caa a22 4500 47575199X CHVBK 20180406123526.0 cr unu---uuuuu 170329e20000101xx s 000 0 eng 10.1007/PL00010043 doi (NATIONALLICENCE)springer-10.1007/PL00010043 Postoperative Renal Function After an Abdominal Aortic Aneurysm Repair Requiring a Suprarenal Aortic Cross-Clamp [Elektronische Daten] [Tatsuya Sasaki, Satoshi Ohsawa, Masaaki Ogawa, Masayuki Mukaida, Takayuki Nakajima, Kenji Komoda, Rintaro Tachieda, Hiroyuki Niinuma, Kohei Kawazoe] We describe herein the postoperative renal functions of patients who required a suprarenal aortic cross-clamp during abdominal aortic surgery. Seven patients required a unilateral suprarenal aortic cross-clamp (group A) and six patients required a bilateral suprarenal clamp (group B). Eighty-three patients who required an infrarenal aortic clamp were assigned to group C. Renal hypothermia with renal perfusion or topical cooling during suprarenal clamp was not performed. No hospital deaths were encountered. In group B, the postoperative creatinine and blood urea nitrogen (BUN) levels remained statistically significantly higher than that of group C until the seventh postoperative day. The postoperative renal dysfunction (serum creatinine level >2.0 mg/dl) was 28.6% in group A and 50% in group B, while it was only 8.4% in group C, although no patient required either temporary or permanent hemodialysis. The postoperative peak BUN over 30 min suprarenal clamp was significantly higher than that within 30 min. In summary, the postoperative renal function was impaired after an extended bilateral suprarenal clamp. These findings suggest that if prolonged renal ischemia is thus expected, then renal preservation should be considered.: Springer-Verlag Tokyo, 2000 Key Words: juxtarenal abdominal aortic aneurysm, postoperative renal insufficiency, suprarenal aortic cross-clamp nationallicence Sasaki Tatsuya Third Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan, JP aut Ohsawa Satoshi Third Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan, JP aut Ogawa Masaaki Third Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan, JP aut Mukaida Masayuki Third Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan, JP aut Nakajima Takayuki Third Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan, JP aut Komoda Kenji Third Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan, JP aut Tachieda Rintaro Second Department of Medicine, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan, JP aut Niinuma Hiroyuki Second Department of Medicine, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan, JP aut Kawazoe Kohei Third Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan, JP aut https://doi.org/10.1007/PL00010043 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/PL00010043 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sasaki Tatsuya Third Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan, JP aut NATIONALLICENCE 700 1- Ohsawa Satoshi Third Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan, JP aut NATIONALLICENCE 700 1- Ogawa Masaaki Third Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan, JP aut NATIONALLICENCE 700 1- Mukaida Masayuki Third Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan, JP aut NATIONALLICENCE 700 1- Nakajima Takayuki Third Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan, JP aut NATIONALLICENCE 700 1- Komoda Kenji Third Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan, JP aut NATIONALLICENCE 700 1- Tachieda Rintaro Second Department of Medicine, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan, JP aut NATIONALLICENCE 700 1- Niinuma Hiroyuki Second Department of Medicine, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan, JP aut NATIONALLICENCE 700 1- Kawazoe Kohei Third Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan, JP aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer