体外膜供氧（ECMO）用于开放式胸腹主动脉瘤修补术（TAAA）：我们如何做

Annals of vascular surgery. Brief reports and innovations Pub Date : 2024-09-01 DOI:10.1016/j.avsurg.2024.100331

Mohamed Rajab , Basar Sareyyupoglu , Camilo Polania-Sandoval , Houssam Farres , Young Erben

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摘要

尽管手术技术在不断进步，但开放式胸腹主动脉瘤（TAAA）修复术的发病率和死亡率仍然很高。在我们的技术中，我们描述了部分夹闭主动脉以去除内脏动脉和肾动脉的分支，并使用体外膜氧合（ECMO）作为替代灌注策略。使用我们的技术的优势在于减少肝素化的需要、减轻炎症反应、无需冷却患者、减轻心脏超负荷以及限制所有腹腔内器官和下肢的缺血时间。

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Extracorporeal membrane oxygenation (ECMO) for open thoracoabdominal aortic aneurysm repair (TAAA): How we do it

Open thoracoabdominal aortic aneurysm (TAAA) repair remains associated with significant morbidity and mortality rates despite advancements in surgical techniques. In our technique, we describe partial aortic clamping for debranching of the visceral and renal arteries and the use of extracorporeal membrane oxygenation (ECMO) as an alternative perfusion strategy. The advantage of using our technique is the reduced need for heparinization, a less inflammatory response, no need for cooling of the patient, the reduction of cardiac overload and limited ischemia time to all intra-abdominal organs and lower extremities.