Varying Evidence on Deep Hypothermic Circulatory Arrest in Thoracic Aortic Aneurysm Surgery

被引：36

作者：

Gupta, Prity ^{[1
]}

Harky, Amer ^{[1
]}

Jahangeer, Saleem ^{[1
]}

Adams, Benjamin ^{[1
]}

Bashir, Mohamad ^{[1
]}

机构：

[1] St Bartholomews Hosp, Dept Cardiac Surg, London EC1A 7BE, England

来源：

TEXAS HEART INSTITUTE JOURNAL | 2018年 / 45卷 / 02期

关键词：

Aorta; thoracic/surgery; brain ischemia/pathology/prevention & control; cardiac surgical procedures; cerebrovascular circulation; circulatory arrest; deep hypothermia-induced/adverse effects/methods; cognition disorders/etiology/prevention & control; perfusion/adverse effects/methods; postoperative complications/prevention & control; risk assessment; time factors; RETROGRADE CEREBRAL PERFUSION; TEMPORARY NEUROLOGICAL DYSFUNCTION; QUALITY-OF-LIFE; ARCH SURGERY; BRAIN PROTECTION; INFLAMMATORY RESPONSE; CARDIAC-SURGERY; ANTEGRADE; MORTALITY; INJURY;

D O I：

10.14503/THIJ-17-6364

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Cardiovascular surgeons have long debated the safe duration of deep hypothermic circulatory arrest during thoracic aortic aneurysm surgery. The rationale for using adjunctive cerebral perfusion (or not) is to achieve the best technical aortic repair with the lowest risk of morbidity and death. In this literature review, we highlight the debates surrounding these issues, evaluate the disparate findings on deep hypothermic circulatory arrest durations and temperatures, and consider the usefulness of adjunctive perfusion.

引用

页码：70 / 75

页数：6

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