Advanced

Regional tissue metabolism during open or endovascular abdominal aortic aneurysm surgery

Metzsch, Carsten LU ; Lundberg, Johan LU and Norgren, Lars LU (2001) In European Journal of Vascular and Endovascular Surgery 21(4). p.320-325
Abstract
Objective: to investigate differences in regional tissue metabolism between open and endovascular aneurysm repair utilising a microdialysis technique. Materials: eight patients receiving endovascular stent grafts (STENT) and six patients undergoing open aortic surgery (OPEN) for abdominal aortic aneurysms were studied prospectively but non-randomised. Method: microdialysis catheters placed subcutaneously in the pectoral and calf region, respectively. Results: microdialysate glucose levels increased in the OPEN group on the day of surgery. Microdialysate lactate levels increased transiently in the leg in the STENT group. In the OPEN group lactate increased in the leg after aortic cross-clamping. Glycerol decreased in the pectoral region in... (More)
Objective: to investigate differences in regional tissue metabolism between open and endovascular aneurysm repair utilising a microdialysis technique. Materials: eight patients receiving endovascular stent grafts (STENT) and six patients undergoing open aortic surgery (OPEN) for abdominal aortic aneurysms were studied prospectively but non-randomised. Method: microdialysis catheters placed subcutaneously in the pectoral and calf region, respectively. Results: microdialysate glucose levels increased in the OPEN group on the day of surgery. Microdialysate lactate levels increased transiently in the leg in the STENT group. In the OPEN group lactate increased in the leg after aortic cross-clamping. Glycerol decreased in the pectoral region in the STENT group after surgery, but remained elevated in the OPEN group. Conclusion: we found indications that the metabolic impact of the two aortic procedures differ. This may be of clinical importance when selecting patients for either open aortic surgery or endovascular stentgrafting. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Endovascular surgery, Vascular surgery, Adipose tissue metabolism, Microdialysis
in
European Journal of Vascular and Endovascular Surgery
volume
21
issue
4
pages
320 - 325
publisher
Elsevier
external identifiers
  • wos:000168733000006
  • scopus:0034990770
ISSN
1532-2165
DOI
10.1053/ejvs.2001.1326
language
English
LU publication?
yes
id
cb546f05-a483-496c-9329-0570f637e708 (old id 1119232)
date added to LUP
2008-07-08 08:23:00
date last changed
2018-01-07 09:20:35
@article{cb546f05-a483-496c-9329-0570f637e708,
  abstract     = {Objective: to investigate differences in regional tissue metabolism between open and endovascular aneurysm repair utilising a microdialysis technique. Materials: eight patients receiving endovascular stent grafts (STENT) and six patients undergoing open aortic surgery (OPEN) for abdominal aortic aneurysms were studied prospectively but non-randomised. Method: microdialysis catheters placed subcutaneously in the pectoral and calf region, respectively. Results: microdialysate glucose levels increased in the OPEN group on the day of surgery. Microdialysate lactate levels increased transiently in the leg in the STENT group. In the OPEN group lactate increased in the leg after aortic cross-clamping. Glycerol decreased in the pectoral region in the STENT group after surgery, but remained elevated in the OPEN group. Conclusion: we found indications that the metabolic impact of the two aortic procedures differ. This may be of clinical importance when selecting patients for either open aortic surgery or endovascular stentgrafting.},
  author       = {Metzsch, Carsten and Lundberg, Johan and Norgren, Lars},
  issn         = {1532-2165},
  keyword      = {Endovascular surgery,Vascular surgery,Adipose tissue metabolism,Microdialysis},
  language     = {eng},
  number       = {4},
  pages        = {320--325},
  publisher    = {Elsevier},
  series       = {European Journal of Vascular and Endovascular Surgery},
  title        = {Regional tissue metabolism during open or endovascular abdominal aortic aneurysm surgery},
  url          = {http://dx.doi.org/10.1053/ejvs.2001.1326},
  volume       = {21},
  year         = {2001},
}