Efficacy of Intraoperative Blood Salvage in Cerebral Aneurysm Surgery.
cerebral aneurysms
intraoperative cell salvage
surgery
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
07 Dec 2021
07 Dec 2021
Historique:
received:
18
09
2021
revised:
11
11
2021
accepted:
03
12
2021
entrez:
24
12
2021
pubmed:
25
12
2021
medline:
25
12
2021
Statut:
epublish
Résumé
The use and effectiveness of intraoperative cell salvage has been analyzed in many surgical specialties. Until now, no data exist evaluating the efficacy of intraoperative cell salvage in cerebral aneurysm surgery. To evaluate the efficacy and cost effectiveness of intraoperative cell salvage in cerebral aneurysm surgery. Data were collected retrospectively for all the patients who underwent cerebral aneurysm surgery at our institution between 2013 and 2019. Routinely, we apply blood salvage through autotransfusion. The cases were divided into a ruptured cerebral aneurysm group and a unruptured cerebral aneurysm group. A total of 241 patients underwent cerebral aneurysm clipping. Of all the cerebral aneurysms, 116 were ruptured and 125 were unruptured and clipped electively. Age, location of the aneurysm, postoperative red blood cell count, intraoperative blood loss, and number of allogenic blood cell transfusions were statistically significantly different between the groups. The autotransfusion of salvaged blood could only be facilitated in eight cases with ruptured cerebral aneurysms and in none with unruptured cerebral aneurysms clipped electively ( The use of cell salvage in patients with unruptured cerebral aneurysm, undergoing elective surgery, is not effective.
Sections du résumé
BACKGROUND
BACKGROUND
The use and effectiveness of intraoperative cell salvage has been analyzed in many surgical specialties. Until now, no data exist evaluating the efficacy of intraoperative cell salvage in cerebral aneurysm surgery.
AIM
OBJECTIVE
To evaluate the efficacy and cost effectiveness of intraoperative cell salvage in cerebral aneurysm surgery.
METHODS
METHODS
Data were collected retrospectively for all the patients who underwent cerebral aneurysm surgery at our institution between 2013 and 2019. Routinely, we apply blood salvage through autotransfusion. The cases were divided into a ruptured cerebral aneurysm group and a unruptured cerebral aneurysm group.
RESULTS
RESULTS
A total of 241 patients underwent cerebral aneurysm clipping. Of all the cerebral aneurysms, 116 were ruptured and 125 were unruptured and clipped electively. Age, location of the aneurysm, postoperative red blood cell count, intraoperative blood loss, and number of allogenic blood cell transfusions were statistically significantly different between the groups. The autotransfusion of salvaged blood could only be facilitated in eight cases with ruptured cerebral aneurysms and in none with unruptured cerebral aneurysms clipped electively (
CONCLUSIONS
CONCLUSIONS
The use of cell salvage in patients with unruptured cerebral aneurysm, undergoing elective surgery, is not effective.
Identifiants
pubmed: 34945029
pii: jcm10245734
doi: 10.3390/jcm10245734
pmc: PMC8708740
pii:
doi:
Types de publication
Journal Article
Langues
eng
Références
J Neurosurg. 2014 Mar;120(3):736-45
pubmed: 24266542
Scand Cardiovasc J. 2006 Jun;40(3):194-8
pubmed: 16798668
Br J Anaesth. 2018 May;120(5):988-998
pubmed: 29661416
Ann R Coll Surg Engl. 2013 Jul;95(5):357-60
pubmed: 23838500
Neurosurgery. 1997 Apr;40(4):765-71; discussion 771-2
pubmed: 9092850
Br J Anaesth. 2010 Oct;105(4):401-16
pubmed: 20802228
J Neurosurg. 2015 Jul;123(1):91-100
pubmed: 25859810
Transfus Med. 2007 Aug;17(4):285-9
pubmed: 17680954
Paediatr Anaesth. 2016 Feb;26(2):199-206
pubmed: 26573702
Anesth Analg. 2007 Mar;104(3):684-7
pubmed: 17312230
Transfus Med Rev. 2016 Jan;30(1):15-24
pubmed: 26409622
Anesth Analg. 2007 Mar;104(3):666-72
pubmed: 17312227
Acta Orthop Scand. 1991 Dec;62(6):557-62
pubmed: 1767648
Eur Spine J. 2015 Feb;24(2):270-5
pubmed: 24682378
World J Surg. 2006 Jun;30(6):1074-80
pubmed: 16736339
Acta Neurochir (Wien). 2012 Jul;154(7):1303-8
pubmed: 22585030
Asian Spine J. 2013 Sep;7(3):167-72
pubmed: 24066210
J Spine Surg. 2017 Mar;3(1):2-8
pubmed: 28435911
Anesth Analg. 2016 Feb;122(2):503-8
pubmed: 26554461
Anesth Analg. 2007 Apr;104(4):869-75
pubmed: 17377098
Transfusion. 2008 Jun;48(6):1188-91
pubmed: 18346016
J Chronic Dis. 1987;40(5):373-83
pubmed: 3558716
Medicine (Baltimore). 2016 Aug;95(31):e4490
pubmed: 27495095
World Neurosurg. 2015 Aug;84(2):446-50
pubmed: 25839398
Cochrane Database Syst Rev. 2010 Apr 14;(4):CD001888
pubmed: 20393932
Neurocrit Care. 2011 Sep;15(2):342-53
pubmed: 21769459
Anesth Analg. 2008 Nov;107(5):1487-95
pubmed: 18931203
Spine (Phila Pa 1976). 2004 Jul 15;29(14):1580-3; discussion 1584
pubmed: 15247582
J Neurosurg Spine. 2018 Nov 1;29(5):582-587
pubmed: 30117795