Selective antegrade cerebral perfusion attenuates brain metabolic deficit in aortic arch surgery: A prospective randomized trial

Circulation

Volumn 110, Issue 11 SUPPL., 2004, Pages

  Harrington, D K ^a   Walker, A S ^a   Kaukuntla, H ^a   Bracewell, R M ^a   Clutton Brock, T H ^a   Faroqui, M ^a   Pagano, D ^a   Bonser, R S ^a  

^a QUEEN ELIZABETH HOSPITAL   (United Kingdom)

Author keywords

Aneurysm; Aorta; Brain; Cerebral ischemia; Perfusion

Indexed keywords

ADULT; AGED; AORTA SURGERY; ARTICLE; BLOOD FLOW VELOCITY; BLOOD SAMPLING; BRAIN INJURY; BRAIN METABOLISM; BRAIN PERFUSION; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOPPLER ECHOGRAPHY; FEMALE; HUMAN; INCIDENCE; INDUCED HYPOTHERMIA; JUGULAR VEIN; MALE; MIDDLE CEREBRAL ARTERY; MORTALITY; NEUROLOGIC DISEASE; OXYGEN TENSION; POSTOPERATIVE CARE; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; PROSPECTIVE STUDY; PSYCHOMETRY; RANDOMIZATION; RANDOMIZED CONTROLLED TRIAL; STROKE; TEMPERATURE DEPENDENCE;

ADULT; AGED; ANEURYSM, DISSECTING; AORTA, THORACIC; AORTIC ANEURYSM; BLOOD FLOW VELOCITY; BRAIN DAMAGE, CHRONIC; CARBON DIOXIDE; CEREBROVASCULAR ACCIDENT; CEREBROVASCULAR CIRCULATION; FEMALE; HEART ARREST, INDUCED; HEMATOCRIT; HOSPITAL MORTALITY; HUMANS; HYPOTHERMIA, INDUCED; HYPOXIA, BRAIN; INCIDENCE; MALE; MIDDLE AGED; MIDDLE CEREBRAL ARTERY; NEUROPSYCHOLOGICAL TESTS; OXYGEN; PERFUSION; PROSPECTIVE STUDIES; TREATMENT OUTCOME; ULTRASONOGRAPHY, DOPPLER, TRANSCRANIAL;

EID: 4644289676     PISSN: 00097322     EISSN: None     Source Type: Journal    
DOI: 10.1161/01.CIR.0000138945.78346.9c     Document Type: Article

References (30)

1. Svensson L, Crawford E, Hess K, et al. Deep hypothermia with circulatory arrest. Determinants of stroke and early mortality in 656 patients. J Thorac Cardiovasc Surg. 1993;106:19-31.
2. Ergin M, Galla J, Lansman S, et al. Hypothermic circulatory arrest in operations on the thoracic aorta: Determinants of operative mortality and outcome. J Thorac Cardiovasc Surg. 1994;107:788-799.
3. Reich D, Uysal S, Sliwinski M, et al. Neuropsychologic outcome after deep hypothermic circulatory arrest in adults. J Thorac Cardiovasc Surg. 1999;117:156-163.
4. Harrington D, Bonser M, Moss A, et al. Neuropsychometric outcome following aortic arch surgery: a prospective randomised trial of retrograde cerebral perfusion. J Thorac Cardiovasc Surg. 2003;126:638-644.
5. Kazui T, Inoue N, Yamada O, et al. Selective Cerebral Perfusion During Operation for Aneurysms of the Aortic Arch: A Reassessment. Ann Thorac Surg. 1992;53:109-114.
6. Bachet J, Guilmet D, Goudot B, et al. Cold cerebroplegia. A new technique of cerebral protection during operations on the transverse arch. J Thorac Cardiovasc Surg. 1991;102:85-94.
7. Kazui T, Washiyama N, Muhammad B, et al. Total Arch Replacement Using Aortic Arch Branched Grafts With the Aid of Antegrade Selective Cerebral Perfusion. Ann Thorac Surg. 2000;70:3-9.
8. Bartolomeo RD, Pacini D, Eusanio MD, et al. Antegrade Selective Cerebral Perfusion During Operations on the Thoracic Aorta: Our Experience. Ann Thorac Surg. 2000;70:10-16.
9. Bartolomeo RD, Eusanio MD, Pacini D, et al. Antegrade selective cerebral perfusion during surgery of the thoracic aorta: risk analysis. Eur J Cardiothoracic Surg. 2001;19:765-770.
10. Eusanio MD, Schepens M, Morshuis W, et al. Antegrade selective cerebral perfusion during operations on the thoracic aorta: Factors influencing survival and neurologic outcome in 413 patients. J Thorac Cardiovasc Surg. 2002;124:1080-1086.
11. Dossche K, Morshuis W, Schepens M, et al. Bilateral antegrade selective cerebral perfusion during surgery on the proximal thoracic aorta. Eur J Cardiothorac Surg. 2000;17:462-467.
12. Welz A, Pogarell O, Tatsch K, et al. Surgery of the thoracic aorta using deep hypothermic circulatory arrest. Are there neurological consequences other than frank cerebral defects? Eur J Cardiothoracic Surg. 1997;11: 650-656.
13. Greeley W, Ungerleider R, Smith L, et al. The effects of deep hypothermic cardiopulmonary bypass and total circulatory arrest on cerebral blood flow in infants and children. J Thorac Cardiovasc Surg. 1989;97: 737-745.
14. Greeley W, Kern F, Ungerleider R, et al. The effect of hypothermic cardiopulmonary bypass and total circulatory arrest on cerebral metabolism in neonates, infants, and children. J Thorac Cardiovasc Surg. 1991; 101:783-794.
15. Mezrow C, Sadeghi A, Gandsas A, et al. Cerebral effects of low-flow cardiopulmonary bypass and hypothermic circulatory arrest. Ann Thorac Surg. 1994;57:532-539.
16. Mezrow C, Midulla P, Sadeghi A, et al. Evaluation of cerebral metabolism and quantitative electroencephalography after hypothermic circulatory arrest and low-flow cardiopulmonary bypass at different temperatures. J Thorac Cardiovasc Surg. 1994;107:1006-1019.
17. Bonser R, Wong C, Harrington D, et al. Failure of retrograde cerebral perfusion to attenuate metabolic changes associated with hypothermic circulatory arrest. J Thorac Cardiovasc Surg. 2002;123:943-950.
18. Ganong W. Review of Medical Physiology, 17th ed. Norwalk, CT: Appleton and Lange, 1995.
19. Murkin J, Newman S, Stump D, et al. Statement of consensus on assessment of neurobehavioural outcomes after cardiac surgery. Ann Thorac Surg. 1995;59:1289-1295.
20. Bishop C, Powell S, Rutt D, et al. Transcranial Doppler Measurement of Middle Cerebral Artery Blood Flow Velocity: A Validation Study. Stroke. 1986;17:913-915.
21. Linden JVD, Priddy R, Ekroth R, et al. Cerebral perfusion and metabolism during profound hypothermia in children. J Thorac Cardiovasc Surg. 1991;102:103-114.
22. Trivedi U, Patel R, Turtle M, et al. Relative Changes in Cerebral Blood Flow During Cardiac Operations Using Xenon-133 Clearance Versus Transcranial Doppler Sonography. Ann Thorac Surg. 1997;63:167-174.
23. Razumovsky A, Tseng E, Hanley D, et al. Cerebral Hemodynamics Changes During Retrograde Brain Perfusion in Dogs. J Neuroimaging. 2001;11:171-178.
24. Estrera A, Garami Z, Miller 3rd C, et al. Determination of Cerebral Blood Flow Dynamics During Retrograde Cerebral Perfusion Using Power M-Mode Transcranial Doppler. Ann Thorac Surg. 2003;76:704-710.
25. Linden JVD. Casimir-Ahn H. When Do Cerebral Emboli Appear During Open Heart Operations? A Transcranial Doppler Study. Ann Thorac Surg. 1991;51:237-41.
26. Mullges W, Berg D, Toyka K. Bilateral cerebral emboli monitoring during extracorporeal circulation. Ultrasound Med Biol. 1999;25: 755-758.
27. Mullges W, Franke D, Reents W, et al. Brain microembolic counts during extracorporeal circulation depend on aortic cannula position. Ultrasound Med Biol. 2001;27:933-936.
28. Scorsin M, Menasche P, Nataf P, et al. Pressure-adjusted antegrade brain perfusion for surgery of the aortic aneurysm. Eur J Cardiothorac Surg. 2001;19:108-110.
29. Svensson L, Husain A, Penney D, et al, A prospective randomized study of neurocognitive function and S-100 protein after antegrade or retrograde brain perfusion with hypothermic arrest for aortic surgery. J Thorac Cardiovasc Surg. 2000;119:163-166.
30. Wilde J. Hematological consequences of profound hypothermic circulatory arrest and aortic dissection. J Card Surg. 1997;12:201-206.