Use of carmeda-coated femoral-femoral bypass during repair of traumatic aortic pseudoaneurysms

J. P. Contino, D. M. Follette, H. A. Berkoff, M. E. Pollock, H. Bogren, David H Wisner, W. P. Schecter, A. Cabanoglu, L. I G Iverson, J. J. Peck, S. N. Perks, G. A. DeLaria

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Objective: To compare the results and outcomes of three different approaches to posttraumatic pseudoaneurysm repair: clamp and sew, left heart bypass, and the most recent approach, cardiopulmonary support using femoral- femoral bypass. Design: Retrospective series. Setting: A university-based, level 1 trauma center. Patients: Forty-two consecutive patients treated for posttraumatic aortic pseudoaneurysm whose mean (±SEM) Injury Severity Score was 37±1.7. Intervention: Methods of repair included clamp and sew in nine patients, left heart bypass in 24 patients, and cardiopulmonary support in nine patients. Methods: Student's t test was used to compare intraoperative blood loss, need for blood transfusion, and aortic cross-clamp time. Complications and mortality were also reviewed. Results: Mean (±SEM) aortic cross-clamp time for clamp and sew was 28.1±3.3 minutes vs 52.5±3.7 for left heart bypass and 49.3±5.6 for cardiopulmonary support. Blood loss and the need for transfusion were comparable between groups. Complications were also comparable. Conclusion: Femoral-femoral cardiopulmonary support is safe to use, has a very low risk of complications, and should provide protection for the spinal cord during aortic repair. We encourage a randomized prospective trial to determine if cardiopulmonary support has a significantly lower rate of paraplegia than the clamp-and-sew technique.

Original languageEnglish (US)
Pages (from-to)933-939
Number of pages7
JournalArchives of Surgery
Volume129
Issue number9
StatePublished - 1994

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False Aneurysm
Thigh
Left Heart Bypass
Injury Severity Score
Trauma Centers
Paraplegia
Blood Transfusion
Spinal Cord
Students
Mortality

ASJC Scopus subject areas

  • Surgery

Cite this

Contino, J. P., Follette, D. M., Berkoff, H. A., Pollock, M. E., Bogren, H., Wisner, D. H., ... DeLaria, G. A. (1994). Use of carmeda-coated femoral-femoral bypass during repair of traumatic aortic pseudoaneurysms. Archives of Surgery, 129(9), 933-939.

Use of carmeda-coated femoral-femoral bypass during repair of traumatic aortic pseudoaneurysms. / Contino, J. P.; Follette, D. M.; Berkoff, H. A.; Pollock, M. E.; Bogren, H.; Wisner, David H; Schecter, W. P.; Cabanoglu, A.; Iverson, L. I G; Peck, J. J.; Perks, S. N.; DeLaria, G. A.

In: Archives of Surgery, Vol. 129, No. 9, 1994, p. 933-939.

Research output: Contribution to journalArticle

Contino, JP, Follette, DM, Berkoff, HA, Pollock, ME, Bogren, H, Wisner, DH, Schecter, WP, Cabanoglu, A, Iverson, LIG, Peck, JJ, Perks, SN & DeLaria, GA 1994, 'Use of carmeda-coated femoral-femoral bypass during repair of traumatic aortic pseudoaneurysms', Archives of Surgery, vol. 129, no. 9, pp. 933-939.
Contino JP, Follette DM, Berkoff HA, Pollock ME, Bogren H, Wisner DH et al. Use of carmeda-coated femoral-femoral bypass during repair of traumatic aortic pseudoaneurysms. Archives of Surgery. 1994;129(9):933-939.
Contino, J. P. ; Follette, D. M. ; Berkoff, H. A. ; Pollock, M. E. ; Bogren, H. ; Wisner, David H ; Schecter, W. P. ; Cabanoglu, A. ; Iverson, L. I G ; Peck, J. J. ; Perks, S. N. ; DeLaria, G. A. / Use of carmeda-coated femoral-femoral bypass during repair of traumatic aortic pseudoaneurysms. In: Archives of Surgery. 1994 ; Vol. 129, No. 9. pp. 933-939.
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abstract = "Objective: To compare the results and outcomes of three different approaches to posttraumatic pseudoaneurysm repair: clamp and sew, left heart bypass, and the most recent approach, cardiopulmonary support using femoral- femoral bypass. Design: Retrospective series. Setting: A university-based, level 1 trauma center. Patients: Forty-two consecutive patients treated for posttraumatic aortic pseudoaneurysm whose mean (±SEM) Injury Severity Score was 37±1.7. Intervention: Methods of repair included clamp and sew in nine patients, left heart bypass in 24 patients, and cardiopulmonary support in nine patients. Methods: Student's t test was used to compare intraoperative blood loss, need for blood transfusion, and aortic cross-clamp time. Complications and mortality were also reviewed. Results: Mean (±SEM) aortic cross-clamp time for clamp and sew was 28.1±3.3 minutes vs 52.5±3.7 for left heart bypass and 49.3±5.6 for cardiopulmonary support. Blood loss and the need for transfusion were comparable between groups. Complications were also comparable. Conclusion: Femoral-femoral cardiopulmonary support is safe to use, has a very low risk of complications, and should provide protection for the spinal cord during aortic repair. We encourage a randomized prospective trial to determine if cardiopulmonary support has a significantly lower rate of paraplegia than the clamp-and-sew technique.",
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AU - Pollock, M. E.

AU - Bogren, H.

AU - Wisner, David H

AU - Schecter, W. P.

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AU - Iverson, L. I G

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