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How to obtain hemostasis after aortic surgery
1Department of Thoracic and Cardiovascular Surgery, Lahey Hitchcock Clinic, Burlington, Massachusetts 01805, USA.
The Annals of Thoracic Surgery
|July 3, 1999
Summary
Preoperative autologous blood donation and intraoperative blood conservation enable 85% of patients to avoid homologous transfusions during aortic surgery. This strategy is safe, with a 98% survival rate and 1% stroke incidence.
Area of Science:
- Cardiovascular Surgery
- Anesthesiology
- Transfusion Medicine
Background:
- Achieving hemostasis is crucial in aortic surgery.
- Minimizing homologous blood and blood product transfusions is essential for successful outcomes.
- Excessive transfusions can lead to complications.
Purpose of the Study:
- To evaluate the efficacy of a blood conservation strategy in aortic surgery.
- To determine the rate of homologous blood product avoidance.
- To assess the safety of the described transfusion management approach.
Main Methods:
- Preoperative autologous blood donation was implemented.
- Intraoperative blood conservation techniques were employed.
- Patient transfusion requirements were monitored throughout hospitalization.
Main Results:
- 85% of patients undergoing aortic surgery avoided homologous blood/product transfusions.
- Nearly 75% of patients remained free from homologous transfusions by discharge.
- Conversely, 75% of patients unable to donate preoperatively required homologous transfusions.
Conclusions:
- The implemented blood conservation strategy is safe and effective for aortic surgery.
- High rates of homologous blood avoidance were achieved.
- The strategy is associated with excellent patient survival and low stroke incidence.