Risks for impaired cerebral autoregulation during cardiopulmonary bypass and postoperative stroke

British Journal of Anaesthesia

Volumn 109, Issue 3, 2012, Pages 391-398

  Ono, M ^a   Joshi, B ^b   Brady, K ^c   Easley, R B ^c   Zheng, Y ^d   Brown, C ^b   Baumgartner, W ^a   Hogue, C W ^b  

^a Institute for Cell Engineering   (United States)

^b JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c TEXAS CHILDREN S HOSPITAL   (United States)

^d ZHEJIANG UNIVERSITY   (China)

Author keywords

cardiac surgery; cardiopulmonary bypass; cerebral autoregulation; stroke

Indexed keywords

ACETYLSALICYLIC ACID;

ADULT; AGED; ARTICLE; AUTOREGULATION; BODY TEMPERATURE; BRAIN BLOOD FLOW; CARDIOPULMONARY BYPASS; CORONARY ARTERY BYPASS GRAFT; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEAN ARTERIAL PRESSURE; PATIENT MONITORING; POSTOPERATIVE PERIOD; PREOPERATIVE PERIOD; PRIORITY JOURNAL; RECEIVER OPERATING CHARACTERISTIC; RISK FACTOR; SEX DIFFERENCE; STROKE;

EID: 84865261933     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aes148     Document Type: Article

References (31)

1. Balestreri M, Czosnyka M, Steiner L, et al. Intracranial hypertension: WHAT additional information can be derived from ICP waveform after head injury. Acta Neurochir (Wien) 2004; 146: 131-41
2. Steiner L, Czosnyka M, Piechnik S, et al. Continuous monitoring of cerebrovascular pressure reactivity allows determination of optimal cerebral perfusion pressure in patients with traumatic brain injury. Crit Care Med 2002; 30: 733-8
3. Lang EW, Mehdorn HM, Dorsch NW, Czosnyka M. Continuous monitoring of cerebrovascular autoregulation: A validation study. J Neurol Neurosurg Psychiatry 2002; 72: 583-6
4. Czonsnyka M, Brady K, Reinhard M, Smielewski P, Steiner L. Monitoring of cerebrovascular autoregulation: Facts, myths, and missing links. Neurocrit Care 2009; 10: 373-86
5. Edmonds HL Jr. Pro: All cardiac surgical patients should have intraoperative cerebral oxygenation monitoring. Cardiothorac Vasc Anesth 2006; 20: 445-9
6. Brady K, Lee J, Kibler K, et al. Continuous time-domain analysis of cerebrovascular autoregulation using near-infrared spectroscopy. Stroke 2007; 38: 2818-25
7. Brady K, Joshi B, Zweifel C, et al. Real time continuous monitoring of cerebral blood flow autoregulation using near-infrared spectroscopy in patients undergoing cardiopulmonary bypass. Stroke 2010; 41: 1951-6
8. Smielewski P, Kirkpatrick P, Minhas P, Pickard JD, Czosnyka M. Can cerebrovascular reactivity be measured with near-infrared spectroscopy? Stroke 1995; 26: 2285-92
9. Joshi B, Brady K, Lee J, et al. Impaired autoregulation of cerebral blood flow during rewarming from hypothermic cardiopulmonary bypass and its potential association with stroke. Anesth Analg 2010; 110: 321-8
10. Joshi B, Ono M, Brown C, et al. Predicting the limits of cerebral autoregulation during cardiopulmonary bypass. Anesth Analg 2012; 114: 503-10
11. Hogue C Jr, Palin C, Arrowsmith J. Cardiopulmonary bypass management and neurologic outcomes: An evidence-based appraisal of current practices. Anesth Analg 2006; 103: 21-37
12. Moraca R, Lin E, Holmes IV Jr, et al. Impaired baseline regional cerebral perfusion in patients referred for coronary artery bypass. J Thorac Cardiovasc Surg 2006; 131: 540-6
13. Gottesman R, Sherman P, Grega M, et al. Watershed strokes after cardiac surgery: Diagnosis, etiology, and outcome. Stroke 2006; 37: 2306-11
14. Laffey J, Boylan J, Cheng D. The systemic inflammatory response to cardiac surgery. Anesthesiology 2002; 97: 215-52
15. Aggarwal M, Khan I. Hypertensive crisis: Hypertensive emergencies and urgencies. Cardiol Clin 2006; 24: 135-46
16. Henriksen L, Hjelms E, Lindeburgh T. Brain hyperperfusion during cardiac operations. Cerebral blood flow measured in man by intra-arterial injection of xenon 133: Evidence suggestive of intraoperative microembolism. J Thorac Cardiovasc Surg 1983; 86: 202-8
17. Govier A, Reves J, McKay R, et al. Factors and their influence on regional cerebral blood flow during nonpulsatile cardiopulmonary bypass. Ann Thorac Surg 1984; 38: 592-600
18. Murkin JM, Farrar J, Tweed W, McKenzie F, Guiraudon G. Cerebral autoregulation and flow/metabolism coupling during cardiopulmonary bypass: The influence of PaCO2. Anesth Analg 1987; 66: 825-32
19. Cook D, Proper J, Orszulak T, Daly R, Oliver W Jr. Effect of pump flow rate on cerebral blood flow during hypothermic cardiopulmonary bypass in adults. J Cardiothorac Vasc Anesth 1997; 11: 415-9
20. Drummond J. The lower limit of autoregulation: Time to revise our thinking. Anesthesiology 1997; 86: 1431-3
21. Larsen F, Olsen K, Hansen B, Paulson O, Knudsen G. Transcranial Doppler is valid for determination of the lower limit of cerebral blood flow autoregulation. Stroke 1994; 25: 1985-8
22. Newell D, Aaslid R, Lam A, Mayberg T, Winn H. Comparison of flow and velocity during dynamic autoregulation testing in humans. Stroke 1994; 25: 793-7
23. Aries M, Elting J, De Keyser J, Kremer B, Vroomen P. Cerebral autoregulation in stroke: A review of transcranial Doppler studies. Stroke 2010; 41: 2697-704
24. Sloan M, Alexandrov A, Tegeler C, et al. Assessment: Transcranial Doppler ultrasonography: Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology 2004; 62: 1468-81
25. Chemtob S, Beharry K, Rex J, et al. Changes in cerebrovascular prostaglandins and thromboxane as a function of systemic blood pressure. Cerebral blood flow autoregulation of the newborn. Circ Res 1990; 67: 674-82
26. Deegan B, Sorond F, Galica A, Lipsitz L, O'Laighin G, Serrador J. Elderly women regulate brain blood flow better than men do. Stroke 2011; 42: 1988-93
27. Caplan L, Hennerici M. Impaired clearance of emboli (washout) is an important link between hypoperfusion, embolism, and ischemic stroke. Arch Neurol 1998; 55: 1475-82
28. King A, Serena J, Bornstein N, Markus H; ACES Investigators. Does impaired cerebrovascular reactivity predict stroke risk in asymptomatic carotid stenosis? A prospective substudy of the asymptomatic carotid emboli study. Stroke 2011; 42: 1550-5
29. Patel P, Drummond J. Cerebral Physiology and the Effects of Anesthetics and Techniques, 6th Edn. Philadelphia, PA: ELSEVIER Churchill Livingstone, 2005
30. Mapleson W. Effect of age on MAC in humans: A meta-analysis. Br J Anaesth 1996; 76: 179-85
31. Burkhart C, Rossi A, Dell-Kuster S, et al. Effect of age on intraoperative cerebrovascular autoregulation and near-infrared spectroscopy-derived cerebral oxygenation. Br J Anaesth 2011; 107: 742-8