title: [Blood substitution in aorto-iliac surgery].
abstract: To determine the amount of blood substitution required we evaluated in a retrospective analysis 68 consecutive patients that were operated on the infrarenal abdominal aorta 1990, 60 men with a mean age of 66 years (40-87) and 8 women, aged 73 years (62-85). Indications for treatment were: aneurysm (55) and occlusive disease (13). 21 aneurysms (45%) were ruptured and had to be operated as an emergency. Early lethality (less than 30 days) in this group was 19% (n = 4). In the other 47 patients there was no early mortality. Mean blood products transfusion requirements in patients with ruptured abdominal aortic aneurysm was: 18 (9-34) units of concentrated red cells, 16 (3-43) units of fresh frozen plasma (FFP) and 5 (0-19) units of concentrated red cells, 2 (0-7) units of FFP in the elective group. Main determinants of blood loss in the elective group were: the number of anastomoses and the preoperative status of the coagulant system. We conclude that in elective surgery of the infrarenal aorta homologous transfusion can be virtually eliminated if an entire autologous transfusion concepts is applied (predonation, intraoperative salvage, hemodilution and plasmapheresis).
authors.affiliation: Klinik für Herz- und Gefässchirurgie, Universitätsspital Zürich.
authors.forename: A
authors.initials: A
authors.lastname: Olah
authors.forename: M
authors.initials: M
authors.lastname: Pasic
authors.forename: C
authors.initials: C
authors.lastname: Redaelli
authors.forename: T
authors.initials: T
authors.lastname: Carrel
authors.forename: A
authors.initials: A
authors.lastname: Laske
authors.forename: E
authors.initials: E
authors.lastname: Bauer
authors.forename: L K
authors.initials: LK
authors.lastname: von Segesser
authors.forename: M
authors.initials: M
authors.lastname: Turina
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001012:Aorta, Abdominal / Q000601:surgery; D001014:Aortic Aneurysm / Q000097:blood / Q000601:surgery*; D001018:Aortic Diseases / Q000097:blood / Q000601:surgery*; D001019:Aortic Rupture / Q000097:blood / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000097:blood / Q000601:surgery*; D016063:Blood Loss, Surgical; D001803:Blood Transfusion; D001807:Blood Vessel Prosthesis; D001810:Blood Volume / Q000502:physiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged
vernacular_title: Blutersatz in der aorto-iliakalen Chirurgie.