Monitoring of selective antegrade cerebral perfusion using near infrared spectroscopy in neonatal aortic arch surgery

European Journal of Anaesthesiology

Volumn 22, Issue 4, 2005, Pages 293-298

  Hofer, Anna ^a   Haizinger, B ^a   Geiselseder, G ^a   Mair, R ^b   Rehak, P ^c   Gombotz, H ^a  

^a KEPLER UNIVERSITY HOSPITAL   (Austria)

^b Thoracic and Cardiovascular Surgery   (Austria)

^c UNIVERSITY OF GRAZ   (Austria)

Author keywords

Antegrade cerebral perfusion; Aortic arch reconstruction; Brain perfusion; Bypass technique; Congenital cardiac surgery; Near infrared spectroscopy, transcranial Doppler

Indexed keywords

AORTA ARCH; AORTA RECONSTRUCTION; ARTICLE; BLOOD FLOW VELOCITY; BRAIN PERFUSION; BYPASS SURGERY; CALCULATION; CEREBRAL OXYGEN EXTRACTION RATIO; CLINICAL ARTICLE; CONGENITAL HEART MALFORMATION; DOPPLER ECHOGRAPHY; FEMALE; HEMISPHERE; HUMAN; HYPOTHERMIA; INSTRUMENT; JUGULAR VEIN; MALE; MEAN ARTERIAL PRESSURE; NEAR INFRARED SPECTROSCOPY; NEUROLOGICAL COMPLICATION; NEWBORN; NEWBORN SURGERY; NORWOOD PROCEDURE; OXYGEN SATURATION; PATIENT MONITORING; TISSUE OXYGENATION;

ANESTHESIA, GENERAL; AORTIC ARCH SYNDROMES; CEREBROVASCULAR CIRCULATION; FEMALE; HEART CATHETERIZATION; HUMANS; INFANT, NEWBORN; MALE; MONITORING, INTRAOPERATIVE; OXYGEN CONSUMPTION; PROSPECTIVE STUDIES; SPECTROSCOPY, NEAR-INFRARED; ULTRASONOGRAPHY, DOPPLER, TRANSCRANIAL;

EID: 19544393564     PISSN: 02650215     EISSN: None     Source Type: Journal    
DOI: 10.1017/S0265021505000499     Document Type: Article

References (33)

1. Pigula FA, Nemoto EM, Griffith BP, Siewers RD. Regional low-flow perfusion provides cerebral circulatory support during neonatal aortic arch reconstruction. J Thorac Cardiovasc Surg 2000; 119: 331-339.
2. du Plessis AJ, Jonas RA, Wypij D, et al. Perioperative effects of alpha-stat versus pH-stat strategies for deep hypothermic cardiopulmonary bypass in infants. J Thorac Cardiovasc Surg 1997; 114: 991-1000.
3. Civetta JM. Critical Care. Lippincott, Williams and Wilkins, Baltimore, USA, 1996.
4. Greeley WJ, Bracey VA, Ungerleider RM, et al. Recovery of cerebral metabolism and mitochondrial oxidation state is delayed after hypothermic circulatory arrest. Circulation 1991; 84 (Suppl): III400-III406.
5. Mezrow CK, Gandsas A, Sadeghi AM, et al. Metabolic correlates of neurologic and behavioral injury after prolonged hypothermic circulatory arrest. J Thorac Cardiovasc Surg 1995; 109: 959-975.
6. Newburger JW, Jonas RA, Wernovsky G, et al. A comparison of the perioperative neurologic effects of hypothermic circulatory arrest versus low-flow cardiopulmonary bypass in infant heart surgery. New Engl J Med 1993; 329: 1057-1064.
7. Bellinger DC, Wypij D, Kuban KC, et al. Developmental and neurological status of children at 4 years of age after heart surgery with hypothermic circulatory arrest or low-flow cardiopulmonary bypass. Circulation 1999; 100: 526-532.
8. Clancy RR, McGaurn SA, Wernovsky G, et al. Risk of seizures in survivors of newborn heart surgery using deep hypothermic circulatory arrest. Pediatrics 2003; 111: 592-601.
9. Clancy RR, McGaurn SA, Goin JE, et al. Allopurinol neurocardiac protection trial in infants undergoing heart surgery using deep hypothermic circulatory arrest. Pediatrics 2001; 108: 61-70.
10. Hagl C, Ergin MA, Galla JD, et al. Neurologic outcome after ascending aorta-aortic arch operations: effect of brain protection technique in high-risk patients. J Thorac Cardiovasc Surg 2001; 121: 1107-1121.
11. Kazui T, Washiyama N, Muhammad BA, Terada H, Yamashita K, Takinami M. Improved results of atherosclerotic arch aneurysm operations with a refined technique. J Thorac Cardiovasc Surg 2001; 121: 491-499.
12. Jonas RA. Optimal pH strategy for hypothermic circulatory arrest. J Thorac Cardiovasc Surg 2001; 121: 204-205.
13. Van Haaren NJ, Bennink GB, de Vries JW. Pitfalls in neonatal cardiac surgery using antegrade cerebral perfusion. J Thorac Cardiovasc Surg 2001; 121: 184-186.
14. Austin III EH, Edmonds Jr HL, Auden SM, et al. Benefit of neurophysiologic monitoring for pediatric cardiac surgery. J Thorac Cardiovasc Surg 1997; 114: 707-717.
15. Gombotz H. Neuromonitoring during hypothermic cardiopulmonary bypass. J Neurosurg Anesthesiol 1995; 7: 289-296.
16. Ohsumi H, Kitaguchi K, Nakajima T, Ohnishi Y, Kuro M. Internal jugular bulb blood velocity as a continuous indicator of cerebral blood flow during open heart surgery. Anesthesiology 1994; 81: 325-332.
17. Kontos HA. Validity of cerebral arterial blood flow calculations from velocity measurements. Stroke 1989; 20: 1-3.
18. Bishop CC, Powell S, Rutt D, Browse NL. Transcranial Doppler measurement of middle cerebral artery blood flow velocity: a validation study. Stroke 1986; 17: 913-915.
19. Burrows FA, Bissonnette B. Cerebral blood flow velocity patterns during cardiac surgery utilizing profound hypothermia with low-flow cardiopulmonary bypass or circulatory arrest in neonates and infants. Can J Anaesth 1993; 40: 298-307.
20. Astudillo R, van der LJ, Ekroth R, et al. Absent diastolic cerebral blood flow velocity after circulatory arrest but not after low flow in infants. Ann Thorac Surg 1993; 56: 515-519.
21. Zimmerman AA, Burrows FA, Jonas RA, Hickey PR. The limits of detectable cerebral perfusion by transcranial Doppler sonography in neonates undergoing deep hypothermic low-flow cardiopulmonary bypass. J Thorac Cardiovasc Surg 1997; 114: 594-600.
22. Kuwabara M, Nakajima N, Yamamoto F, et al. Continuous monitoring of blood oxygen saturation of internal jugular vein as a useful indicator for selective cerebral perfusion during aortic arch replacement. J Thorac Cardiovasc Surg 1992; 103: 355-362.
23. Kern FH, Jonas RA, Mayer Jr JE, Hanley FL, Castaneda AR, Hickey PR. Temperature monitoring during CPB in infants: does it predict efficient brain cooling? Ann Thorac Surg 1992; 54: 749-754.
24. Kern FH, Schell RM, Greeley WJ. Cerebral monitoring during cardiopulmonary bypass in children. J Neurosurg Anesthesiol 1993; 5: 213-217.
25. Sakamoto T, Jonas RA, Stock U, et al. Utility and limitations of near-infrared spectroscopy during cardiopulmonary bypass in a piglet model. Pediatr Res 2001; 49: 770-776.
26. Kurth CD, Steven JM, Nicolson SC. Cerebral oxygenation during pediatric cardiac surgery using deep hypothermic circulatory arrest. Anesthesiology 1995; 82: 74-82.
27. Andropoulos DB, Diaz LK, Fraser Jr CD, McKenzie ED, Stayer SA. Is bilateral monitoring of cerebral oxygen saturation necessary during neonatal aortic arch reconstruction? Anesth Analg 2004; 98: 1267-1272.
28. Ausman JI, McCormick PW, Stewart M, et al. Cerebral oxygen metabolism during hypothermic circulatory arrest in humans. J Neurosurg 1993; 79: 810-815.
29. Kunihara T, Sasaki S, Shiiya N, Murashita T, Matsui Y, Yasuda K. Near infrared spectrophotometry reflects cerebral metabolism during hypothermic circulatory arrest in adults. ASAI0 J 2001; 47: 417-421.
30. Miyamoto K, Kawashima Y, Matsuda H, Okuda A, Maeda S, Hirose H. Optimal perfusion flow rate for the brain during deep hypothermic cardiopulmonary bypass at 20 degrees C. An experimental study. J Thorac Cardiovasc Surg 1986; 92: 1065-1070.
31. Pigula FA, Gandhi SK, Siewers RD, Davis PJ, Webber SA, Nemoto EM. Regional low-flow perfusion provides somatic circulatory support during neonatal aortic arch surgery. Ann Thorac Surg 2001; 72: 401-406.
32. Watanabe T, Oshikiri N, Inui K, et al. Optimal blood flow for cooled brain at 20 degrees C. Ann Thorac Surg 1999; 68: 864-869.
33. Watzman HM, Kurth CD, Montenegro LM, Rome J, Steven JM, Nicolson SC. Arterial and venous contributions to near-infrared cerebral oximetry. Anesthesiology 2000; 93: 947-953.