Extracorporeal hemocorrection after complicated aortic surgery

Solovyeva I.N.

Petrovsky Russian Research Center of Surgery

Marchenko T.V.

Petrovsky Russian Research Center of Surgery

Charchyan E.R.

Petrovsky National Research Centre of Surgery

SPIN RSCI: 4641-0523
Scopus AuthorID: 14044681400
ORCID: 0000-0002-0488-2560

Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

SPIN RSCI: 2740-1439
Scopus AuthorID: 7101862336
ResearcherID: 7101862336
ORCID: 0000-0002-9280-8845

Extracorporeal hemocorrection after complicated aortic surgery

Authors:

Solovyeva I.N., Marchenko T.V., Charchyan E.R., Belov Yu.V.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2020;13(4): 309‑314

DOI: 10.17116/kardio202013041309

Downloaded: 33

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To cite this article:

Solovyeva IN, Marchenko TV, Charchyan ER, Belov YuV. Extracorporeal hemocorrection after complicated aortic surgery. Russian Journal of Cardiology and Cardiovascular Surgery. 2020;13(4):309‑314. (In Russ.)
https://doi.org/10.17116/kardio202013041309

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OBJECTIVE

To develop an effective strategy for extracorporeal hemocorrection after complicated aortic surgery.

MATERIAL AND METHODS

We observed 206 patients aged 13-82 who underwent aortic surgery in 2000-2009 (group 1 — 102 patients) and 2010-2019 (group 2 — 104 patients) and had perioperative complications. We assessed incidence of complications and effectiveness of their management by using of extracorporeal methods. We used high-volume plasmapheresis, various methods of renal replacement therapy and extracorporeal treatment of sepsis.

RESULTS

In the 1st group, the complications associated with blood loss, intravascular hemolysis and long-term extracorporeal perfusion prevailed. In the second group, reperfusion syndrome was predominant. Moreover, the number of septic complications was increased. Early plasmapheresis over 70% of circulating plasma volume within 4-6 hours after surgery was effective for prevention of multiple organ failure in 70-80% of cases. Renal replacement therapy was required in 50 patients (24.3% of cases). Indications for plasmapheresis and renal replacement therapy were determined.

CONCLUSION

High-volume plasmapheresis (≥70% of circulating plasma volume) is advisable for prevention of multiple organ failure syndrome after complicated aortic surgery. Extracorporeal therapy of sepsis in these patients requires further researches.

Keywords:

complications of aortic surgery

extracorporeal hemocorrection

high-volume plasmapheresis

renal replacement therapy

extracorporeal therapy of sepsis

indications for extracorporeal hemocorrection

Authors:

Solovyeva I.N.

Petrovsky Russian Research Center of Surgery

Marchenko T.V.

Petrovsky Russian Research Center of Surgery

Charchyan E.R.

Petrovsky National Research Centre of Surgery

SPIN RSCI: 4641-0523
Scopus AuthorID: 14044681400
ORCID: 0000-0002-0488-2560

Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

SPIN RSCI: 2740-1439
Scopus AuthorID: 7101862336
ResearcherID: 7101862336
ORCID: 0000-0002-9280-8845

Received:

06.03.2020

Accepted:

25.03.2020

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