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It seems intuitive that autotransfusion would reduce the amount of bank blood required during open AAA repair. Indeed, abdominal aortic repair would seem to be the optimal operation for autotransfusion, given the potential for effusive blood loss and the small amount of particulate matter. Yet, after more than 20 years of autotransfusion experience, vascular surgeons are uncertain as to whether autotransfusion is the standard of care or whether it provides a benefit in reducing ABTs.
Suding PN, Wilson SE. Intraoperative Autotransfusion in Abdominal Aortic Aneurysm Surgery: Meta-analysis of Randomized Controlled Trials—Invited Critique. Arch Surg. 2007;142(11):1102. doi:10.1001/archsurg.142.11.1102