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 |
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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 |
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