Application of preoperative whole blood in aortic dissection surgery
WANG Bin
SHI Yun
JIANG Yu-han
QU Xiao-yu
LIU Yu
Abstract：Objective To investigate the safety and feasibility of preoperative autologous blood in aortic dissection surgery.Methods 70 patients with Stanford type A aortic dissection were enrolled from January 2023 to May 2024.Autologous blood was recovered by central venous and anticoagulation with sodium citrate.Intravenous fluids were administered to replenish the volume.Perioperative parameters were recorded.Results Extracorporeal circulation time was(157.16±31.89)min.The time of occlusion of the aorta was(88.22±24.53)min.Circulatory arrest time was(5.87±2.99)min.The losted temperature of the nose and throat was(29.24±1.26)℃.The losted temperature of anorectum was(31.46±1.53)℃.Prestorage of autologous blood was(767.14±195.46)ml.The volume of Postoperative drainage in 24 h was(185.77±75.29)ml.The hematocrit after transfusion was(27.70±2.14).Length of postoperative hospital stay(13.10±5.19)d.No secondary thoracotomy was performed,two cases died,the number of withdrawing treatment patients were four,the number of second tracheal intubation was performed was one,Patients with Cerebral Infarction were four,extracorporeal membrane oxygenationwas implanted in 1 patient due to cardiogenic shock.Conclusion Prestored autologous blood and transfusion is safe and feasible in aortic dissection surgery.
Keywords：Preoperative autologous bloodType Stanford AAortic dissection
Publication Date：2024-12-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 345-347 )