منابع مشابه
Best strategy for cerebral protection in arch surgery - antegrade selective cerebral perfusion and adequate hypothermia.
Aortic arch surgery remains a complex surgical operation that necessitates specific neuroprotection strategies. Various approaches, such as hypothermic circulatory arrest (HCA), retrograde cerebral perfusion, and antegrade selective cerebral perfusion (aSCP), have each enjoyed periods of popularity. However, while the overall surgical approach tend to favour HCA with aSCP, technical factors, su...
متن کاملOcular hypothermia: anterior chamber perfusion.
The anterior chambers of 27 rabbit eyes were perfused at constant pressure with room temperature (25 degrees C) or cooled (11 degrees C) balanced salt solution at constant flow rates of 4.8 ml/min or 8.5 ml/min. Intraocular temperature changes in the anterior chamber, anterior vitreous, mid vitreous, and posterior vitreous and on the retina surface were monitored with an intraocular thermocoupl...
متن کاملAortic arch surgery using moderate hypothermia and unilateral selective antegrade cerebral perfusion.
BACKGROUND Cerebral protection and circulatory management remains a controversial issue in aortic arch surgery. The present study reported surgical outcomes of arch repair using moderate hypothermic circulatory arrest (MHCA) and unilateral selective antegrade perfusion (uSACP). METHODS From January 2004 and December 2012, 500 patients underwent hemiarch repair (HARCH) and 124 underwent total ...
متن کاملCurrent Perfusion Techniques for Repair of Giant Cerebral Aneurysms using Deep Hypothermia and Circulatory Arrest
Intracerebral aneurysms unapproachable with conventional techniques can be clipped during total circulatory arrest under deep hypothermia. In a series of 30 cases, cardiopulmonary bypass techniques were developed which permit efficient core cooling and rewarming with peripheral (femoral-femoral) cannulation. The perfusion circuit was modified to use the centrifugal pump to apply negative pressu...
متن کاملAntegrade selective cerebral perfusion and moderate hypothermia in aortic arch surgery: clinical outcomes in elderly patients.
OBJECTIVES To evaluate the outcome in elderly patients (≥ 75 years) undergoing elective aortic arch surgery with the aid of selective antegrade cerebral perfusion (SACP) and moderate hypothermic circulatory arrest (HCA). METHODS A series of 95 patients ≥ 75 years (median age 77 years, median EuroSCORE 28) undergoing elective aortic arch surgery with SACP and moderate HCA were analysed with re...
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ژورنال
عنوان ژورنال: Canadian Journal of Anaesthesia
سال: 1995
ISSN: 0832-610X,1496-8975
DOI: 10.1007/bf03011065