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A Journal on Internal Medicine
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,6
Panminerva Medica 1998 March;40(1):63-5
Continuous hemodiafiltration during aortic arch aneurysm repair in chronic renal failure patient
Sugawara Y., Sato O., Miyata T., Kimura H., Yasunaga H., Suzuki S.*, Makuuchi M.
From the II Department of Surgery and Department of Traumatology and Critical Care* Faculty of Medicine, University of Tokyo, Japan
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We report the successful repair of a distal aortic arch aneurysm in a patient with chronic renal failure following aneurysmectomy for a ruptured abdominal aorta. Perioperative use (during and up to 47 hrs after the operation) of continuous hemodiafiltration was useful for controlling fluid balance and uremia without any complicating hemodynamic instability. However, this should be restricted to the first two or three days after the operation, since it poses a risk of significant thrombocytopenia.