| Autor: |
Günther Laufer, Marek P. Ehrlich, Dominik Wiedemann, Julia Fuchs, Marlies Stelzmüller, Stephane Mahr |
| Rok vydání: |
2014 |
| Předmět: |
|
| Zdroj: |
Controversies in Aortic Dissection and Aneurysmal Disease ISBN: 9781447156215 |
| Popis: |
Acute aortic dissection type A (AAAD) is a devastating event associated with major morbidity and mortality. Central nervous system injury remains the most significant cause of mortality and morbidity and can occur before, during and after the surgical intervention. Neurological dysfunction is most exaggerated in patients undergoing surgery for acute type A dissection due to malperfusion of the brain. Even though hypothermia still represents an important adjunct to brain protection, there are newer surgical techniques such as different CPB access sites and additional protection methods such as retrograde (RCP) cerebral perfusion or antegrade (ACP) cerebral brain perfusion. In addition, sophisticated cereberal monitoring tools have significantly contributed to reduce mortality and morbidity in this patient cohort. Measurement of jugular bulb venous oxygen saturation, transcranial Doppler as well as near-infrared-spectroscopy are possible ways for neuromonitoring during surgery for type A aortic dissection. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
