Selective Cerebral Perfusion: Real-Time Evidence of Brain Oxygen and Energy Metabolism Preservation

Annals of Thoracic Surgery

Volumn 88, Issue 1, 2009, Pages 162-169

  Salazar, Jorge D ^a   Coleman, Ryan D ^a   Griffith, Stephen ^b   McNeil, Jeffrey D ^b   Steigelman, Megan ^b   Young, Haven ^b   Hensler, Bart ^b   Dixon, Patricia ^c   Calhoon, John ^b   Serrano, Faridis ^a   DiGeronimo, Robert ^c  

^a BAYLOR COLLEGE OF MEDICINE   (United States)

^b Mays Cancer Center at UT Health San Antonio   (United States)

^c WILFORD HALL MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

GLUCOSE; GLYCEROL; LACTIC ACID; PYRUVIC ACID;

ANIMAL EXPERIMENT; ARTICLE; BRAIN METABOLISM; BRAIN OXYGEN CONSUMPTION; BRAIN OXYGEN TENSION; BRAIN PERFUSION; CARDIOPULMONARY BYPASS; CONTROLLED STUDY; DEEP HYPOTHERMIC CIRCULATORY ARREST; DIALYSIS CATHETER; ENERGY METABOLISM; EXPERIMENTAL PIG; HEMODYNAMICS; INTRACRANIAL PRESSURE; ISCHEMIA; MALE; MICRODIALYSIS; NONHUMAN; PRIORITY JOURNAL;

ANIMALS; ANIMALS, NEWBORN; CARDIOPULMONARY BYPASS; CEREBROVASCULAR CIRCULATION; CIRCULATORY ARREST, DEEP HYPOTHERMIA INDUCED; COMBINED MODALITY THERAPY; DISEASE MODELS, ANIMAL; ENERGY METABOLISM; GLYCEROL; HYPOXIA-ISCHEMIA, BRAIN; LACTIC ACID; MALE; MICRODIALYSIS; MULTIVARIATE ANALYSIS; OXYGEN CONSUMPTION; PERFUSION; POSTOPERATIVE COMPLICATIONS; PROBABILITY; RANDOM ALLOCATION; SENSITIVITY AND SPECIFICITY; STATISTICS, NONPARAMETRIC; SURVIVAL RATE; SWINE; TIME FACTORS;

EID: 67649810699     PISSN: 00034975     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.athoracsur.2009.03.084     Document Type: Article

References (37)

1. Dillard D.H., Mori H., and Merendino K.A. Correction of heart disease in infancy utilizing deep hypothermia and total circulatory arrest. J Thorac Cardiovasc Surg 61 (1971) 64-69
2. Bellinger D.C., Jonas R.A., Rappaport L.A., et al. Developmental and neurologic status of children after heart surgery with hypothermic circulatory arrest or low-flow cardiopulmonary bypass. N Engl J Med 332 (1995) 549-555
3. Mahle W.T., Clancy R.R., Moss E.M., Gerdes M., Jobes D.R., and Wernovsky G. Neurodevelopmental outcome and lifestyle assessment in school-aged and adolescent children with hypoplastic left heart syndrome. Pediatrics 105 (2000) 1082-1089
4. Wernovsky G. Current insights regarding neurological and developmental abnormalities in children and young adults with complex congenital heart disease. Cardiol Young 16 Suppl 1 (2006) 92-104
5. Dent C.L., Spaeth J.P., Jones B.V., et al. Brain magnetic resonance imaging abnormalities after the Norwood procedure using regional cerebral perfusion. J Thorac Cardiovasc Surg 130 (2005) 1523-1530
6. Miller S.P., McQuillen P.S., Hamrick S., et al. Abnormal brain development in newborns with congenital heart disease. N Engl J Med 357 (2007) 1928-1938
7. Pigula F.A., Nemoto E.M., Griffith B.P., and Siewers R.D. Regional low-flow perfusion provides cerebral circulatory support during neonatal aortic arch reconstruction. J Thorac Cardiovasc Surg 119 (2000) 331-339
8. Asou T., Kado H., Imoto Y., et al. Selective cerebral perfusion technique during aortic arch repair in neonates. Ann Thorac Surg 61 (1996) 1546-1548
9. Fraser C.D., and Andropoulos D.B. Principles of antegrade cerebral perfusion during arch reconstruction in newborn/infants. Semin Thorac Cardiovasc Surg Pediatr Card Surg Ann 11 (2008) 61-68
10. Amir G., Ramamoorthy C., Riemer R.K., Reddy V.M., and Hanley F.L. Neonatal brain protection and deep hypothermic circulatory arrest: pathophysiology of ischemic neuronal injury and protective strategies. Ann Thorac Surg 80 (2005) 1955-1964
11. Halstead J.C., Wurm M., Meier D.M., et al. Avoidance of hemodilution during selective cerebral perfusion enhances neurobehavioral outcome in a survival porcine model. Eur J Cardiothorac Surg 32 (2007) 514-520
12. Strauch J.T., Spielvogel D., Lauten A., et al. Optimal temperature for selective cerebral perfusion. J Thorac Cardiovasc Surg 130 (2005) 74-82
13. Amir G., Ramamoorthy C., Riemer R.K., Davis C.R., Hanley F.L., and Reddy V.M. Visual light spectroscopy reflects flow-related changes in brain oxygenation during regional low-flow perfusion and deep hypothermic circulatory arrest. J Thorac Cardiovasc Surg 132 (2006) 1307-1313
14. Chock V.Y., Amir G., Davis C.R., et al. Antegrade cerebral perfusion reduces apoptotic neuronal injury in a neonatal piglet model of cardiopulmonary bypass. J Thorac Cardiovasc Surg 131 (2006) 659-665
15. Myung R.J., Petko M., Judkins A.R., et al. Regional low-flow perfusion improves neurologic outcome compared with deep hypothermic circulatory arrest in neonatal piglets. J Thorac Cardiovasc Surg 127 (2004) 1051-1057
16. Hagl C., Khaladj N., Peterss S., et al. Hypothermic circulatory arrest with and without cold selective antegrade cerebral perfusion: impact on neurological recovery and tissue metabolism in an acute porcine model. Eur J Cardiothorac Surg 26 (2004) 73-80
17. Goldberg C.S., Bove E.L., Devaney E.J., et al. A randomized clinical trial of regional cerebral perfusion versus deep hypothermic circulatory arrest: outcomes for infants with functional single ventricle. J Thorac Cardiovasc Surg 133 (2007) 880-887
18. Bellinger D., Wypij D., duPleiss A., et al. Neurodevelopmental status at eight years in children with dextro-transposition of the great arteries: the Boston Circulatory Arrest Trial. J Thorac Cardiovasc Surg 126 (2003) 1385-1396
19. Hillered L., Vespa P.M., and Hovda D.A. Translational neurochemical research in acute human brain injury: the current status and potential future for cerebral microdialysis. J Neurotrauma 22 (2005) 3-41
20. Tisdall M.M., and Smith M. Multimodal monitoring in traumatic brain injury: current status and future directions. Br J Anaesth 99 (2007) 61-67
21. Hlatky R., and Robertson C.S. Multimodality monitoring in severe head injury. Curr Opin Anaesthesiol 15 (2002) 489-493
22. Nortje J., and Gupta A.K. The role of tissue oxygen monitoring in patients with acute brain injury. Br J Anaesth 97 (2006) 95-106
23. Hillman J., Aneman O., Anderson C., Sjögren F., Saberg C., and Mellergard P. A microdialysis technique for routine measurement of macromolecules in the injured human brain. Neurosurgery 56 (2005) 1264-1270
24. Scheufler K.M., Rohrborn H.J., and Zentner J. Does tissue oxygen tension reliably reflect cerebral oxygen delivery and consumption?. Anesth Analg 95 (2002) 1042-1048
25. Tisdall M.M., and Smith M. Cerebral microdialysis: research technique or clinical tool. Br J Anaesth 97 (2006) 18-25
26. Stiefel M.F., Spiotta A.M., Gracias V.H., et al. Reduced mortality rate in patients with severe traumatic brain injury treated with brain tissue oxygen monitoring. J Neurosurg 103 (2005) 805-811
27. Stiefel M.F., Udoetuk J.D., Spiotta A.M., et al. Conventional neurocritical care and cerebral oxygenation after traumatic brain injury. J Neurosurg 105 (2006) 568-575
28. Tchervenkov C.I., Korkola S.J., and Shum-Tim D. Surgical technique to avoid circulatory arrest and direct arch vessel cannulation during neonatal aortic arch reconstruction. Eur J Cardiothorac Surg 19 (2001) 708-710
29. Decampli W.M., Schears G., Myung R., et al. Tissue oxygen tension during regional low-flow perfusion in neonates. J Thorac Cardiovasc Surg 125 (2003) 472-480
30. Meybohm P., Hoffmann G., Renner J., et al. Measurement of blood flow index during antegrade selective cerebral perfusion with near-infrared spectroscopy in newborn piglets. Anesth Analg 106 (2008) 795-803
31. Dahlbacka S., Alaoja H., Makela J., et al. Effects of pH management during selective antegrade cerebral perfusion on cerebral microcirculation and metabolism: alpha-stat versus pH-stat. Ann Thorac Surg 133 (2007) 880-887
32. Duebener L., Hagino I., Sakamoto T., et al. Effects of pH management during deep hypothermic bypass on cerebral microcirculation: alpha-stat versus pH-stat. Circulation 106 Suppl 1 (2002) I-103-8
33. Schears G., Zaitseva T., Schultz S., et al. Brain oxygenation and metabolism during selective cerebral perfusion in neonates. EurJ Cardiothorac Surg 29 (2006) 168-174
34. Reinstrup P., Stahl N., Mellegard P., Uski T., Ungerstedt U., and Nordstrom C.H. Intracerebral microdialysis in clinical practice: baseline values for chemical markers during wakefulness, anesthesia and neurosurgery. Neurosurgery 47 (2000) 701-710
35. Belli A., Sen J., Petzold A., Russo S., Kitchen N., and Smith M. Metabolic failure precedes intracranial pressure rises in traumatic brain injury patients. Acta Neurochir 150 (2008) 461-470
36. Valadka A.B., Gopinath S.P., Contant C.F., Uzura M., and Robertson C.S. Relationship of brain tissue PO2 to outcome after severe head injury. Crit Care Med 26 (1998) 1576-1581
37. van Santbrink H., Maas A.I., and Avezaat C.J. Continuous monitoring of partial pressure of brain tissue oxygen in patients with severe head injury. Neurosurgery 38 (1996) 21-31