CONTINUOUS RETROGRADE CEREBRAL PERFUSION DURING PROFOUND HYPOTHERMIC CIRCULATORY ARREST AT OPERATION FOR STANFORD TYPE A DISSECTING ANEURYSM

Autor: Yoshimi Ootani, Hamada Y, Yasuo Morishita, Akio Ootaki, Satoh Y, Susumu Ishikawa, Tooru Takahashi, Ichikawa H, Kyouichirou Tsuda, Kazuhiro Sakata
Rok vydání: 1992
Předmět:
Zdroj: The KITAKANTO Medical Journal. 42:647-653
ISSN: 1883-6135
0023-1908
Popis: Three patients with chronic Stanford type A dissecting aneurysm were successfully operated upon using continuous retrograde cerebral perfusion (CRCP) during profound hypothermic circulatory arrest. Following profound hypothermic (14-15°C) circulatory arrest for 30-40 minutes, CRCP was started with a flow rate of 120-550ml/min to maintain a superior vena caval pressure of 15-20 mmHg. The circulatory arrest time was 56-101 minutes. The longer retrograde cerebral perfusion time induced prolonged wakefullness, but no serious neurological complications were encountered. In conclusion, CRCP is useful for cerebral protection during profound hypothermic circulatory arrest.
Databáze: OpenAIRE