Jove
Visualize
Contact Us

Related Experiment Videos

Intraoperative autotransfusion in aortic surgery

K Ouriel1, C K Shortell, R M Green

  • 1Department of Surgery, University of Rochester, NY 14642.

Journal of Vascular Surgery
|July 1, 1993
PubMed
Summary

Intraoperative autotransfusion using whole blood is a safe and effective alternative to homologous transfusion in aortic surgery. This method reduces banked blood exposure and costs while preserving platelets and coagulation factors.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Aortic Curvature Instead of Angulation Allows Improved Estimation of the True Aorto-iliac Trajectory.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·2015
Same author

Endovascular repair or surveillance of patients with small AAA.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·2005
Same author

Primary endovascular repair of juxtarenal aneurysms with fenestrated endovascular grafting.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·2004
Same author

Current outcomes in endovascular repair of abdominal aortic aneurysms.

The Journal of cardiovascular surgery·2003
Same author

Leadership challenges for carotid disease in the 21st century.

Cardiovascular surgery (London, England)·2003
Same author

The use of glycoprotein IIb/IIIa antagonists in peripheral arterial occlusion.

Techniques in vascular and interventional radiology·2002
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Area of Science:

  • Cardiovascular Surgery
  • Transfusion Medicine
  • Surgical Hemostasis

Background:

  • Intraoperative autotransfusion is common in aortic surgery, but its safety and efficacy require further investigation.
  • Limited data exists on the comparative outcomes of autotransfusion versus homologous transfusion in abdominal aortic procedures.

Purpose of the Study:

  • To compare the safety and efficacy of whole blood autotransfusion with homologous blood transfusion for blood loss replacement during abdominal aortic surgery.

Main Methods:

  • A prospective study involving 200 patients undergoing aortic reconstructive procedures over 3 years.
  • 100 patients received unwashed, filtered shed blood autotransfusion; 100 patients received homologous banked blood.
  • Clinical, laboratory, and economic parameters were compared between the two groups.

Related Experiment Videos

Main Results:

  • Autotransfusion patients received significantly less banked blood (0.6 vs 3.4 units, p < 0.001).
  • No significant differences in morbidity, mortality, hospital stay, or costs were observed.
  • Autotransfusion preserved circulating platelets and coagulation factors better and reduced exposure to homologous blood.
  • Cost savings averaged $288 per patient with autotransfusion.

Conclusions:

  • Autotransfusion of unwashed, filtered blood is a safe and effective alternative to homologous blood replacement in major aortic reconstructive procedures.
  • This approach offers advantages in preserving blood components and limiting exposure to allogeneic blood.