This Article Full Text Full Text (PDF) Correction (v33,p1442) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Couture, D. E. Articles by Kassell, N. F. Search for Related Content PubMed PubMed Citation Articles by Couture, D. E. Articles by Kassell, N. F. Related Collections Carotid endarterectomy Aneurysm, AVM, hematoma

(Stroke. 2002;33:994.)
© 2002 American Heart Association, Inc.

Original Contributions

Blood Use in Cerebrovascular Neurosurgery

Daniel E. Couture, MD; Dilantha B. Ellegala, MD; Aaron S. Dumont, MD; Paul D. Mintz, MD Neal F. Kassell, MD

From the Departments of Neurosurgery (D.E.C., D.B.E., A.S.D., N.F.K.), Pathology (P.D.M.), and Medicine (P.D.M.), University of Virginia, Health Sciences Center, Charlottesville.

Correspondence to Neal F. Kassell, MD, Department of Neurosurgery, UVA Health System, No. 212, Charlottesville, VA 22908. E-mail nfk8g{at}virginia.edu

Background and Purpose— This study reviews the perioperative use of red blood cell transfusion in cerebrovascular neurosurgery. The current algorithm for preoperative ordering of red cells is historical and dated. More blood is ordered than is actually transfused, and considerable variability exists between different institutions. We determine the use of blood transfusion in cerebrovascular surgery to develop a rational blood ordering practice.

Methods— Records of 301 patients undergoing cerebrovascular neurosurgery at the University of Virginia were reviewed to quantitatively evaluate red blood cell transfusion practices. The amount and reason for transfusion were noted in each case.

Results— In 126 patients undergoing carotid endarterectomy, there were no preoperative or intraoperative transfusions and 5 postoperative transfusions (4.0%). In 71 ruptured aneurysm patients, there were 2 preoperative blood transfusions (2.8%), 4 intraoperative transfusions (5.6%), and 15 postoperative transfusions (21.1%). Forty-seven patients underwent surgery for unruptured aneurysms, with no preoperative transfusions, 2 intraoperative transfusions (4.3%), and 8 postoperative blood transfusions (17.0%). Of the 54 patients undergoing surgery for arteriovenous malformations, 5 patients (9.3%) were transfused preoperatively, 4 were transfused intraoperatively (7.4%), and 22 were transfused postoperatively (40.7%). None of the 3 patients undergoing surgery for concomitant arteriovenous malformations and aneurysms received intraoperative blood transfusions, but 1 received blood both preoperatively and postoperatively, and another received a transfusion postoperatively only. The overall ratio of perioperative cross-match to transfusion in this series is 41.4.

Conclusions— In vascular neurosurgery at our institution, blood has routinely been ordered excessively. We recommend an ABO-Rh type and antibody screen for aneurysm and arteriovenous malformation surgery and no screen for carotid endarterectomy to efficiently utilize transfusion therapy in cerebrovascular surgery.

Key Words: aneurysm • blood transfusion • carotid endarterectomy • cerebral arteriovenous malformations • neurosurgery

This article has been cited by other articles:

				B. L. Hoh, J. D. Rabinov, J. C. Pryor, B. S. Carter, and F. G. Barker II In-Hospital Morbidity and Mortality after Endovascular Treatment of Unruptured Intracranial Aneurysms in the United States, 1996-2000: Effect of Hospital and Physician Volume AJNR Am. J. Neuroradiol., August 1, 2003; 24(7): 1409 - 1420. [Abstract] [Full Text] [PDF]