منابع مشابه
Are 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...
متن کاملTotal arch replacement using bilateral axillary antegrade selective cerebral perfusion.
OBJECTIVE The prevention of cerebral injury is an important consideration during the repair of an aortic arch aneurysm, and this is a major goal of cerebral protection techniques. We describe extended thoracic aortic aneurysms treated by use of our current surgical strategy. PATIENTS AND METHODS From January 2001 to June 2008, a total of 17 patients (12 men and 5 women; mean age 67.3 ± 7.3 yr...
متن کاملBest 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 کاملOptimal pH strategy for selective cerebral perfusion.
OBJECTIVE Selective cerebral perfusion (SCP) affords brain protection superior to hypothermic circulatory arrest (HCA) for prolonged aortic arch procedures. Optimal pH strategy for HCA is controversial; for SCP it is unknown. We compared pH strategies during SCP in a survival pig model. METHODS Twenty juvenile pigs (26+/-2.4 kg), randomized to alpha-stat (n=10) or pH-stat (n=10) management, u...
متن کاملTotal arch replacement using antegrade selective cerebral perfusion with right axillary artery perfusion.
OBJECTIVE Right axillary artery (AxA) perfusion, which can prevent cerebral embolism caused by retrograde perfusion via the femoral artery (FA), was used for selective cerebral perfusion (SCP) as well as cardiopulmonary bypass (CPB) in aortic arch repair. We review the outcome of aortic arch surgery using SCP with right AxA perfusion to clarify its efficacy. METHOD Between 1998 and 2002, 120 ...
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ژورنال
عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery
سال: 2010
ISSN: 0022-5223
DOI: 10.1016/j.jtcvs.2009.12.005