Cerebral protection using retrograde cerebral perfusion during hypothermic circulatory arrest
نویسندگان
چکیده
منابع مشابه
Repair of a penetrating aortic arch injury using deep hypothermic circulatory arrest and retrograde cerebral perfusion.
The traumatic rupture of the thoracic aorta is a severe and life-threatening entity. The incidence of penetrating trauma to the aortic arch is not known, because most patients die of haemorrhage even before they receive adequate treatment. Clinical signs of such injuries include external or internal haemorrhage, bruit, distal pulse deficit, neurological deficit and shock. We present a 42-year o...
متن کاملRetrograde cerebral perfusion with hypothermic circulatory arrest in aortic arch surgery: operative and long-term results.
METHODS Clinical data were retrospectively collected for 207 consecutive patients who underwent aortic arch surgery using continuous retrograde cerebral perfusion (CRCP) and hypothermic circulatory arrest (HCA) at Tenri Hospital (138 patients) from 1988 to 1999, and at Nagoya University Hospital (69 patients) from 1990 to 2000. One hundred and 3 patients (50%) were operated upon for aortic diss...
متن کاملRetrograde cerebral perfusion as an adjunct to prolonged hypothermic circulatory arrest.
STUDY OBJECTIVE This study was designed to evaluate the use of retrograde cerebral perfusion (RCP) combined with deep hypothermic circulatory arrest (DHCA) in the treatment of complex congenital and adult cardiac disease. DESIGN Retrospective chart review of 52 cardiac surgery patients (34 male and 18 female; age range, 3 weeks to 89 years old; mean age, 60 years old) who received RCP in conj...
متن کاملContinuous cerebral hemodynamic measurement during deep hypothermic circulatory arrest.
While survival of children with complex congenital heart defects has improved in recent years, roughly half suffer neurological deficits suspected to be related to cerebral ischemia. Here we report the first demonstration of optical diffuse correlation spectroscopy (DCS) for continuous and non-invasive monitoring of cerebral microvascular blood flow during complex human neonatal or cardiac surg...
متن کاملIntegrated cerebral perfusion for hypothermic circulatory arrest during transverse aortic arch repairs.
OBJECTIVES Antegrade cerebral perfusion (ACP) during hypothermic circulatory arrest (HCA) for ascending/transverse arch repair is used for cerebral protection. This study evaluates ACP in combination with retrograde cerebral perfusion (RCP) during extended HCA and compares it to RCP-only. METHODS Between January 2005 and April 2007, we performed 64 consecutive arch repairs requiring extended ...
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ژورنال
عنوان ژورنال: Canadian Journal of Anaesthesia
سال: 1997
ISSN: 0832-610X,1496-8975
DOI: 10.1007/bf03019233