[Vascular intracranial procedures in Jehovah's Witnesses. Erythropoietin in the preparation for the surgery].
Intraoperative haemorrhage or major bleeding may still cause serious problem in present-day neurosurgery, especially with reference to major vascular procedures despite the improving surgical techniques and methods of performing bloodless procedures. This is why certain neurosurgical procedures are not attempted without prior preparation of a major amount of blood. Jehovah's Witnesses refuse their consent to be subjected to blood transfusion of their own or foreign blood despite their full awareness of a potential danger to their lives. This paper describes three patients subjected to the major vascular intracranial procedures (two cases of clipping intracranial aneurysms, and one case of removal of arteriovenous intracranial angioma in anaemic patient), and one case of endovascular neuroradiosurgical procedure in intracranial aneurysm. This last method is presented as alternative procedure to decrease complications that are related to bloodless interventions suggest certain management methods which may decrease the surgical risk. One of those methods erythropoietin in treatment of postoperative anaemia and in preparing anaemic patients to vascular intracranial procedures.
Barczewska
M
M
Katedry i Kliniki Neurochirurgii AM, Warszawie.
D000740:Anemia / Q000188:drug therapy* / Q000209:etiology; D001165:Arteriovenous Malformations / Q000601:surgery*; D002536:Cerebral Arteries / Q000601:surgery; D002835:Christianity; D004921:Erythropoietin / Q000008:administration & dosage / Q000627:therapeutic use*; D016298:Hematopoietic Cell Growth Factors / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D053685:Laser Therapy; D011183:Postoperative Complications / Q000188:drug therapy* / Q000209:etiology; D011300:Preoperative Care
D016298:Hematopoietic Cell Growth Factors; D004921:Erythropoietin