Nygammal metod minskar neurologisk risk vid arcus aortae-kirurgi. Selektiv antegrad hjärnperfusion ger bra skydd, visar retrospektiv studie
(2010) In Läkartidningen 107(16). p.1058-1061- Abstract
- nnominate artery and left carotid artery cannulation for antegrade brain perfusion allows accurate bilateral pressure-controlled brain perfusion. The aim of this study was to evaluate the incidence of adverse neurological events and 90-day mortality in 40 consecutive patients undergoing elective aortic arch repair using this technique. Forty consecutive patients underwent elective aortic arch repair using selective antegrade brain perfusion. The perfusion was instituted by cannulation of the innominate artery (using standard cannulae) and by direct cannulation of the left common carotid artery (using cannulae having a built-in-side arm for pressure monitoring). Bilateral radial artery and left common carotid artery pressure monitoring... (More)
- nnominate artery and left carotid artery cannulation for antegrade brain perfusion allows accurate bilateral pressure-controlled brain perfusion. The aim of this study was to evaluate the incidence of adverse neurological events and 90-day mortality in 40 consecutive patients undergoing elective aortic arch repair using this technique. Forty consecutive patients underwent elective aortic arch repair using selective antegrade brain perfusion. The perfusion was instituted by cannulation of the innominate artery (using standard cannulae) and by direct cannulation of the left common carotid artery (using cannulae having a built-in-side arm for pressure monitoring). Bilateral radial artery and left common carotid artery pressure monitoring allowed precise, pressure-controlled bilateral brain perfusion. Bilateral selective antegrade brain perfusion was given with a perfusion rate of 4.6 ml to 15.9 ml/kg/min (mean 9.6 ml/kg/min). This was sufficient to obtain dual-controlled mean cerebral perfusion pressures of 50-70 mmHg as monitored simultaneously in the right radial artery and the left carotid artery. The incidence of stroke and transient neurological dysfunction was 2.5 % each. Ninety-day mortality was 2.5 %. Pressure-controlled, bilateral, selective antegrade brain perfusion by innominate artery cannulation seems to be a safe method for cerebral protection during elective aortic arch repair. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1610164
- author
- Landenhed Smith, Maya LU ; Ingemansson, Richard LU and Koul, Bansi LU
- organization
- publishing date
- 2010
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Aortic Valve Insufficiency: surgery, Brachiocephalic Trunk: physiology, Carotid Artery, Common: physiology, Catheterization: methods, Cerebrovascular Circulation: physiology, Heart Arrest, Induced: adverse effects, Perfusion: methods, Stroke: etiology, Vascular Surgical Procedures: adverse effects, Stroke: prevention & control, Thoracic: surgery, Aorta, Aortic Aneurysm: surgery, Vascular Surgical Procedures: methods, Vascular Surgical Procedures: mortality
- in
- Läkartidningen
- volume
- 107
- issue
- 16
- pages
- 1058 - 1061
- publisher
- Swedish Medical Association
- external identifiers
-
- pmid:20476700
- scopus:77951448565
- ISSN
- 0023-7205
- language
- Swedish
- LU publication?
- yes
- id
- 71caabe9-845a-40c7-b6fc-1da0c64dcbc5 (old id 1610164)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/20476700?dopt=Abstract
- http://ltarkiv.lakartidningen.se/artNo37994
- date added to LUP
- 2016-04-04 09:30:16
- date last changed
- 2022-01-29 18:10:58
@article{71caabe9-845a-40c7-b6fc-1da0c64dcbc5,
abstract = {{nnominate artery and left carotid artery cannulation for antegrade brain perfusion allows accurate bilateral pressure-controlled brain perfusion. The aim of this study was to evaluate the incidence of adverse neurological events and 90-day mortality in 40 consecutive patients undergoing elective aortic arch repair using this technique. Forty consecutive patients underwent elective aortic arch repair using selective antegrade brain perfusion. The perfusion was instituted by cannulation of the innominate artery (using standard cannulae) and by direct cannulation of the left common carotid artery (using cannulae having a built-in-side arm for pressure monitoring). Bilateral radial artery and left common carotid artery pressure monitoring allowed precise, pressure-controlled bilateral brain perfusion. Bilateral selective antegrade brain perfusion was given with a perfusion rate of 4.6 ml to 15.9 ml/kg/min (mean 9.6 ml/kg/min). This was sufficient to obtain dual-controlled mean cerebral perfusion pressures of 50-70 mmHg as monitored simultaneously in the right radial artery and the left carotid artery. The incidence of stroke and transient neurological dysfunction was 2.5 % each. Ninety-day mortality was 2.5 %. Pressure-controlled, bilateral, selective antegrade brain perfusion by innominate artery cannulation seems to be a safe method for cerebral protection during elective aortic arch repair.}},
author = {{Landenhed Smith, Maya and Ingemansson, Richard and Koul, Bansi}},
issn = {{0023-7205}},
keywords = {{Aortic Valve Insufficiency: surgery; Brachiocephalic Trunk: physiology; Carotid Artery; Common: physiology; Catheterization: methods; Cerebrovascular Circulation: physiology; Heart Arrest; Induced: adverse effects; Perfusion: methods; Stroke: etiology; Vascular Surgical Procedures: adverse effects; Stroke: prevention & control; Thoracic: surgery; Aorta; Aortic Aneurysm: surgery; Vascular Surgical Procedures: methods; Vascular Surgical Procedures: mortality}},
language = {{swe}},
number = {{16}},
pages = {{1058--1061}},
publisher = {{Swedish Medical Association}},
series = {{Läkartidningen}},
title = {{Nygammal metod minskar neurologisk risk vid arcus aortae-kirurgi. Selektiv antegrad hjärnperfusion ger bra skydd, visar retrospektiv studie}},
url = {{http://www.ncbi.nlm.nih.gov/pubmed/20476700?dopt=Abstract}},
volume = {{107}},
year = {{2010}},
}