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
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
DOIinfo:doi/10.21873/invivo.11833
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