Journal of Vascular Surgery
Volume 51, Issue 3 , Pages 551-558 , March 2010

Open surgical repair of ruptured juxtarenal aortic aneurysms with and without renal cooling: Observations regarding morbidity and mortality

  • Kak K. Yeung, MD

      Affiliations

    • Department of Surgery, VU University Medical Center Amsterdam, Amsterdam, The Netherlands
    • Department of Physiology, VU University Medical Center Amsterdam, Amsterdam, The Netherlands
    • ,
  • Geert J. Tangelder, MD, PhD

      Affiliations

    • Department of Physiology, VU University Medical Center Amsterdam, Amsterdam, The Netherlands
    • ,
  • Wing Y. Fung, MSc

      Affiliations

    • Department of Surgery, VU University Medical Center Amsterdam, Amsterdam, The Netherlands
    • ,
  • Hans M.E. Coveliers, MD

      Affiliations

    • Department of Surgery, VU University Medical Center Amsterdam, Amsterdam, The Netherlands
    • ,
  • Arjan W.J. Hoksbergen, MD, PhD

      Affiliations

    • Department of Surgery, VU University Medical Center Amsterdam, Amsterdam, The Netherlands
    • ,
  • Paul A.M. Van Leeuwen, MD, PhD

      Affiliations

    • Department of Surgery, VU University Medical Center Amsterdam, Amsterdam, The Netherlands
    • ,
  • Elly S.M. de Lange-de Klerk, MD, PhD

      Affiliations

    • Department of Epidemiology and Biostatistics, VU University Medical Center Amsterdam, Amsterdam, The Netherlands
    • ,
  • Willem Wisselink, MD, PhD, FACS

      Affiliations

    • Department of Surgery, VU University Medical Center Amsterdam, Amsterdam, The Netherlands
    • Corresponding Author InformationReprint requests: Willem Wisselink, MD, PhD, FACS, Department of Surgery, VU University Medical Center, P.O. Box 7057, 1007 MB Amsterdam, The Netherlands

Received 30 July 2009 ,Accepted 27 September 2009.

  • Image Result

    Preoperative hemodynamic instability and postoperative mortality (A) in the overall patient group, (B) in patients with renal cooling, and (C) in patients without renal cooling. Light shaded bars repr

    Preoperative hemodynamic instability and postoperative mortality (A) in the overall patient group, (B) in patients with renal cooling, and (C) in patients without renal cooling. Light shaded bars represent the patients who survived, and the dark shaded bars represent those who died postoperatively.

  • Image Result
    Postoperative renal insufficiency and postoperative mortality (A) in the overall patient group, (B) in patients with renal cooling, and (C) in patients without renal cooling. Light shaded bars represe

    Postoperative renal insufficiency and postoperative mortality (A) in the overall patient group, (B) in patients with renal cooling, and (C) in patients without renal cooling. Light shaded bars represent the patients who survived, and the dark shaded bars represent the patients who died postoperatively.

  • Image Result
    Suprarenal aortic cross-clamp time (minutes) and postoperative rise in serum creatinine level. The dark filled symbols are the patients with renal cooling. Dashed line indicates a rise of 0.5 mg/dL, a

    Suprarenal aortic cross-clamp time (minutes) and postoperative rise in serum creatinine level. The dark filled symbols are the patients with renal cooling. Dashed line indicates a rise of 0.5 mg/dL, above which postoperative renal insufficiency was considered to be present.

  • Image Result
    Postoperative multiple organ failure and postoperative mortality (A) in the overall patient group, (B) in patients with renal cooling, and (C) in patients without renal cooling. Light shaded bars repr

    Postoperative multiple organ failure and postoperative mortality (A) in the overall patient group, (B) in patients with renal cooling, and (C) in patients without renal cooling. Light shaded bars represent the patients who survived, and the dark shaded bars represent the patients who died postoperatively.

 Competition of interest: none.

 The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a competition of interest.

PII: S0741-5214(09)02053-9

doi: 10.1016/j.jvs.2009.09.051

Journal of Vascular Surgery
Volume 51, Issue 3 , Pages 551-558 , March 2010

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