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- W2023659789 abstract "ent ischemic pathways caused by anatomic, hemodynamic, and humoral factors. As suggested by Dr Kotsis, other influences such as systemic hypotension, embolization, or reperfusion injury might have an equally deleterious effect. The use of shunts is an interesting concept, but temporary perfusion of the distal colon would have been of dubious value in our reported patients. Comparing patients who developed colon ischemia with those who did not, aortic cross-clamp and operative times were similar. But half the patients who developed colon ischemia had intraoperative hypotension, and microembolization was identified in one of the colon specimens. These complications would not have been corrected with shunts. On the other hand, the theoretic benefits conferred with antioxydotic agents such as vitamin E are appealing; use of these agents certainly merits further evaluation. In the final analysis, careful patient evaluation and attention to operative detail are the cornerstones of prevention. But because there are currently no techniques that reliably prevent colon ischemia, we continue to stress early recognition in the postoperative period. Until preventative measures are identified, surgeons should maintain a high index of suspicion after aortic operations." @default.
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- W2023659789 date "2004-06-01" @default.
- W2023659789 modified "2023-09-25" @default.
- W2023659789 title "Carotid body tumors" @default.
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- W2023659789 doi "https://doi.org/10.1053/j.optechgensurg.2004.05.007" @default.
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