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

• Material Type: 博士論文
• Title: Protective Effects of Cold Ringer's Solution Perfusion in Abdominal Aortic Surgery Requiring Renal Artery Clamp.
• Author/Editor: Hirose, Tomoaki; Sawabata, Noriyoshi; Abe, Takehisa; Hayata, Yoshihiro; Hiraga, Syun; Nishikawa, Hiroshi; Taniguchi, Shigeki
• Author Heading: Hirose, Tomoaki; Sawabata, Noriyoshi; Abe, Takehisa; Hayata, Yoshihiro; Hiraga, Syun; Nishikawa, Hiroshi; Taniguchi, Shigeki
• Publication, Distribution, etc.: International Institute of Anticancer Research (Dr. George J. Delinasios)
• Publication Date: 2020-03
• Publication Date (W3CDTF): 2020-03
• Alternative Title: 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
• Periodical title: In vivo
• No. or year of volume/issue: 34 2
• Volume: 34
• Issue: 2
• Pages: 739-744
• ISSN (Periodical Title): ISSN : 0258-851X
• Degree grantor/type: 奈良県立医科大学
• Date Granted: 2020-09-30
• Dissertation Number: 乙第1470号
• Degree Type: 博士（医学）
• Text Language Code: eng
• Subject Heading: Juxtarenal abdominal aortic aneurysm; cold Ringer's solution perfusion; renal artery clamp; renal artery perfusion; renal protection
• Target Audience: 一般
• Note (General): 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
• Access Restrictions: インターネット公開
• Related Material (DOI): 10.21873/invivo.11833
• Data Provider (Database): 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
• Original Data Provider (Database): 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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