Prospecrtive study including 20-30 randomized patients treated by open repair because of an TAAA larger than 55 mm During the surgery, a heart lung machine is applied for distal perfusion during aortic cross clamping to enable distal organ perfusion. Regardless an intensive inflammatory reaction is a well known effect after reperfusion, leading to a uncontrolled inflammation during th first days after surgery. This may be associated to bad outcome and decreased survival rates. By the application of a intraoperative cytokine and DAMP filter this negative ffect could be reduced, resulting in a better outcome after surgery.
Prospecrtive study including 20-30 randomized patients treated by open repair because of an TAAA larger than 55 mm During the surgery, a heart lung machine is applied for distal perfusion during aortic cross clamping to enable distal organ perfusion. Regardless an intensive inflammatory reaction is a well known effect after reperfusion, leading to a uncontrolled inflammation during th first days after surgery. This may be associated to bad outcome and decreased survival rates. By the application of a intraoperative cytokine and DAMP filter this negative ffect could be reduced, resulting in a better outcome after surgery.
Study Type
OBSERVATIONAL
Enrollment
20
Cytokine filter, which can be used intraoperatively while using a heart lung machine
Alexander Gombert
Aachen, North Rhine-Westphalia, Germany
Amount of perioperative catecholamine usage in mg/dl for the first seven days after surgery
amount measured in mg/dl
Time frame: 7 days perioperatively -10 day postoperatively
Amount of transfusion required during and after the surgery, assessed in transfusion more or less than 5 blood bags
packed cells, erythrocyte concentrate
Time frame: 7 days perioperatively 5-10 day postoperatively
Acute kidney injury, measured using serum creatinine in mg/dl
AKI assessed according to the KDIGO classification perioperatively for the first 7 days after surgery
Time frame: 7 days perioperatively, -10 day postoperatively
Patients survival for the first 12 months after surgery
Survival yes/no within the first 12 months after surgery
Time frame: 12 months 10-14 months postopertaibely
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