Journal of Vascular Surgery
Volume 47, Issue 6 , Pages 1134-1140 , June 2008

Renal perfusion with venous blood extends the permissible suprarenal clamp time in abdominal aortic surgery

  • Maximilian Pichlmaier, MA, MD

      Affiliations

    • Department of Cardiac, Thoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany
    • Corresponding Author InformationReprint requests: Dr. Maximilian Pichlmaier, MA (Cantab), Herz-, Thorax-, Transplantations- und Gefäßchirurgie, Medizinische Hochschule Hannover, Carl-Neuberg-Str 1, D-30625 Hannover, Germany.
    • ,
  • Ludwig Hoy, PhD

      Affiliations

    • Department of Biometrics, Hannover Medical School, Hannover, Germany.
    • ,
  • Mathias Wilhelmi, MD

      Affiliations

    • Department of Cardiac, Thoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany
    • ,
  • Nawid Khaladj, MD

      Affiliations

    • Department of Cardiac, Thoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany
    • ,
  • Axel Haverich, MD

      Affiliations

    • Department of Cardiac, Thoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany
    • ,
  • Omke E. Teebken, MD

      Affiliations

    • Department of Cardiac, Thoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany

Received 11 October 2007 ,Accepted 7 January 2008.

  • Image Result

    The change in renal function with the operation is shown as a function of suprarenal clamp time and renal perfusion in patients (A) with no perfusion and (B) those with perfusion. A, Renal function de

    The change in renal function with the operation is shown as a function of suprarenal clamp time and renal perfusion in patients (A) with no perfusion and (B) those with perfusion. A, Renal function deteriorates with clamp time if there has been no perfusion, and this is highly significant. B, This relationship, however, is lost if perfusion is performed. GFR, glomerular filtration rate.

  • Image Result
    The rise in C-reactive protein (CRP) after the operation is shown as function of suprarenal clamp time and renal perfusion in patients (A) with no perfusion and (B) those with perfusion. There is inte

    The rise in C-reactive protein (CRP) after the operation is shown as function of suprarenal clamp time and renal perfusion in patients (A) with no perfusion and (B) those with perfusion. There is interdependence of CRP and suprarenal clamp time, but only for the patients without renal perfusion.

 Competition of interest: none.

 CME article

PII: S0741-5214(08)00074-8

doi: 10.1016/j.jvs.2008.01.020

Journal of Vascular Surgery
Volume 47, Issue 6 , Pages 1134-1140 , June 2008

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