Blood conservation strategies can be applied safely to high-risk complex aortic surgery

David W. Yaffee, Abelardo DeAnda, Jennie Y. Ngai, Patricia A. Ursomanno, Annette E. Rabinovich, Alison F. Ward, Aubrey C. Galloway, Eugene A. Grossi

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Objective The present study aimed to evaluate the effect of blood conservation strategies on patient outcomes after aortic surgery. Design Retrospective cohort analysis of prospective data. Setting University hospital. Participants Patients undergoing thoracic aortic surgery. Interventions One hundred thirty-two consecutive high-risk patients (mean EuroSCORE 10.4%) underwent thoracic aortic aneurysm or dissection repair from January 2010 to September 2011. A blood conservation strategy (BCS) focused on limitation of hemodilution and tolerance of perioperative anemia was used in 57 patients (43.2%); the remaining 75 (56.8%) patients were managed by traditional methods. Mortality, major complications, and red blood cell transfusion requirements were assessed. Independent risk factors for clinical outcomes were determined by multivariate analyses. Measurements and Main Results Hospital mortality was 9.8% (13 of 132). Lower preoperative hemoglobin was an independent predictor of mortality (p

Original languageEnglish (US)
Pages (from-to)703-709
Number of pages7
JournalJournal of Cardiothoracic and Vascular Anesthesia
Volume29
Issue number3
DOIs
StatePublished - Jun 1 2015
Externally publishedYes

Keywords

  • anemia
  • aortic surgery
  • blood conservation
  • transfusion

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

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  • Cite this

    Yaffee, D. W., DeAnda, A., Ngai, J. Y., Ursomanno, P. A., Rabinovich, A. E., Ward, A. F., Galloway, A. C., & Grossi, E. A. (2015). Blood conservation strategies can be applied safely to high-risk complex aortic surgery. Journal of Cardiothoracic and Vascular Anesthesia, 29(3), 703-709. https://doi.org/10.1053/j.jvca.2014.10.022