Clinical application of retrograde cerebral perfusion for brain protection during surgery of ascending aortic aneurysm - A report of 50 cases

Journal of Extra-Corporeal Technology

Volumn 34, Issue 2, 2002, Pages 101-106

  Dong, Peiqing ^a   Guan, Yulong ^a   He, Meiling ^a   Yang, Jing ^a   Wan, Caihong ^a   Du, Shunping ^a  

^a CAPITAL MEDICAL UNIVERSITY   (China)

Author keywords

Aortic aneurysm; Brain protection; Hypothermic circulatory arrest; Retrograde cerebral perfusion

Indexed keywords

LACTIC ACID;

ADULT; AGED; ANASTOMOSIS; AORTA ANEURYSM; ASCENDING AORTA; BRAIN PERFUSION; BRAIN PROTECTION; BRAIN SURGERY; CENTRAL NERVOUS SYSTEM; CONFERENCE PAPER; DISSECTING ANEURYSM; FEMALE; HUMAN; JUGULAR VEIN; LACTATE BLOOD LEVEL; MAJOR CLINICAL STUDY; MALE; MEASUREMENT; MORTALITY; OXYGEN CONSUMPTION; PROSTHESIS; RESUSCITATION; RETROSPECTIVE STUDY; SUPERIOR CAVA VEIN; SURVIVAL RATE;

EID: 0036625824     PISSN: 00221058     EISSN: 29698960     Source Type: Journal    
DOI: None     Document Type: Conference Paper

References (23)

1. Svensson LG, Crawford ES, Raskin SA, et al. Deep hypothermia with circulatory arrest: Determinants of stroke and mortality in 656 patients. J Thoracic Cardiovasc Surg. 1993;106:19-31.
2. Gehron J, Wozniak G, Dapper F. Potential problems with simplified selective cerebral perfusion - Experimental investigations and clinical improvements. Perfusion. 1997;12:377-83.
3. Crawford ES, Svensson LG, Coselli JS, et al. Surgical treatment of aneurysm and/or dissection of the ascending aorta, and transverse aortic arch: Factors influencing survival in 717 patients. J Thorac Cardiovasc Surg. 1989;98:659-74.
4. Deeb GM, Jenkins E, Bolling SF, et al. Retrograde cerebral perfusion during hypothermic circulatory arrest reduces neurologic morbidity. J Thorac Cardiovasc Surg. 1995;109:259-68.
5. Raskin SA, Fuselier VW, Reeves-Viets JL, et al. Deep hypothermic circulatory arrest with and without retrograde cerebral perfusion. Int Anesthiol Clin. 1996;34:177-93.
6. Usui A, Abe T, Murase M. Early clinical results of retrograde cerebral perfusion for aortic operations in Japan. Ann Thorac Surg. 1996;62:94-104.
7. Yamashita C, Nakamura H, Nishikawa Y, et al. Retrograde cerebral perfusion with circulatory arrest in aortic arch aneurysms. Ann Thorac Surg. 1992;54:566-8.
8. Griepp RB, Stinson EB, Hollingsworth JF, et al. Prosthetic replacement of the aortic arch. J Thorac Surg. 1995;70:1051-63.
9. Kazui T, Inoue N, Yamada O, et al. Selective cerebral perfusion during operation for aneurysms of the aorta arch: A reassessment. Ann Thorac Surg. 1992;53:109-14.
10. Ergin MA, Galla JD, Lansman SL, et al. Hypothermic circulatory arrest in operations on the thoracic aorta. Determinants of operative mortality and neurologic outcome. J Thorac Cardiovasc Surg. 1994;107:788-99.
11. Ueda Y, Miki S, Kusuhara, et al. Surgical treatment of aneurysm of dissection involving the ascending aorta and aortic arch, utilizing circulatory arrest and retrograde cerebral perfusion. J Cardiovasc Surg. 1990;31:553-8.
12. Murase M, Maeda M, Koyama T, et al. Continuous retrograde cerebral perfusion for protection of the brain during aortic arch surgery. Eur J Card Thorac Surg. 1993;7:595-600.
13. Yasuura K, Okamoto H, Ogawa Y, et al. Resection of the aortic aneurysms without aortic clamp technique with the aid of hypothermic total body retrograde perfusion. J Thorac Cardiovasc Surg. 1994;107:1237-43.
14. Sun YQ, Dong PQ, Yang CR, et al. Application of retrograde perfusion through superior vena cava during deep hypothermic circulatory arrest in operation of aortic aneurysm. Chinese J Thorac Cardiovasc Surg. 1994;10:25-7.
15. Usui A, Oohara K, Liu T, et al. Determination of optimum retrograde cerebral perfusion conditions. J Thorac Cardiovasc Surg. 1994;107:300-8.
16. Nojima T, Magara T, Nakajima Y, et al. Optimal perfusion pressure for experimental retrograde cerebral perfusion. J Card Surg. 1994;9:548-59.
17. Ffytche TJ, Bulpitt CJ, Kohner EM, et al. Effect of changes in intraocular pressure on the retinal microcirculation. Brit J Ophthal. 1974;58:514-22.
18. Dong PQ. The cerebral protection in great vessels surgery. In: The Cardiovascular Anesthesia and Cardiopulmonary Bypass. Hu XQ, ed. Beijing: The People's Medical Publishing House, 1997:489-98.
19. Dong PQ, Guan YL, Yang J, et al. Fundus microvascular flow monitoring during retrograde cerebral perfusion: An experimental study. Ann Thorac Surg. 2000;70:1478-82.
20. Pagano D, Boivin CM, Foroqui MH, et al. Retrograde perfusion through the superior vena cava perfuses the brain in human beings. J Thorac Cardiovasc Surg. 1996;111:270-2.
21. Choi DW, Rothman SM. The role of glutamate neurotoxicity in hypo-ischemic neuronal death. Ann Rev Neurosci. 1990;13:171-82.
22. Guan YL, Dong PQ, Wan CH, et al. In press. The assessment of brain injury with measurement of calcium fluorescent intensity of vital brain slice. J Extra Corp Technol. 2002 (in press).
23. Juvonen T, Zhang N, Wolfe D, et al. Retrograde cerebral perfusion enhances cerebral protection during prolonged hypothermic circulatory arrest: A study in a chronic porcine model. Ann Thorac Surg. 1998;66:38-50.