Intraoperative Autotransfusion in Abdominal Aortic Aneurysm Surgery

Takagi, Hisato

doi:10.1001/archsurg.142.11.1098

Cited by 38 publications

(17 citation statements)

References 11 publications

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“…In obstetrics, two studies have shown a decrease in allogeneic blood exposure , and there does not appear to be an increased risk of amniotic fluid embolism when proper methods are used . In major vascular surgery, most studies support effectiveness in reducing allogeneic exposure especially when sponges are rinsed . As discussed, there is plenty of evidence for effectiveness in complex orthopaedic procedures and in cardiac surgery in both adult and in paediatric cases.…”

Section: Blood Salvage Efficiencymentioning

confidence: 99%

“…Typical cases that are ideal for blood salvage are open abdominal aortic aneurysm repairs , multilevel spinal fusions , revision hip arthroplasty and virtually any cardiac surgery procedure involving cardiopulmonary bypass . Liver transplants are also ideal cases for cell salvage, which can reduce the need for allogeneic blood, although with hepatocellular cancer cases the risk/benefit balance remains unclear .…”

Section: Cost‐effectivenessmentioning

confidence: 99%

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Autologous blood salvage in the era of patient blood management

et al. 2017

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Almost 150 years after the first autologous blood transfusion was reported, intraoperative blood salvage has become an important method of blood conservation. The primary goal of autologous transfusion is to reduce or avoid allogeneic red blood cell transfusion and the associated risks and costs. Autologous salvaged blood does not result in immunological challenge and its consequences, provides a higher quality red blood cell that has not been subjected to the adverse effects of blood storage, and can be more cost-effective than allogeneic blood when used for carefully selected surgical patients. Cardiac, orthopaedic and vascular surgery procedures with large anticipated blood loss can clearly benefit from the use of cell salvage. There are safety concerns in cases with gross bacterial contamination. There are theoretical safety concerns in obstetrical and cancer surgery; however, careful cell washing as well as leucoreduction filters makes for a safer autologous transfusion in these circumstances. Further studies are needed to determine whether oncologic outcomes are impacted by transfusing salvaged blood during cancer surgery. In this new era of patient blood management, where multimodal methods of reducing dependence on allogeneic blood are becoming commonplace, autologous blood salvage remains a valuable tool for perioperative blood conservation. Future studies will be needed to best determine how and when cell salvage should be utilized along with newer blood conservation measures.

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Section: Blood Salvage Efficiencymentioning

confidence: 99%

Section: Cost‐effectivenessmentioning

confidence: 99%

Autologous blood salvage in the era of patient blood management

et al. 2017

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“…Although intra-operative autotransfusion is most widely used in vascular surgery, and yet few randomised studies (Wong et al 2002, Takagi et al 2007, Carless et al 2010, Huët et al 1999) have been published. Adverse events are never published.…”

Section: Autotransfusion In Vascular Surgerymentioning

confidence: 99%

Autotransfusion: Therapeutic Principles, Efficacy and Risks

Gemert¹

2012

Blood Transfusion in Clinical Practice

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“…This development has given rise to intraoperative cell salvage (ICS) and autologous blood transfusion becoming important and effective blood conservation methods during the perioperative period of reducing or avoiding the need for homologous blood transfusion and its associated complications. ICS has been widely used in adult elective surgeries such as cardiac surgery , major vascular surgery , orthopedic surgery , liver transplant , and craniotomy . Although ICS has been considered clinically efficacious, investigations into the oxygen‐carrying capacity and the membrane integrity of intraoperative cell‐salvaged red blood cells (RBC) have gained increasing attention.…”

Section: Introductionmentioning

confidence: 99%