Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
HEMODYNAMIC AND METABOLIC RESPONSE TO ENDOVASCULAR REPAIR OF INFRARENAL AORTIC-ANEURYSMS
Autore:
BAXENDALE BR; BAKER DM; HUTCHINSON A; CHUTER TAM; WENHAM PW; HOPKINSON BR;
Indirizzi:
UNIV NOTTINGHAM HOSP,QUEENS MED CTR,DEPT ANAESTHESIA NOTTINGHAM NG7 2UH ENGLAND UNIV NOTTINGHAM HOSP,QUEENS MED CTR,DEPT VASC SURG NOTTINGHAM NG7 2UHENGLAND UNIV CALIF SAN FRANCISCO,DIV VASC SURG SAN FRANCISCO CA 94143
Titolo Testata:
British Journal of Anaesthesia
fascicolo: 5, volume: 77, anno: 1996,
pagine: 581 - 585
SICI:
0007-0912(1996)77:5<581:HAMRTE>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
MYOCARDIAL-ISCHEMIA; MORTALITY; SURGERY; MORBIDITY; DISEASE;
Keywords:
SURGERY; VASCULAR; ARTERIES; AORTA; CARDIOVASCULAR SYSTEM; EFFECTS; METABOLISM; LACTATE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
15
Recensione:
Indirizzi per estratti:
Citazione:
B.R. Baxendale et al., "HEMODYNAMIC AND METABOLIC RESPONSE TO ENDOVASCULAR REPAIR OF INFRARENAL AORTIC-ANEURYSMS", British Journal of Anaesthesia, 77(5), 1996, pp. 581-585

Abstract

We have examined whether or not endovascular insertion of a bifurcated aorto-iliac graft resulted in greater intraoperative haemodynamic and metabolic stability than that achieved during conventional open graft placement. We studied 20 patients prospectively during surgery for asymptomatic infra-renal aortic aneurysm. All patients received the same anaesthetic technique. Haemodynamic data were collected continuouslyusing indwelling radial artery and pulmonary artery catheters, allowing calculation of mean arterial pressure (MAP), cardiac output (CO) and systemic vascular resistance (SVR). Blood samples were obtained for measurement of serum lactate concentrations. Variables were compared within each group before and after specific critical events, namely occlusion of femoral or aortic blood flow, or both, and sequential reperfusion of each lower limb. Patients undergoing open repair showed significant changes in CO, MAP and SVR related to aortic cross-clamping andlower limb reperfusion, and a significant increase in blood lactate concentration after distal tissue reperfusion. The only significant changes during endovascular repair were a transient increase in SVR secondary to application of the femoral artery clamps, and sequential decreases when each limb was reperfused. Endovascular aneurysm repair imposed significantly less intraoperative haemodynamic and metabolic stresson the patient compared with conventional open surgery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/11/20 alle ore 14:51:22