A study of brain protection during total arch replacement comparing antegrade cerebral perfusion versus hypothermic circulatory arrest, with or without retrograde cerebral perfusion: Analysis based on the Japan Adult Cardiovascular Surgery Database

Journal of Thoracic and Cardiovascular Surgery

Volumn 149, Issue 2, 2015, Pages S65-S73

  Okita, Yutaka ^a   Miyata, Hiroaki ^b   Motomura, Noboru ^c   Takamoto, Shinichi ^d  

^a KOBE UNIVERSITY   (Japan)

^b UNIVERSITY OF TOKYO   (Japan)

^c TOHO UNIVERSITY SAKURA MEDICAL CENTER   (Japan)

^d MITSUI MEMORIAL HOSPITAL   (Japan)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; AORTA ARCH; AORTIC ARCH SURGERY; ARTICLE; ASSISTED VENTILATION; BRAIN PERFUSION; BRAIN PROTECTION; CARDIOPULMONARY BYPASS; CAUSE OF DEATH; CEREBROVASCULAR ACCIDENT; COMPARATIVE STUDY; CONTROLLED STUDY; DATA BASE; DEEP HYPOTHERMIC CIRCULATORY ARREST; DIALYSIS; FEMALE; GASTROINTESTINAL SYMPTOM; HEART MUSCLE ISCHEMIA; HUMAN; INTENSIVE CARE UNIT; JAPAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORTALITY; NEUROLOGIC DISEASE; OPERATION DURATION; OUTCOME ASSESSMENT; PARAPLEGIA; POSTOPERATIVE INFECTION; PRIORITY JOURNAL; RECTUM TEMPERATURE; REOPERATION; SURGICAL MORTALITY; TOTAL ARCH REPLACEMENT; TREATMENT DURATION; ACUTE DISEASE; ADVERSE EFFECTS; ANEURYSM, DISSECTING; AORTIC ANEURYSM, THORACIC; AORTIC RUPTURE; BLOOD VESSEL TRANSPLANTATION; BRAIN CIRCULATION; FACTUAL DATABASE; MIDDLE AGED; PATHOPHYSIOLOGY; PERFUSION; POSTOPERATIVE COMPLICATIONS; PROCEDURES; PROPENSITY SCORE; RETROSPECTIVE STUDY; RISK FACTOR; STATISTICAL ANALYSIS; THORACIC AORTA; TIME; TREATMENT OUTCOME; VERY ELDERLY;

ACUTE DISEASE; AGED; AGED, 80 AND OVER; ANEURYSM, DISSECTING; AORTA, THORACIC; AORTIC ANEURYSM, THORACIC; AORTIC RUPTURE; BLOOD VESSEL PROSTHESIS IMPLANTATION; CEREBROVASCULAR CIRCULATION; CIRCULATORY ARREST, DEEP HYPOTHERMIA INDUCED; DATABASES, FACTUAL; FEMALE; HOSPITAL MORTALITY; HUMANS; INTENSIVE CARE UNITS; JAPAN; LENGTH OF STAY; MALE; MATCHED-PAIR ANALYSIS; MIDDLE AGED; PERFUSION; POSTOPERATIVE COMPLICATIONS; PROPENSITY SCORE; RETROSPECTIVE STUDIES; RISK FACTORS; TIME FACTORS; TREATMENT OUTCOME;

EID: 84923420008     PISSN: 00225223     EISSN: 1097685X     Source Type: Journal    
DOI: 10.1016/j.jtcvs.2014.08.070     Document Type: Article

References (37)

1. J. Amano, H. Kuwano, and H. Yokomise Thoracic and cardiovascular surgery in Japan during 2012 Gen Thorac Cardiovasc Surg 62 2014 734 764
2. D. Guilmet, P.M. Roux, J. Bachet, B. Goudot, N. Tawil, and F. Diaz A new technic of cerebral protection. Surgery of the aortic arch Presse Med 15 1986 1096 1098
3. Y. Ueda, Y. Okita, S. Aomi, H. Koyanagi, and S. Takamoto Retrograde cerebral perfusion for aortic arch surgery: analysis of risk factors Ann Thorac Surg 67 1999 1879 1882
4. Japan Adult Cardiovascular Database. Home page. Available at: http://www.jacvsd.umin.jp/index.html. Accessed May 13, 2014.
5. Y. Okita, K. Okada, A. Omura, H. Kano, H. Minami, and T. Inoue Total arch replacement using antegrade cerebral perfusion J Thorac Cardiovasc Surg 145 3 Suppl 2013 S63 S71
6. H. Tsukui, S. Aomi, H. Tomioka, M. Nonoyama, H. Koyanagi, and C. Nagasawa Arch-first technique for aortic arch operation using branched graft Asian Cardiovasc Thorac Ann 10 2002 318 321
7. M.E. DeBakey, W.S. Henly, D.A. Cooley, E.S. Crawford, G.C. Morris Jr., and A.C. Beall Jr. Aneurysms of the aortic arch: factors influencing operative risk Surg Clin North Am 42 1962 1543 1554
8. R.B. Griepp, E.B. Stinson, J.F. Hollingsworth, and D. Buehler Prosthetic replacement of the aortic arch J Thorac Cardiovasc Surg 70 1975 1051 1063
9. L.G. Svensson, E.S. Crawford, K.R. Hess, J.S. Coselli, S. Raskin, and S.A. Shenaq Deep hypothermia with circulatory arrest. Determinants of stroke and early mortality in 656 patients J Thorac Cardiovasc Surg 106 1993 19 28
10. H.G. Borst, A. Schaudig, and W. Rudolph Arteriovenous fistula of the aortic arch: repair during deep hypothermia and circulatory arrest J Thorac Cardiovasc Surg 48 1964 443 447
11. M.A. Ergin, J.D. Galla, S.L. Lansman, C. Quintana, C. Bodian, and R.B. Griepp Hypothermic circulatory arrest in operations on the thoracic aorta. Determinants of operative mortality and neurologic outcome J Thorac Cardiovasc Surg 107 1994 788 797
12. Y. Ueda, S. Miki, K. Kusuhara, Y. Okita, T. Tahata, and K. Yamanaka Surgical treatment of aneurysm or dissection involving the ascending aorta and aortic arch, utilizing circulatory arrest and retrograde cerebral perfusion J Cardiovasc Surg (Torino) 31 1990 553 558
13. Y. Okita, S. Takamoto, M. Ando, T. Morota, R. Matsukawa, and Y. Kawashima Mortality and cerebral outcome in patients who underwent aortic arch operations using deep hypothermic circulatory arrest with retrograde cerebral perfusion: no relation of early death, stroke, and delirium to the duration of circulatory arrest J Thorac Cardiovasc Surg 115 1998 129 138
14. J.S. Coselli, and S.A. LeMaire Experience with retrograde cerebral perfusion during proximal aortic surgery in 290 patients J Card Surg 12 2 Suppl 1997 322 325
15. H.J. Safi, C.C. Miller 3rd, T.Y. Lee, and A.L. Estrera Repair of ascending and transverse aortic arch J Thorac Cardiovasc Surg 142 2011 630 633
16. J.E. Bavaria, and A. Pochettino Retrograde cerebral perfusion (RCP) in aortic arch surgery: efficacy and possible mechanisms of brain protection Semin Thorac Cardiovasc Surg 9 1997 222 232
17. Y. Okita, K. Minatoya, O. Tagusari, M. Ando, K. Nagatsuka, and S. Kitamura Prospective comparative study of brain protection in total aortic arch replacement: deep hypothermic circulatory arrest with retrograde cerebral perfusion or selective antegrade cerebral perfusion Ann Thorac Surg 72 2001 72 79
18. C. Hagl, M.A. Ergin, J.D. Galla, S.L. Lansman, J.N. McCullough, and D. Spielvogel Neurologic outcome after ascending aorta aortic arch operations: effect of brain protection technique in high-risk patients J Thorac Cardiovasc Surg 121 2001 1107 1121
19. D. Spielvogel, M.N. Mathur, S.L. Lansman, and R.B. Griepp Aortic arch reconstruction using a trifurcated graft Ann Thorac Surg 75 2003 1034 1036
20. W.H. Frist, J.C. Baldwin, V.A. Starnes, E.B. Stinson, P.E. Oyer, and D.C. Miller A reconsideration of cerebral perfusion in aortic arch replacement Ann Thorac Surg 42 1986 273 281
21. J. Bachet, D. Guilmet, B. Goudot, G.D. Dreyfus, P. Delentdecker, and D. Brodaty Antegrade cerebral perfusion with cold blood: a 13-year experience Ann Thorac Surg 67 1999 1874 1878
22. T. Kazui, N. Inoue, O. Yamada, and S. Komatsu Selective cerebral perfusion during operation for aneurysms of the aortic arch: a reassessment Ann Thorac Surg 53 1992 109 114
23. N. Motomura, H. Miyata, H. Tsukihara, S. Takamoto Japan Cardiovascular Surgery Database Organization Risk model of thoracic aortic surgery in 4707 cases from a nationwide single-race population through a web-based data entry system: the first report of 30-day and 30-day operative outcome risk models for thoracic aortic surgery Circulation 118 2008 S153 S159
24. M. Di Eusanio, M.A. Schepens, W.J. Morshuis, R. Di Bartolomeo, A. Pierangeli, and K.M. Dossche Antegrade selective cerebral perfusion during operations on the thoracic aorta: factors influencing survival and neurologic outcome in 413 patients J Thorac Cardiovasc Surg 124 2002 1080 1086
25. H. Ogino, H. Sasaki, K. Minatoya, H. Matsuda, H. Tanaka, and H. Watanuki Evolving arch surgery using integrated antegrade selective cerebral perfusion: impact of axillary artery perfusion J Thorac Cardiovasc Surg 136 2008 641 648
26. T.M. Sundt 3rd, T.A. Orszulak, D.J. Cook, and H.V. Schaff Improving results of open arch replacement Ann Thorac Surg 86 2008 787 796
27. K. Okada, A. Omura, H. Kano, T. Sakamoto, A. Tanaka, and T. Inoue Recent advancements of total aortic arch replacement J Thorac Cardiovasc Surg 144 2012 139 145
28. K. Okada, A. Omura, H. Kano, T. Inoue, T. Oka, and H. Minami Effect of atherothrombotic aorta on outcomes of total aortic arch replacement J Thorac Cardiovasc Surg 145 2013 984 991
29. N. Morimoto, K. Okada, K. Uotani, F. Kanda, and Y. Okita Leukoaraiosis and hippocampal atrophy predict neurologic outcome in patients who undergo total aortic arch replacement Ann Thorac Surg 88 2009 476 481
30. K. Okada, A. Omura, H. Kano, H. Nakai, S. Miyahara, and H. Minami Outcome of elective total aortic arch replacement in patients with non-dialysis-dependent renal insufficiency stratified by estimated glomerular filtration rate J Thorac Cardiovasc Surg 147 2014 966 972
31. M. Luehr, J. Bachet, F.W. Mohr, and C.D. Etz Modern temperature management in aortic arch surgery: the dilemma of moderate hypothermia Eur J Cardiothorac Surg 45 2014 27 39
32. H. Kamiya, C. Hagl, I. Kropivnitskaya, D. Böthig, K. Kallenbach, and N. Khaladj The safety of moderate hypothermic lower body circulatory arrest with selective cerebral perfusion: a propensity score analysis J Thorac Cardiovasc Surg 133 2007 501 509
33. T.D. Yan, P.G. Bannon, J. Bavaria, J.S. Coselli, J.A. Elefteriades, and R.B. Griepp Consensus on hypothermia in aortic arch surgery Ann Cardiothorac Surg 2 2013 163 168
34. L.G. Svensson, E.M. Nadolny, D.L. Penney, J. Jacobson, W.A. Kimmel, and M.H. Entrup Prospective randomized neurocognitive and S-100 study of hypothermic circulatory arrest, retrograde brain perfusion, and antegrade brain perfusion for aortic arch operations Ann Thorac Surg 71 2001 1905 1912
35. A. Usui, H. Miyata, Y. Ueda, N. Motomura, and S. Takamoto Risk-Adjusted and case-matched comparative study between antegrade and retrograde cerebral perfusion during aortic arch surgery: based on the Japan Adult Cardiovascular Surgery Database: the Japan Cardiovascular Surgery Database Organization Gen Thorac Cardiovasc Surg 60 2012 132 139
36. J. Barnard, J. Dunning, M. Grossebner, and M.N. Bittar In aortic arch surgery is there any benefit in using antegrade cerebral perfusion or retrograde cerebral perfusion as an adjunct to hypothermic circulatory arrest? Interact Cardiovasc Thorac Surg 3 2004 621 630
37. Z. Hu, Z. Wang, Z. Ren, H. Wu, M. Zhang, and H. Zhang Similar cerebral protective effectiveness of antegrade and retrograde cerebral perfusion combined with deep hypothermia circulatory arrest in aortic arch surgery: a meta-Analysis and systematic review of 5060 patients J Thorac Cardiovasc Surg 148 2014 544 560