Pulsatile flow improves cerebral blood flow in pediatric cardiopulmonary bypass

Artificial Organs

Volumn 34, Issue 11, 2010, Pages 874-878

  Wang, Wei ^a   Bai, Shu Ying ^a   Zhang, Hai Bo ^a   Bai, Jie ^b   Zhang, Shu Jing ^a   Zhu, De Ming ^a,b  

^a Department of Pediatric Thoracic and Cardiovascular Surgery ^*  (China)

^b SHANGHAI JIAO TONG UNIVERSITY SCHOOL OF MEDICINE   (China)

Author keywords

Cardiopulmonary bypass; Cerebral blood flow; Pediatric; Pulsatile flow

Indexed keywords

BLOOD; BLOOD VESSELS; HEMODYNAMICS; PEDIATRICS;

AORTIC CROSS CLAMPING; CARDIOPULMONARY BYPASS; CEREBRAL BLOOD FLOW; FLOW IMPROVERS; HYPOTHERMIC; OPEN-HEART SURGERY; PEAK VELOCITIES; PULSATILES; PULSATILITY INDEX; RESISTANCE INDEX;

PULSATILE FLOW;

AORTA CLAMPING; ARTICLE; BRAIN BLOOD FLOW; BRAIN VASCULAR RESISTANCE; CARDIOPULMONARY BYPASS; CONTROLLED STUDY; DIASTOLIC BLOOD PRESSURE; DOPPLER ECHOGRAPHY; FEMALE; HEART ASSIST DEVICE; HEART SURGERY; HUMAN; INFANT; MALE; MIDDLE CEREBRAL ARTERY; PRIORITY JOURNAL; PULSATILE FLOW; SYSTOLIC BLOOD PRESSURE;

EID: 78649581012     PISSN: 0160564X     EISSN: 15251594     Source Type: Journal    
DOI: 10.1111/j.1525-1594.2010.01110.x     Document Type: Article

References (16)

1. Menache CC, Du Plessis AJ, Wessel DL, et al. Current incidence of acute neurologic complications after open-heart operations in children. Ann Thorac Surg 2002;73:1752-8.
2. Ündar A, Masai T, Yang SQ, et al. Global and regional cerebral blood flow in neonatal piglets undergoing pulsatile cardiopulmonary bypass with continuous perfusion at 25 degrees C and circulatory arrest at 18 degrees C. Perfusion 2001;16:503-10.
3. Ündar A, Masai T, Yang SQ, et al. Effects of perfusion mode on regional and global organ blood flow in a neonatal piglet model. Ann Thorac Surg 1999;68:1336-43.
4. Nishinaka T, Tatsumi E, Nishimura T, et al. Change in vasoconstrictive function during prolonged nonpulsatile left heart bypass. Artif Organs 2001;25:371-5.
5. Travis AR, Giridharan GA, Pantalos GM, et al. Vascular pulsatility in patients with a pulsatile- or continuous-flow ventricular assist device. J Thorac Cardiovasc Surg 2007;133:517-24.
6. Lodge AJ, Ündar A, Daggett CW, et al. Regional blood flow during pulsatile cardiopulmonary bypass and after circulatory arrest in an infant model. Ann Thorac Surg 1997;63:1243-50.
7. Hindman BJ, Dexter F, Smith T, et al. Pulsatile versus nonpulsatile flow: no difference in cerebral blood flow or metabolism during normothermic cardiopulmonary bypass in rabbits. Anesthesiology 1995;82:241-50.
8. Hindman BJ, Dexter F, Ryu KH, et al. Pulsatile versus nonpulsatile flow: no difference in cerebral blood flow or metabolism at 27? Anesthesiology 1994;80:1137-47.
9. Lodge AJ, Ündar A, Daggett CW, et al. Regional blood flow during pulsatile cardiopulmonary bypass and after circulatory arrest in an infant model. Ann Thorac Surg 1997;63:1243-50.
10. Zhao J, Long C, Feng ZY, et al. Clinical study of pressure drop during perfusion in pediatric patients. Chin J ECC 2008;6:132-5.
11. Lupetin AR, Davis DA, Beckman I, et al. Transcranial Doppler sonography. RadioGraphics 1995;15:179-91.
12. Haines NM, Wang S, Kunselman A, et al. Comparison of pumps and oxygenators with pulsatile and nonpulsatile modes in an infant cardiopulmonary bypass model. Artif Organs 2009;33:993-1001.
13. Ündar A, Ji B, Lukic B, et al. Comparison of hollow-fiber membrane oxygenators with different perfusion modes during normothermic and hypothermic CPB in a simulated neonatal model. Perfusion 2006;21:381-90.
14. Rider AR, Ji B, Kunselman AR, et al. A performance evaluation of eight geometrically different 10 Fr pediatric arterial cannulae under pulsatile and nonpulsatile perfusion conditions in an infant cardiopulmonary bypass model. ASAIO J 2008;54:306-15.
15. Trivedi UH, Patel RL, Turtle MRJ, et al. Relative changes in cerebral blood flow during cardiac operations using Xenon-133 clearance versus transcranial Doppler sonography. Ann Thorac Surg 1997;63:167-74.
16. Lim CH, Yang S, Choi JW, et al. Optimizing the circuit of a pulsatile extracorporeal life support system in terms of energy equivalent pressure and surplus hemodynamic energy. Artif Organs 2009;33:1015-20.