Why the study?
Does supraceliac aortic cross-clamping increase perioperative morbidity and mortality compared to infrarenal clamping in patients undergoing repair of non-ruptured abdominal aortic aneurysms?
Population
169 patients undergoing elective or urgent repair of infra- or juxtarenal abdominal aortic aneurysm between…
Comparison
Supraceliac aortic cross-clamping (n=23) vs Infrarenal aortic cross-clamping
Design
Cohort
Follow-up
Perioperative / until hospital discharge
Authors
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Supports selective supraceliac clamping in complex AAA repair; leaves open need for randomized confirmation.
Does supraceliac aortic cross-clamping increase perioperative morbidity and mortality compared to infrarenal clamping in patients undergoing repair of non-ruptured abdominal aortic aneurysms?
Selective supraceliac clamping is safe and does not increase perioperative morbidity compared to infrarenal clamping during difficult abdominal aortic aneurysm repairs.
Joseph R. Schneider (1997) studied this question.