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Perioperative hemostatic management of patients with type A aortic dissection

Coagulopathy is common in patients undergoing thoracic aortic repair for Stanford type A aortic dissection. Non-critical administration of blood products may adversely affect the outcome. It is therefore important to be familiar with the pathologic conditions that lead to coagulopathy in complex car...

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Autores principales: Erdoes, Gabor, Ahmed, Aamer, Kurz, Stephan D., Gerber, Daniel, Bolliger, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10694357/
http://dx.doi.org/10.3389/fcvm.2023.1294505
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author Erdoes, Gabor
Ahmed, Aamer
Kurz, Stephan D.
Gerber, Daniel
Bolliger, Daniel
author_facet Erdoes, Gabor
Ahmed, Aamer
Kurz, Stephan D.
Gerber, Daniel
Bolliger, Daniel
author_sort Erdoes, Gabor
collection PubMed
description Coagulopathy is common in patients undergoing thoracic aortic repair for Stanford type A aortic dissection. Non-critical administration of blood products may adversely affect the outcome. It is therefore important to be familiar with the pathologic conditions that lead to coagulopathy in complex cardiac surgery. Adequate care of these patients includes the collection of the medical history regarding the use of antithrombotic and anticoagulant drugs, and a sophisticated diagnosis of the coagulopathy with viscoelastic testing and subsequently adapted coagulation therapy with labile and stable blood products. In addition to the above-mentioned measures, intraoperative blood conservation measures as well as good interdisciplinary coordination and communication contribute to a successful hemostatic management strategy.
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spelling pubmed-106943572023-12-05 Perioperative hemostatic management of patients with type A aortic dissection Erdoes, Gabor Ahmed, Aamer Kurz, Stephan D. Gerber, Daniel Bolliger, Daniel Front Cardiovasc Med Cardiovascular Medicine Coagulopathy is common in patients undergoing thoracic aortic repair for Stanford type A aortic dissection. Non-critical administration of blood products may adversely affect the outcome. It is therefore important to be familiar with the pathologic conditions that lead to coagulopathy in complex cardiac surgery. Adequate care of these patients includes the collection of the medical history regarding the use of antithrombotic and anticoagulant drugs, and a sophisticated diagnosis of the coagulopathy with viscoelastic testing and subsequently adapted coagulation therapy with labile and stable blood products. In addition to the above-mentioned measures, intraoperative blood conservation measures as well as good interdisciplinary coordination and communication contribute to a successful hemostatic management strategy. Frontiers Media S.A. 2023-11-20 /pmc/articles/PMC10694357/ http://dx.doi.org/10.3389/fcvm.2023.1294505 Text en © 2023 Erdoes, Ahmed, Kurz, Gerber and Bolliger. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Erdoes, Gabor
Ahmed, Aamer
Kurz, Stephan D.
Gerber, Daniel
Bolliger, Daniel
Perioperative hemostatic management of patients with type A aortic dissection
title Perioperative hemostatic management of patients with type A aortic dissection
title_full Perioperative hemostatic management of patients with type A aortic dissection
title_fullStr Perioperative hemostatic management of patients with type A aortic dissection
title_full_unstemmed Perioperative hemostatic management of patients with type A aortic dissection
title_short Perioperative hemostatic management of patients with type A aortic dissection
title_sort perioperative hemostatic management of patients with type a aortic dissection
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10694357/
http://dx.doi.org/10.3389/fcvm.2023.1294505
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