Neuroprotection Strategies in Aortic Surgery

被引：25

作者：

Bergeron, Edward J. ^{[1
]}

Mosca, Matthew S. ^{[2
]}

Aftab, Muhammad ^{[1
]}

Justison, George ^{[3
]}

Reece, Thomas Brett ^{[1
]}

机构：

[1] Univ Colorado, Div Cardiothorac Surg, Dept Surg, Thorac Aort Surg Program, Anschutz Med Campus,12631 East 17th Ave,C-310, Aurora, CO 80045 USA

[2] Univ Colorado Hosp, Perfus Serv, 12605 East 16th Ave,Mail Stop B200, Aurora, CO 80045 USA

[3] Univ Colorado Hosp, Perfus Serv, Perioperat Serv, 12605 East 16th Ave,Mail Stop B200, Aurora, CO 80045 USA

来源：

CARDIOLOGY CLINICS | 2017年 / 35卷 / 03期

关键词：

Neuroprotection; Neurologic monitoring; Brain oximetry; Near-infrared spectroscopy; Deep hypothermic circulatory arrest; Circulatory arrest; Antegrade cerebral perfusion; Retrograde cerebral perfusion; HYPOTHERMIC CIRCULATORY ARREST; SELECTIVE CEREBRAL PERFUSION; NEAR-INFRARED SPECTROSCOPY; INNOMINATE-ARTERY CANNULATION; STAT CARDIOPULMONARY BYPASS; DEEP HYPOTHERMIA; ARCH SURGERY; BLOOD-FLOW; PH-STAT; MODERATE HYPOTHERMIA;

D O I：

10.1016/j.ccl.2017.03.011

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Neurologic injury is a potentially devastating complication of aortic surgery. The methods used in aortic surgery, including systemic cooling, initiation of circulatory arrest, and rewarming during the replacement of the aortic arch, are the most complex circulatory management and surgical procedures performed in modern-day surgery. Despite the plethora of published literature, neuroprotection in aortic surgery is largely based on observational studies and institutional-based practices. This article summarizes the current evidence and emerging strategies for neuroprotection in aortic arch operations.

引用

页码：453 / +

页数：14

共 88 条

[1] Putting life on hold - For how long? Profound hypothermic cardiopulmonary bypass in a swine model of complex vascular injuries [J].

Alam, Hasan B. ;

Duggan, Michael ;

Li, Yongqing ;

Spaniolas, Konstantinos ;

Liu, Baoling ;

Tabbara, Malek ;

deMoya, Marc ;

Sailhamer, Elizabeth A. ;

Shults, Christian ;

Velmahos, George C. .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2008, 64 (04) :912-922

[2] Unilateral versus bilateral antegrade cerebral protection during circulatory arrest in aortic surgery: A meta-analysis of 5100 patients [J].

Angeloni, Emiliano ;

Benedetto, Umberto ;

Takkenberg, Johanna J. M. ;

Stigliano, Ivan ;

Roscitano, Antonino ;

Melina, Giovanni ;

Sinatra, Riccardo .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2014, 147 (01) :60-67

[3] Prevention of cerebral hyperthermia during cardiac surgery by limiting on-bypass rewarming in combination with post-bypass body surface warming: A feasibility study [J].

Bar-Yosef, S ;

Mathew, JP ;

Newman, MF ;

Landolfo, KP ;

Grocott, HP .

ANESTHESIA AND ANALGESIA, 2004, 99 (03) :641-646

[4]

Baumgartner WA, 2001, ANN SURG, V234, P342

[5] New paradigms and improved results for the surgical treatment of acute type A dissection [J].

Bavaria, JE ;

Pochettino, A ;

Brinster, DR ;

Gorman, RC ;

McGarvey, ML ;

Gorman, JH ;

Escherich, A ;

Gardner, TJ .

ANNALS OF SURGERY, 2001, 234 (03) :336-342

[6] RETROGRADE CEREBRAL PERFUSION DOES NOT PERFUSE THE BRAIN IN NONHUMAN-PRIMATES [J].

BOECKXSTAENS, CJ ;

FLAMENG, WJ .

ANNALS OF THORACIC SURGERY, 1995, 60 (02) :319-328

[7] Failure of retrograde cerebral perfusion to attenuate metabolic changes associated with hypothermic circulatory arrest [J].

Bonser, RS ;

Wong, CH ;

Harrington, D ;

Pagano, D ;

Wilkes, M ;

Clutton-Brock, T ;

Faroqui, M .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2002, 123 (05) :943-950

[8] Hypothermia during cardiac surgery [J].

Campos, Juan-Manuel ;

Paniagua, Pilar .

BEST PRACTICE & RESEARCH-CLINICAL ANAESTHESIOLOGY, 2008, 22 (04) :695-709

[9] DETERMINATION OF BRAIN TEMPERATURES FOR SAFE CIRCULATORY ARREST DURING CARDIOVASCULAR OPERATION [J].

COSELLI, JS ;

CRAWFORD, ES ;

BEALL, AC ;

MIZRAHI, EM ;

HESS, KR ;

PATEL, VM .

ANNALS OF THORACIC SURGERY, 1988, 45 (06) :638-642

[10] JUGULAR BULB SATURATION AND COGNITIVE DYSFUNCTION AFTER CARDIOPULMONARY BYPASS [J].

CROUGHWELL, ND ;

NEWMAN, MF ;

BLUMENTHAL, JA ;

WHITE, WD ;

LEWIS, JB ;

FRASCO, PE ;

SMITH, LR ;

THYRUM, EA ;

HURWITZ, BJ ;

LEONE, BJ ;

SCHELL, RM ;

REVES, JG .

ANNALS OF THORACIC SURGERY, 1994, 58 (06) :1702-1708

← 1 2 3 4 5 6 7 8 9 →