Evolución neurológica y resultados de la cirugía pediátrica del arco aórtico mediante perfusión cerebral selectiva

Pérez, Raúl Sánchez; Requero, Pilar Tirado; López, Luz Polo; Lois, Juvenal Rey; Ramchandani, Bunty; Silva, Luis García-Guereta; Rocafort, Álvaro González; Peinado, Ángel Aroca

doi:10.1016/j.anpedi.2020.03.006

Cited by 1 publication

(2 citation statements)

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“…Patient's IQs were examined and a z-score distribution similar to the general population was observed. [3] However, to date, there has not been any head-to-head comparison between SCP and DHCA. Thus, one could not conclusively state SCP is a better perfusion technique than DHCA.…”

Section: Neurological Outcome Following Aortic Surgerymentioning

confidence: 99%

“…A previous study has demonstrated that Deep Hypothermic Circulatory Arrest (DHCA) that surpasses the 40-minute window affects the developing brain. [3] Undoubtedly, surgical improvements have been taken to mitigate the effect on neurodevelopmental. Among these is the deployment of elective regional perfusion which has been shown to be a promising alternative to DHCA in children undergoing aortic surgery.…”

Section: Introductionmentioning

confidence: 99%

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Neurodevelopmental Outcomes Following Aortic Surgery in the Paediatric Population

Vivekanandan,

Ndokotsu,

Yubbu

et al. 2023

Preprint

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Introduction: Complex aortic surgeries during infancy may affect the neurodevelopmental of children. The study aimed to outline the neurological outcomes and probable risk factors in patients who had undergone aortic surgeries during infancy. Method: A systematic search of English language articles from Academic Search Complete, Cochrane Database, MEDLINE, ScienceDirect, and Scopus was performed. Studies using tools to assess neurodevelopmental outcomes in the pediatric population who underwent aortic surgery in infancy were reviewed. Studies with non-aortic surgeries and prior neurological comorbidities were excluded. Results: Eight cohort studies and two randomized control trials involving 2776 patients were included. Wechsler Intelligent Scale (WIS) (67%) was the most commonly used tool to measure IQ followed by the Bayley Infant Development scale (BIDS). Two studies reported a lower psychomotor developmental index score in 25% of their cohort. Approximately 32% demonstrated a poor Full Scale Intelligent Quotient of less than 70. Motor dyspraxia was the most commonly reported neurological dysfunction (50%). Low weight at surgery and longer surgical duration affect the neurocognitive process. Conclusions: Complex aortic surgeries and their perioperative course leave significant neurocognitive complications which may be progressive into adulthood. This study suggests that infants undergoing complex aortic surgery would benefit from long-term neurocognitive surveillance to identify emerging complications.

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Section: Neurological Outcome Following Aortic Surgerymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%