Cirurgia do arco aórtico com perfusão cerebral bilateral pelo isolamento do tronco braquiocefálico e da artéria carótida esquerda

Carreira, Valdo José; Oliveira, Denoel Marcelino de; Honório, Júlio Faria; Pinheiro, Ivo Thadeu de Freitas; Chissonde, Ezequiel Moisés; Faria, Renato Max

doi:10.1590/s0102-76382008000100012

Cited by 4 publications

(2 citation statements)

References 26 publications

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“…Several prospective studies of selective cerebral perfusion, with demonstrated efficacy in the prevention of neurological sequelae [18,19], and reviews about intraoperative neuroprotection, particularly during CPB do not emphasize the brain monitoring as a means of evaluating the quality of neuroprotection in real or capable time [20,21]. Certainly this is due to the unavailability in the domestic market and high cost of brain monitors, however, as frequent measurement of SjO 2 may be feasible and useful.…”

Section: Discussionmentioning

confidence: 99%

Correlação entre a SvO2 e SjO2 durante a cirurgia cardíaca com circulação extracorpórea em crianças

Klamt¹,

Nabarro²,

Vicente³

et al. 2011

Rev Bras Cir Cardiovasc

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Section: Discussionmentioning

confidence: 99%

Correlação entre a SvO2 e SjO2 durante a cirurgia cardíaca com circulação extracorpórea em crianças

Klamt¹,

Nabarro²,

Vicente³

et al. 2011

Rev Bras Cir Cardiovasc

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“…These problems can be resolved using isolation selective cerebral perfusion (ISCP) technique for aortic surgery. 1–4) In this report, we present the case of patient in whom the ISCP technique was applied for intracardiac disease complicated with mobile atheroma. This technique enables safer and minimally invasive surgery for preventing brain stroke complications.…”

Section: Introductionmentioning

confidence: 99%

Modified Isolation Selective Cerebral Perfusion Technique for Intracardiac Disease with Mobile Atheroma

Miura

Wada

Konno

et al. 2019

Annals of Vascular Diseases

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Isolation selective cerebral perfusion (ISCP) technique is reportedly an effective method for preventing brain complications during the treatment of arch aneurysms. Here we present the case of a patient with intracardiac disease complicated by mobile atheroma in the proximal aorta. In this patient, not only the arterial cannulation of the ascending aorta might have posed a high risk of brain stroke but also the original ISCP technique could not be applied. We applied the ISCP technique for non-aortic disease without using circulatory arrest to prevent aortogenic brain embolism. The patients who underwent treatment using this technique were discharged without neurologic complications.

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An improved isolation technique for shaggy brachiocephalic artery and aortic arch replacement

Sawazaki

Tomari

Zaikokuji

et al. 2015

Gen Thorac Cardiovasc Surg

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A mobile plaque in the ascending and transverse aorta increases the risk of cerebral infarction during treatment of an arch aneurysm. A previous report described an isolation technique for replacing the ascending and transverse aorta with a mobile atheroma by selective hypothermic antegrade cerebral perfusion (Shiiya et al., Ann Thorac Surg 72:1401-1402, 2001). Here, we present an improved isolation technique for more severe conditions, such as shaggy aorta and shaggy brachiocephalic artery, in two patients. First, we anastomosed both axillae arteries with grafts and placed drainage cannulae in the superior and inferior venae cavae prior to filling the cardio-pulmonary bypass system with blood. Next, we cannulated the right common carotid artery and selective cerebral perfusion was started prior to cannulation and perfusion of the left common carotid artery. Systemic perfusion was then initiated through the axillae grafts. Both patients who underwent this procedure recovered without neurologic complications.

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Cirurgia do arco aórtico com perfusão cerebral bilateral pelo isolamento do tronco braquiocefálico e da artéria carótida esquerda

Abstract: 0,05). CONCLUSÃO: A técnica de PCSAB é reprodutível e apresenta resultados semelhantes aos da literatura mundial. A excelente evolução neurológica e o fácil controle de sangramentos nas linhas de sutura podem ter contribuído com os resultados obtidos.]]>

Cited by 4 publications

References 26 publications

Correlação entre a SvO<sub>2</sub> e SjO<sub>2</sub> durante a cirurgia cardíaca com circulação extracorpórea em crianças

Correlação entre a SvO<sub>2</sub> e SjO<sub>2</sub> durante a cirurgia cardíaca com circulação extracorpórea em crianças

Modified Isolation Selective Cerebral Perfusion Technique for Intracardiac Disease with Mobile Atheroma

An improved isolation technique for shaggy brachiocephalic artery and aortic arch replacement

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