Neurologic Dysfunction after Aortic Dissection Surgery: Different Cerebral Hypothermic Antegrade Perfusion Techniques
نویسندگان
چکیده
منابع مشابه
Cerebral functions and metabolism after antegrade selective cerebral perfusion in aortic arch surgery.
OBJECTIVES Antegrade selective cerebral perfusion (ASCP) represents the best method of cerebral protection during surgery of the thoracic aorta. However, brain integrity and metabolism after antegrade cerebral perfusion have not yet been investigated. We assessed cerebral positron emission tomography (PET), diffusion-weighted imaging, proton magnetic resonance spectroscopy and cognitive functio...
متن کاملUnilateral Antegrade Selective Cerebral Perfusion in Aortic Surgery: Clinical Outcomes at Different Levels of Hypothermia
Although unilateral antegrade selective cerebral perfusion (UASCP) is considered a safe cerebral protection strategy during aortic surgery, an optimum temperature remains to be defined. This study compared outcomes in patients undergoing UASCP at either <24 or > or =24. Between 2000 and 2007, 104 consecutive patients underwent aortic surgery using UASCP. Patients were divided into two groups ac...
متن کاملAntegrade vs. retrograde cerebral perfusion during ascending aortic repair for acute type A aortic dissection.
complications and that postoperative ventilation time was significantly longer in the ACP group than the RCP group. This was true for the total cohort of patients as well as for the riskadjusted analysis and propensity-matched pairing analysis. Recently, another propensity-matched analysis was carried out by a group from Duke University to examine the superiority of ACP or RCP in proximal (hemi...
متن کاملAntegrade versus retrograde cerebral perfusion in relation to postoperative complications following aortic arch surgery for acute aortic dissection type A.
BACKGROUND Aortic arch surgery is impossible without the temporary interruption of brain perfusion and therefore is associated with high incidence of neurologic injury. The deep hypothermic circulatory arrest (HCA), in combination with antegrade or retrograde cerebral perfusion (RCP), is a well-established method of brain protection in aortic arch surgery. In this retrospective study, we compar...
متن کاملAre all antegrade cerebral perfusion techniques equal?
Congratulations to Urbanski et al. for their study [1]. We benefited a lot from this report. But we want to put emphasis on some points that—we think—should be taken into consideration by the authors. Antegrade cerebral perfusion technique is based on two factors: perfusion pressure and direction of the kinetic energy of pump output (2 l/min/m) during cooling down and warming up periods. Cannul...
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ژورنال
عنوان ژورنال: Journal of Anesthesia & Clinical Research
سال: 2018
ISSN: 2155-6148
DOI: 10.4172/2155-6148.1000813