[Means for decreasing emboligenic complications and ischemic damage to the kidneys in the surgical treatment of abdominal aortic aneurysms].
The authors analyze their experience gained in prevention of embologenic complications and ischemic injuries to kidneys based on surgical treatment of 25 patients with abdominal aorta aneurysm. Original preventive methods are suggested. In ascending supra-aneurysmatic aortic thrombosis (in 4 patients) a left-side thoracophrenolumbotomic approach and open thrombectomy from the aorta were used and, if necessary, from visceral branches and renal arteries as well. If aortic clamping above renal arteries was needed (in 6 cases) and its time surpassed the permissible duration of thermal ischemia of the kidneys the authors resorted to autoarterial perfusion of the kidneys through an aortorenal shunt with which cannulation of the thoraco-abdominal segment of the aorta was made. No embologenic complications or postischemic renal insufficiency occurred after surgery, this indicating the efficacy of the suggested measures.
Kazanchian
P O
PO
Popov
V A
VA
Skrylev
S I
SI
Surkov
A P
AP
D000328:Adult; D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D004617:Embolism / Q000517:prevention & control*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control*; D007511:Ischemia / Q000517:prevention & control*; D007668:Kidney / Q000098:blood supply*; D008297:Male; D008722:Methods; D008875:Middle Aged
Puti snizheniia émbologennykh oslozhneniĭ i ishemicheskikh povrezhdeniĭ pochek pri khirurgicheskom lechenii anevrizm briushnoĭ aorty.