Mild-to-moderate hypothermia in aortic arch surgery using circulatory arrest: A change of paradigm?

European Journal of Cardio-thoracic Surgery

Volumn 41, Issue 1, 2012, Pages 185-191

  Urbanski, Paul P ^a   Lenos, Aristidis ^a   Bougioukakis, Petros ^a   Neophytou, Ioannis ^a   Zacher, Michael ^a   Diegeler, Anno ^a  

^a Cardiovascular Clinic Bad Neustadt   (Germany)

Author keywords

Aortic arch; Circulatory arrest; Hypothermia; Organ protection

Indexed keywords

CREATININE; LACTATE DEHYDROGENASE; LACTIC ACID; BIOLOGICAL MARKER;

ADULT; AGED; ANEURYSM; AORTIC ARCH SURGERY; AORTIC ROOT SURGERY; ARTICLE; ATHEROSCLEROSIS; BRAIN PERFUSION; CELIAC ARTERY STENOSIS; CLINICAL EFFECTIVENESS; CREATININE BLOOD LEVEL; DESCENDING AORTA SURGERY; DIALYSIS; FALSE ANEURYSM; FEMALE; HEART ARREST; HUMAN; INDUCED HYPOTHERMIA; LACTATE BLOOD LEVEL; MAJOR CLINICAL STUDY; MALE; MESENTERIC ARTERY OCCLUSION; MESENTERIC ISCHEMIA; MILD TO MODERATE HYPOTHERMIA; NEUROLOGIC DISEASE; PATIENT SAFETY; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; PROSPECTIVE STUDY; RECTUM TEMPERATURE; REOPERATION; SURGICAL MORTALITY; AORTA DISEASE; BLOOD; BLOOD VESSEL TRANSPLANTATION; BRAIN CIRCULATION; BRAIN ISCHEMIA; CARDIOPULMONARY BYPASS; EVALUATION; METHODOLOGY; MIDDLE AGED; PERFUSION; PEROPERATIVE CARE; PHYSIOLOGY; TEMPERATURE; THORACIC AORTA;

AGED; AORTA, THORACIC; AORTIC DISEASES; BIOLOGICAL MARKERS; BLOOD VESSEL PROSTHESIS IMPLANTATION; BRAIN ISCHEMIA; CARDIOPULMONARY BYPASS; CEREBROVASCULAR CIRCULATION; CREATININE; FEMALE; HEART ARREST, INDUCED; HUMANS; HYPOTHERMIA, INDUCED; INTRAOPERATIVE CARE; LACTIC ACID; MALE; MIDDLE AGED; PERFUSION; PROSPECTIVE STUDIES; TEMPERATURE;

EID: 84860332781     PISSN: 10107940     EISSN: 1873734X     Source Type: Journal    
DOI: 10.1016/j.ejcts.2011.03.060     Document Type: Article

References (24)

1. Kirklin J, Barrat-Boyes B. Hypothermia, circulatory arrest, and cardiopulmonary bypass. In: Kirklin J, Barrat-Boyes, editors. Cardiac surgery.Philadelphia: Churchill-Livingstone; 2003. pp. 66-130.
2. Urbanski PP, Lenos A, Blume JC, Ziegler V, Griewing B, Schmitt R, Diegeler A, Dinkel M. Does anatomical completeness of the circle of Willis correlate with sufficient cross-perfusion during unilateral cerebral perfusion? Eur J Cardiothorac Surg 2008;33:402-8.
3. Urbanski PP. Cannulation of the left common carotid artery for proximal aortic repair. J Thorac Cardiovasc Surg 2003;126:887-8.
4. Urbanski PP, Lenos A, Lindemann Y, Weigang E, Zacher M, Diegeler A. Carotid artery cannulation in aortic surgery. J Thorac Cardiovasc Surg 2006;132:1398-403.
5. Urbanski PP, Lenos A, Lindemann Y, Zacher M, Frank S, Diegeler A. Use of a carotid artery for arterial cannulation: side-related differences. Thorac Cardiovasc Surg 2010;58:276-9.
6. Urbanski PP, Lenos A, Zacher M, Diegeler A. Unilateral cerebral perfusion: right versus left. Eur J Cardiothorac Surg 2010;37:1332-7.
7. Griepp RB, Stinson EB, Hollingsworth JF, Buehler D. Prosthetic replacement of the aortic arch. J Thorac Cardiovasc Surg 1975;70: 1051-63.
8. Kunihara T, Grũn T, Aicher D, Langer F, Adam O, Wendler O, Saijo Y, Schãfers HJ. Hypothermic circulatory arrest is not a risk factor for neurologic morbidity in aortic surgery: a propensity score analysis. J Thorac Cardiovasc Surg 2005;130:712-8.
9. Gega A, Rizzo JA, Johnson MH, Tranquilli M, Farkas EA, Elefteriades A. Straight deep hypothermic arrest: experience in 394 patients supports its effectiveness as a sole means of brain preservation. Ann Thorac Surg 2007;84:759-67.
10. Kazui T, Washiyama N, Muhammad BAH, Terada H, Yamashita K, Takinami M. Improved results of atherosclerotic arch aneurysm operations with a refined technique. J Thorac Cardiovasc Surg 2001;121: 491-9.
11. Livesay JJ, Cooley DA, Duncan JM, Ott DA, Walker WE, Reul GJ. Open aortic anastomosis: improved results in the treatment of aneurysms of the aortic arch. Circulation 1982;66(Pt 2):I122-I7.
12. Crawford ES, Saleh SA, Schuessler JS. Treatment of aneurysm of transverse aortic arch. J Thorac Cardiovasc Surg 1979;78:383-93.
13. Bachet J, Guilmet D, Goudot B, Termignon JL, Teodori G, Dreyfus G, Brodaty D, Dubois C, Delentdecker P. Cold cerebroplegia. A new technique of cerebral protection during operations on the transverse aortic arch. J Thorac Cardiovasc Surg 1991;102:85-94.
14. Kazui T, Inoue N, Yamada O, Komatsu S. Selective cerebral perfusion during operation for aneurysms of the aortic arch: a reassessment. Ann Thorac Surg 1992;53:109-14.
15. Pacini D, Leone A, Di Marco L, Marsilli D, Sobaih F, Turci S, Masieri V, Di Bartolomeo R. Antegrade selective cerebral perfusion in thoracic aorta surgery: safety of moderate hypothermia. Eur J Cardiothorac Surg 2007; 31:618-22.
16. Kamiya H, Hagl C, Kropivnitskaya I, Bõthig D, Kallenbach K, Khaladj N, Martens A, Haverich A, Karck M. The safety of moderate hypothermic lower body circulatory arrest with selective cerebral perfusion: a propensity score analysis. J Thorac Cardiovasc Surg 2007;133: 501-9.
17. Saritas A, Kervan U, Vural KM, Kucuker SA, Yavas S, Birincioglu LC. Visceral protection during moderately hypothermic selective antegrade cerebral perfusion through right brachial artery. Eur J Cardiothoracic Surg 2010;37:669-76.
18. Etz CD, Luehr M, Kari FA, Lin HM, Kleinman G, Zoli S, Plestis KA, Griepp RB. Selective cerebral perfusion at 28 °C-is the spinal cord safe? Eur J Cardiothorac Surg 2009;36:946-55.
19. Ranasinghe AM, Bonser RS. The brain, the spinal cord, selective antegrade cerebral perfusion and corporeal arrest temperature-are we reducing the margin of patient safety in aortic arch surgery?. Eur J Cardiothorac Surg 2009;36:943-5.
20. Urbanski PP, Lenos A, Schmitt R, Diegeler A. Extended arch resection in acute type A aortic dissection: PRO. Cardiol Clin 2010;28: 335-42.
21. Sun LZ, Qi RD, Chang Q, Zhu JM, Liu YM, Yu CT, Lv B, Zheng J, Tian LX, Lu JG. Surgery for acute type A dissection using total arch replacement combined with stented elephant trunk implantation: experience with 107 patients. J Thorac Cardiovasc Surg 2009;138: 1358-62.
22. Kouchoukos NT, Masetti P. Total aortic arch replacement with abranched graft and limited circulatory arrest of the brain. J Thorac Cardiovasc Surg 2004;128:233-7.
23. Khaladj N, Shrestha M, Meck S, Peterss S, Kamiya H, Kallenbach K, Winterhalter M, Hoy L, Haverich A, Hagl Ch. Hypothermic circulatory arrest with selective antegrade cerebral perfusion in ascending aortic and aortic arch surgery: a risk factor analysis for adverse outcome in 501 patients. J Thorac Cardiovasc Surg 2008;135:908-14.
24. Hagl Ch , Ergin MA, Galla JD, Lansmann SL, McCullough JN, Spielvogel D, Sfeir P, Bodian CA, Griepp RB. Neurologic outcome after ascending aorta-aortic arch operations: effect of brain protection technique in high-risk patients. J Thorac Cardiovasc Surg 2001;121:1107-21.