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Panminerva Medica 1998 Marzo;40(1):63-5

lingua: Inglese

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.

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