Skip to main content
Top
Published in: General Thoracic and Cardiovascular Surgery 1/2019

01-01-2019 | SPECIAL EDITION

Renal protection in thoracoabdominal aortic aneurysm surgery

Authors: Mohamad Bashir, Amer Harky, Benjamin Adams, Kit Wong, Carmelo Di Salvo, Aung Oo

Published in: General Thoracic and Cardiovascular Surgery | Issue 1/2019

Login to get access

Abstract

It is indisputable that open thoracoabdominal aortic aneurysm (TAAA) repair remains a highly complex and sophisticated surgical intervention. Despite advancements in the imaging modality, evolution of our understanding of the pathology afflicting the aorta, intraoperative brain and spinal cord monitoring, intraoperative organ protection, postoperative critical care and organ support, monitoring and the close follow-up of affected patients, this type of surgery remains a challenge to the surgeon and the patient. In this review, we will illustrate the recent evidence on renal protection and prediction during TAAA.
Literature
1.
go back to reference Johns N, Jamieson RW, Ceresa C, et al. Contemporary outcomes of open repair of thoracoabdominal aortic aneurysm in young patients. J Cardiothorac Surg. 2014;9:195.CrossRefPubMedPubMedCentral Johns N, Jamieson RW, Ceresa C, et al. Contemporary outcomes of open repair of thoracoabdominal aortic aneurysm in young patients. J Cardiothorac Surg. 2014;9:195.CrossRefPubMedPubMedCentral
2.
go back to reference Aftab M, Coselli JS. Renal and visceral protection in thoracoabdominal aortic surgery. J Thorac Cardiovasc Surg. 2014;148(6):2963–6.CrossRefPubMed Aftab M, Coselli JS. Renal and visceral protection in thoracoabdominal aortic surgery. J Thorac Cardiovasc Surg. 2014;148(6):2963–6.CrossRefPubMed
3.
go back to reference Fehrenbacher JW, Hart DW, Huddleston E, Siderys H, Rice C. Optimal end-organ protection for thoracic and thoracoabdominal aortic aneurysm repair using deep hypothermic circulatory arrest. Ann Thorac Surg. 2007;83(3):1041–6.CrossRefPubMed Fehrenbacher JW, Hart DW, Huddleston E, Siderys H, Rice C. Optimal end-organ protection for thoracic and thoracoabdominal aortic aneurysm repair using deep hypothermic circulatory arrest. Ann Thorac Surg. 2007;83(3):1041–6.CrossRefPubMed
4.
go back to reference Kulik A, Castner CF, Kouchoukos NT. Outcomes after thoracoabdominal aortic aneurysm repair with hypothermic circulatory arrest. J Thorac Cardiovasc Surg. 2011;141:953–60.CrossRefPubMed Kulik A, Castner CF, Kouchoukos NT. Outcomes after thoracoabdominal aortic aneurysm repair with hypothermic circulatory arrest. J Thorac Cardiovasc Surg. 2011;141:953–60.CrossRefPubMed
5.
go back to reference Safi HJ, Harlin SA, Miller CC, Iliopoulos DC, Joshi A, Mohasci TG, et al. Predictive factors for acute renal failure in thoracic and thoracoabdominal aortic aneurysm surgery. J Vasc Surg. 1996;24:338–44; (discussion 344–5).CrossRefPubMed Safi HJ, Harlin SA, Miller CC, Iliopoulos DC, Joshi A, Mohasci TG, et al. Predictive factors for acute renal failure in thoracic and thoracoabdominal aortic aneurysm surgery. J Vasc Surg. 1996;24:338–44; (discussion 344–5).CrossRefPubMed
6.
go back to reference Girardi LN, Ohmes LB, Lau C, Di Franco A, Gambardella I, Elsayed M, Hameedi F, Munjal M, Gaudino M. Open repair of descending thoracic and thoracoabdominal aortic aneurysms in patients with preoperative renal failure†. Eur J Cardiothorac Surg. 2017;51(5):971–7.CrossRefPubMed Girardi LN, Ohmes LB, Lau C, Di Franco A, Gambardella I, Elsayed M, Hameedi F, Munjal M, Gaudino M. Open repair of descending thoracic and thoracoabdominal aortic aneurysms in patients with preoperative renal failure†. Eur J Cardiothorac Surg. 2017;51(5):971–7.CrossRefPubMed
7.
go back to reference Huynh TTT, Statius van Epps RG, Miller CC, Villa MA, Estrera AL, Azizzadeh A, et al. Glomerular filtration rate is superior to serum creatinine for prediction of mortality after thoracoabdominal aortic surgery. J Vasc Surg. 2005;42:206–12.CrossRefPubMed Huynh TTT, Statius van Epps RG, Miller CC, Villa MA, Estrera AL, Azizzadeh A, et al. Glomerular filtration rate is superior to serum creatinine for prediction of mortality after thoracoabdominal aortic surgery. J Vasc Surg. 2005;42:206–12.CrossRefPubMed
8.
go back to reference Kieffer E, Chiche L, Godet G, Koskas F, Bahnini A, Bertrand M, et al. Type IV throacoabdominal aneurysm repair: predictors of postoperative mortality, spinal cord injury, and acute intestinal ischemia. Ann Vasc Surg. 2008;22:822–8.CrossRefPubMed Kieffer E, Chiche L, Godet G, Koskas F, Bahnini A, Bertrand M, et al. Type IV throacoabdominal aneurysm repair: predictors of postoperative mortality, spinal cord injury, and acute intestinal ischemia. Ann Vasc Surg. 2008;22:822–8.CrossRefPubMed
9.
go back to reference Schepens MA, Heijmen RH, Ranschaert W, Sonker U, Morshuis WJ. Thoracoabdominal aortic aneurysm repair: results of conventional open surgery. Eur J Vasc Endovasc Surg. 2009;37:640–5.CrossRefPubMed Schepens MA, Heijmen RH, Ranschaert W, Sonker U, Morshuis WJ. Thoracoabdominal aortic aneurysm repair: results of conventional open surgery. Eur J Vasc Endovasc Surg. 2009;37:640–5.CrossRefPubMed
10.
go back to reference Bensley RP, Curran T, Hurks R, Lo RC, Wyers MC, Hamdan AD, et al. Open repair of intact thoracoabdominal aortic aneurysms in the American College of Surgeons National Surgical Quality Improvement Program. J Vasc Surg. 2013;58:894–900.CrossRefPubMedPubMedCentral Bensley RP, Curran T, Hurks R, Lo RC, Wyers MC, Hamdan AD, et al. Open repair of intact thoracoabdominal aortic aneurysms in the American College of Surgeons National Surgical Quality Improvement Program. J Vasc Surg. 2013;58:894–900.CrossRefPubMedPubMedCentral
11.
go back to reference Estrera AL, Sandhu HK, Charlton-Ouw KM, Afifi RO, Azizzadeh A, Miller CC, et al. A quarter century of organ protection in open thoracoabdominal repair. Ann Surg. 2015;262:660–8.CrossRefPubMed Estrera AL, Sandhu HK, Charlton-Ouw KM, Afifi RO, Azizzadeh A, Miller CC, et al. A quarter century of organ protection in open thoracoabdominal repair. Ann Surg. 2015;262:660–8.CrossRefPubMed
12.
go back to reference Coselli JS, LeMaire SA, Preventza O, de la Cruz KI, Cooley DA, Price MD, et al. Outcomes of 3309 thoracoabdominal aortic aneurysm repairs. J Thorac Cardiovasc Surg. 2016;151:1323–38.CrossRefPubMed Coselli JS, LeMaire SA, Preventza O, de la Cruz KI, Cooley DA, Price MD, et al. Outcomes of 3309 thoracoabdominal aortic aneurysm repairs. J Thorac Cardiovasc Surg. 2016;151:1323–38.CrossRefPubMed
13.
go back to reference Bhamidipati CM, Coselli JS, LeMaire SA. Perfusion techniques for renal protection during thoracoabdominal aortic surgery. J Extra Corpor Technol. 2012;44(1):P31-P37.PubMedCentral Bhamidipati CM, Coselli JS, LeMaire SA. Perfusion techniques for renal protection during thoracoabdominal aortic surgery. J Extra Corpor Technol. 2012;44(1):P31-P37.PubMedCentral
14.
go back to reference Svensson LG, Coselli JS, Safi HJ, Hess KR, Crawford ES. Appraisal of adjuncts to prevent acute failure after surgery on the thoracic or thoracoabdominal aorta. J Vasc Surg. 1989;10:230–9.CrossRefPubMed Svensson LG, Coselli JS, Safi HJ, Hess KR, Crawford ES. Appraisal of adjuncts to prevent acute failure after surgery on the thoracic or thoracoabdominal aorta. J Vasc Surg. 1989;10:230–9.CrossRefPubMed
15.
go back to reference Jacobs MJ, Eijsman L, Meylaerts SA, et al. Reduced renal failure following thoracoabdominal aortic aneurysm repair by selective perfusion. Eur J Cardiothorac Surg. 1998;14:201–5.CrossRefPubMed Jacobs MJ, Eijsman L, Meylaerts SA, et al. Reduced renal failure following thoracoabdominal aortic aneurysm repair by selective perfusion. Eur J Cardiothorac Surg. 1998;14:201–5.CrossRefPubMed
16.
go back to reference Coselli JS, LeMaire SA, Conklin LD, Köksoy C, Schmittling ZC. Morbidity and mortality after extent II thoracoabdominal aortic aneurysm repair. Ann Thorac Surg. 2002;73(4):1107–15 (discussion 1115–6).CrossRefPubMed Coselli JS, LeMaire SA, Conklin LD, Köksoy C, Schmittling ZC. Morbidity and mortality after extent II thoracoabdominal aortic aneurysm repair. Ann Thorac Surg. 2002;73(4):1107–15 (discussion 1115–6).CrossRefPubMed
17.
go back to reference Kunihara T, Shiiya N, Wakasa S, Matsuzaki K, Matsui Y. Assessment of hepatosplanchnic pathophysiology during thoracoabdominal aortic aneurysm repair using visceral perfusion and shunt. Eur J Cardiothorac Surg. 2009;35:677–83.CrossRefPubMed Kunihara T, Shiiya N, Wakasa S, Matsuzaki K, Matsui Y. Assessment of hepatosplanchnic pathophysiology during thoracoabdominal aortic aneurysm repair using visceral perfusion and shunt. Eur J Cardiothorac Surg. 2009;35:677–83.CrossRefPubMed
18.
go back to reference Okamoto H, Fujimoto K, Tamenishi A, Niimi T. Alternate venous drainage and return of warmed blood combined with continuous hypothermic visceral perfusion: a new adjunct of thoracoabdominal aortic aneurysm repair. Jpn J Thorac Cardiovasc Surg. 2001;49:94–8.CrossRefPubMed Okamoto H, Fujimoto K, Tamenishi A, Niimi T. Alternate venous drainage and return of warmed blood combined with continuous hypothermic visceral perfusion: a new adjunct of thoracoabdominal aortic aneurysm repair. Jpn J Thorac Cardiovasc Surg. 2001;49:94–8.CrossRefPubMed
19.
go back to reference Svensson LG, Crawford ES, Hess KR, Coselli JS, Safi HJ. Thoracoabdominal aortic aneurysms associated with celiac, superior mesenteric, and renal artery occlusive disease: methods and analysis of results in 271 patients. J Vasc Surg. 1992;16:378–90.CrossRefPubMed Svensson LG, Crawford ES, Hess KR, Coselli JS, Safi HJ. Thoracoabdominal aortic aneurysms associated with celiac, superior mesenteric, and renal artery occlusive disease: methods and analysis of results in 271 patients. J Vasc Surg. 1992;16:378–90.CrossRefPubMed
20.
go back to reference Svensson LG, Coselli JS, Safi HJ, Hess KR, Crawford ES. Appraisal of adjuncts to prevent acute renal failure after surgery on the thoracic or thoracoabdominal aorta. J Vasc Surg. 1989;10:230–9.CrossRefPubMed Svensson LG, Coselli JS, Safi HJ, Hess KR, Crawford ES. Appraisal of adjuncts to prevent acute renal failure after surgery on the thoracic or thoracoabdominal aorta. J Vasc Surg. 1989;10:230–9.CrossRefPubMed
22.
go back to reference Crawford ES, Crawford JL, Safi HJ, Coselli JS, Hess KR, Brooks B, et al. Thoracoabdominal aortic aneurysms: preoperative and intraoperative factors determining immediate and long-term results of operations in 605 patients. J Vasc Surg. 1986;3:389–404.CrossRefPubMed Crawford ES, Crawford JL, Safi HJ, Coselli JS, Hess KR, Brooks B, et al. Thoracoabdominal aortic aneurysms: preoperative and intraoperative factors determining immediate and long-term results of operations in 605 patients. J Vasc Surg. 1986;3:389–404.CrossRefPubMed
23.
go back to reference Selle JG, Robicsek F, Daugherty HK, Cook JW. Thoracoabdominal aortic aneurysms: a review and current status. Coll Works Cardiopulm Dis. 1979;22:79–90.PubMed Selle JG, Robicsek F, Daugherty HK, Cook JW. Thoracoabdominal aortic aneurysms: a review and current status. Coll Works Cardiopulm Dis. 1979;22:79–90.PubMed
24.
go back to reference Hiratzka LF, Bakris GL, Beckman JA, et al. 2010 ACCF/AHA/, AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology. Soc Thorac Surg Soc Vasc Med Circ. 2010;121:e266–369. Hiratzka LF, Bakris GL, Beckman JA, et al. 2010 ACCF/AHA/, AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology. Soc Thorac Surg Soc Vasc Med Circ. 2010;121:e266–369.
25.
go back to reference Koksoy C, LeMaire SA, Curling PE, Raskin SA, Schmittling ZC, Conklin LD, et al. Renal perfusion during thoracoabdominal aortic operations: cold crystalloid is superior to normothermic blood. Ann Thorac Surg. 2002;73:730–8.CrossRefPubMed Koksoy C, LeMaire SA, Curling PE, Raskin SA, Schmittling ZC, Conklin LD, et al. Renal perfusion during thoracoabdominal aortic operations: cold crystalloid is superior to normothermic blood. Ann Thorac Surg. 2002;73:730–8.CrossRefPubMed
26.
go back to reference LeMaire SA, Jones MM, Conklin LD, Carter SA, Criddell MD, Wang XL, et al. Randomized comparison of cold blood and cold crystalloid renal perfusion for renal protection during thoracoabdominal aortic aneurysm repair. J Vasc Surg. 2009;49:11–9 (discussion 19).CrossRefPubMed LeMaire SA, Jones MM, Conklin LD, Carter SA, Criddell MD, Wang XL, et al. Randomized comparison of cold blood and cold crystalloid renal perfusion for renal protection during thoracoabdominal aortic aneurysm repair. J Vasc Surg. 2009;49:11–9 (discussion 19).CrossRefPubMed
27.
go back to reference Tshomba Y, Kahlberg A, Melissano G, Coppi G, Marone E, Ferrari D, et al. Comparison of renal perfusion solutions during thoracoabdominal aortic aneurysm repair. J Vasc Surg. 2014;59:623–33.CrossRefPubMed Tshomba Y, Kahlberg A, Melissano G, Coppi G, Marone E, Ferrari D, et al. Comparison of renal perfusion solutions during thoracoabdominal aortic aneurysm repair. J Vasc Surg. 2014;59:623–33.CrossRefPubMed
28.
go back to reference Ounissi M, Cherif M, Abdallah TB, Bacha M, Hedri H, Abderrahim E, et al. Risk factors and consequences of delayed graft function. Saudi J Kidney Dis Transpl. 2013;24:243–6.CrossRefPubMed Ounissi M, Cherif M, Abdallah TB, Bacha M, Hedri H, Abderrahim E, et al. Risk factors and consequences of delayed graft function. Saudi J Kidney Dis Transpl. 2013;24:243–6.CrossRefPubMed
Metadata
Title
Renal protection in thoracoabdominal aortic aneurysm surgery
Authors
Mohamad Bashir
Amer Harky
Benjamin Adams
Kit Wong
Carmelo Di Salvo
Aung Oo
Publication date
01-01-2019
Publisher
Springer Japan
Published in
General Thoracic and Cardiovascular Surgery / Issue 1/2019
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-017-0835-4

Other articles of this Issue 1/2019

General Thoracic and Cardiovascular Surgery 1/2019 Go to the issue