki; Sawabata, Noriyoshi; Abe, Takehisa; Hayata, Yoshihiro; Hiraga, Syun; Nishikawa, Hiroshi; Taniguchi, Shigeki
• 出版事項: International Institute of Anticancer Research (Dr. George J. Delinasios)
• 出版年月日等: 2020-03
• 出版年（W3CDTF）: 2020-03
• 並列タイトル等: 腎動脈遮断を要する腹部大動脈手術に対する冷却リンゲル液による腎潅流の治療効果
• タイトル（掲載誌）: In vivo
• 巻号年月日等（掲載誌）: 34 2
• 掲載巻: 34
• 掲載号: 2
• 掲載ページ: 739-744
• ISSN（掲載誌）: ISSN : 0258-851X
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2020-09-30
• 報告番号: 乙第1470号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: Juxtarenal abdominal aortic aneurysm; cold Ringer's solution perfusion; renal artery clamp; renal artery perfusion; renal protection
• 対象利用者: 一般
• 一般注記: type:Thesis; Background/aim: Treating abdominal aortic aneurysms (AAA) of the juxtarenal artery with renal artery clamps burdens the kidneys. We investigated the outcomes of intra-operative renal artery perfusion using the cold Ringer's solution method for renal protection. Patients and methods: We enrolled 290 AAA patients who underwent open aortic repair. Surgical outcomes were investigated based on renal protection. Results: We evaluated 231 patients requiring infrarenal artery clamp (Group I), and 59 patients requiring perfusion in addition to the clamp (Group J). Patient demographics, acute kidney injury (AKI) incidence (Group I: 11.7% and Group J: 20.3%), hospital mortality (Group I: 1.3% and Group J: 1.7%), and 30-day mortality (Group I: 0.4% and Group J: 0%) were not different between the groups. The AKI incidence was low (13%) in cases requiring a renal artery clamp for ≥45 min (n=40). Conclusion: Perfusion with cold Ringer's solution offers renal protection and may improve surgical outcomes.; 博士（医学）・乙第1470号・令和2年9月30日; Copyright© 2020, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.; Articles from In Vivo are provided here courtesy of International Institute of Anticancer Research.; The publication is available at International Institute of Anticancer Research via http://dx.doi.org/10.21873/invivo.11833; identifier:In vivo Vol.34 No.2 p.739-744 (2020 Mar-Apr); identifier:0258851X; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3786; identifier:In vivo, 34(2): 739-744
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（DOI）: 10.21873/invivo.11833
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU

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http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3786/1/01%e4%b9%991470%e6%9c%ac%e6%96%87%e3%81%ae%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3786/2/02%e4%b9%991470%e5%af%a9%e6%9f%bb%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3786/3/03%e4%b9%991470%e6%9c%ac%e6%96%87.pdf fulltext