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...

The indication of carotid endarterectomy (CEA) is principally determined by the presence or absence of symptoms and the degree of stenosis. However, the results of recent studies have implicated the usefulness of cerebral hemodynamics imaging for perioperative assessments. Many studies using single-photon emission computed tomography (SPECT) have demonstrated that cerebral hemodynamics imaging ...

UNLABELLED The efficacy of cerebral arterial bypass surgery was assessed on brain perfusion SPECT using statistical parametric mapping (SPM) and a probabilistic brain atlas. METHODS Fifteen patients with ischemia in the internal carotid artery (ICA) territory and 21 age-matched healthy volunteers were enrolled. (99m)Tc-HMPAO basal/acetazolamide brain perfusion SPECT was performed 2 wk before ...

Tovedal, T. 2015. Cerebral perfusion during cardiopulmonary bypass with special reference to blood flow. Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 1108. 61 pp. Uppsala: Acta Universitatis Upsaliensis. ISBN 978-91-554-9257-1. Cardiopulmonary bypass (CPB) is an important method that enables open heart surgery. There is a risk of neurological complicatio...

Stroke is a heterogeneous syndrome caused by multiple disease mechanisms, but all result in a disruption of cerebral blood flow with subsequent tissue damage. This review covers the mechanisms responsible for regulation of the normal cerebral circulation, and how they are disrupted in disease states. A central concept in treating patients with acute ischaemic stroke is the existence of an ischa...

PURPOSE OF REVIEW Cerebral ischemia forms the pathophysiological basis of several acute neurological conditions. Successful management of these conditions depends on early and accurate identification of ischemia and prompt treatment. Several techniques of assessing ischemia have evolved over decades. But their importance in the management of neurological patients remains ambiguous. RECENT FIN...

OBJECTIVE To review methods of quantifying human cerebral autoregulation in health and disease. DATA SOURCES Articles and published abstracts on methods to quantify cerebral autoregulation in health and disease. SUMMARY OF REVIEW Cerebral autoregulation is defined as the relationship between cerebral blood flow and cerebral perfusion pressure. Complex neurohumoral processes are involved in ...

In fetuses with complex congenital heart disease (CHD), impaired brain growth and development starts in utero. A interplay between heart, brain, body placenta takes place the second third trimesters of pregnancy. Altered fetal cardiovascular hemodynamics due to differnt types CHD lead altered cerebral, placental perfusion, all factors contributing maturational delay development. Impaired cerebr...

In this study we assessed regional cerebral blood flow in patients with signs and symptoms of acute stroke using single-photon emission computed tomography (SPECT) and N-isopropyl I-123 p-iodoamphetamine (IMP). Twenty-five patients with acute cerebral infarction had both IMP brain perfusion studies and CT scans performed within one week of each other; 22 had positive and three had negative perf...