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Solovyeva I.N.

Petrovsky National Research Center of Surgery

Cherkasov G.E.

Petrovsky National Research Center of Surgery

Belov Yu.V.

Petrovsky National Research Center of Surgery

Charchyan E.R.

Petrovsky National Research Center of Surgery

Marchenko T.V.

Petrovsky National Research Center of Surgery

Extracorporeal haemocorrection in reperfusion disorders following aortic surgery

Authors:

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

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2024;17(6): 602‑608

DOI: 10.17116/kardio202417061602

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Table of contents

EXTRACORPOREAL HAEMOCORRECTION IN REPERFUSION DISORDERS FOLLOWING AORTIC SURGERY
EXTRACORPOREAL HAEMOCORRECTION IN REPERFUSION DISORDERS FOLLOWING AORTIC SURGERY

To cite this article:

Solovyeva IN, Cherkasov GE, Belov YuV, Charchyan ER, Marchenko TV. Extracorporeal haemocorrection in reperfusion disorders following aortic surgery. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;17(6):602‑608. (In Russ.)
https://doi.org/10.17116/kardio202417061602

ЭндоКард
Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To evaluate significance of extracorporeal haemocorrection for reperfusion injuries after aortic surgery, to optimize the treatment program.

MATERIAL AND METHODS

We observed 31 patients aged 61.4±1.8 years who underwent surgery between 2016 and 2022. There were 1—5 (1.6±0.2) plasmapheresis procedures with removal of 1800—3000 ml per a session. Renal replacement therapy was used according to indications.

RESULTS

Creatine phosphokinase increased up to 300 N (11 000—60 000 U/l). Creatine phosphokinase and creatinine decreased, as well as glomerular filtration rate increased after 5—7 postoperative days. One plasmapheresis procedure was effective for prevention of multiple organ failure syndrome in almost half of the cases.

CONCLUSION

Plasmapheresis is effective for prevention of multiple organ failure syndrome when started within 12 hours after surgery with removal of 80% of plasma volume. Serum creatine phosphokinase is an adequate marker of effective extracorporeal therapy.

Keywords:

ischemia-reperfusion syndrome
extracorporeal ischemia-reperfusion therapy
plasmapheresis
renal replacement therapy

Authors:

Solovyeva I.N.

Petrovsky National Research Center of Surgery

Cherkasov G.E.

Petrovsky National Research Center of Surgery

Belov Yu.V.

Petrovsky National Research Center of Surgery

Charchyan E.R.

Petrovsky National Research Center of Surgery

Marchenko T.V.

Petrovsky National Research Center of Surgery

Received:

07.09.2023

Accepted:

10.01.2024

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