Selective Cerebral Perfusion Via Innominate Artery in Aortic Arch Replacement Without Deep Hypothermic Circulatory Arrest

Wozniak, Gernold; Dapper, F.; Zickmann, B.; Gehron, J.; Hehrlein, F.W.

doi:10.1007/s005479900139

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The time required to complete these maneuvers to restore continuity of the brain circulation requires a relatively shorter period of hypothermic circulatory arrest compared with compete reconstruction of the aortic arch. [32][33][34][51][52][53][54] Alternatively, bilateral brachiocephalic vessel cannulation has been reported. 55,56 The literature is insufficient to determine whether unilateral or bilateral perfusion, or complete avoidance of circulatory arrest is associated with improved outcomes.…”

Section: Summary Of Hypothermic Circulatory Arrest Evidencementioning

confidence: 99%

Central Nervous System Protection in Cardiac Surgery

Reich

2010

Semin Cardiothorac Vasc Anesth

View full text Add to dashboard Cite

Neurological dysfunction and stroke following cardiac surgery and thoracic surgery requiring hypothermic circulatory arrest is a well-defined problem. The original studies in CABG patients identified risk factors, such as prior stroke and lower educational level. There is older evidence suggesting that higher perfusion pressures during cardiopulmonary bypass are helpful. Hyperthermia during rewarming on cardiopulmonary bypass and postoperative hyperthermia have been associated with adverse cognitive outcomes. Glucose management intraoperatively remains controversial, but most now advocate for moderate glucose control using insulin, if required. The subset of patients having thoracic aortic surgery requiring periods of aortic discontinuity are particularly problematic. A cerebral protection strategy should be determined, and this may include hypothermic circulatory arrest, selective cerebral perfusion, or retrograde cerebral perfusion. All of these techniques have been associated with good surgical outcomes, but there is little information on cognitive outcomes of thoracic aortic surgery.

show abstract

Section: Summary Of Hypothermic Circulatory Arrest Evidencementioning

confidence: 99%

Central Nervous System Protection in Cardiac Surgery

Reich

2010

Semin Cardiothorac Vasc Anesth

View full text Add to dashboard Cite

show abstract

Selective Cerebral Perfusion Via Innominate Artery in Aortic Arch Replacement Without Deep Hypothermic Circulatory Arrest

Cited by 1 publication

References 0 publications

Central Nervous System Protection in Cardiac Surgery

Central Nervous System Protection in Cardiac Surgery

Contact Info

Product

Resources

About