Intraoperative assessment of colonic ischemia during aortic reconstruction

W. Andrew Oldenburg, Albert G. Hakaim

Research output: Contribution to journalArticle

Abstract

Ischemic colitis is a devastating complication of aortic reconstruction. Its diagnosis is often delayed or overlooked, resulting in significant patient morbidity and mortality. To avoid this complication, the vascular surgeon must be aware of the preoperative, intraoperative, and postoperative risk factors. The vascular surgeon must be knowledgeable of the vascular anatomy and protective of the many vascular collaterals that may protect the colon when blood flow is reduced. Reviewed are the many intraoperative techniques to assess the adequacy of colonic perfusion during aortic reconstruction. Introduced is a new technique of assessing colonic perfusion: inferior mesenteric vein blood gas sampling. This technnique is compared to laser Doppler flowmetry and photoplethysmography in patients undergoing aortic reconstruction.

Original languageEnglish (US)
Pages (from-to)33-47
Number of pages15
JournalPerspectives in Vascular Surgery and Endovascular Therapy
Volume12
Issue number1
DOIs
StatePublished - Dec 1 1999

Keywords

  • Aortic reconstruction
  • Inferior mesenteric artery
  • Ischemic colitis

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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