Brain protection role of sequential double-sided antegrade cerebral perfusion in arotic arch surgery
- VernacularTitle:双侧序贯顺行性脑灌注在主动脉弓部手术中的神经保护作用
- Author:
Zhenwei GE
;
Yitong GU
;
Zhouliang XIE
;
Jiaxiang WANG
;
Zhiyuan YANG
;
Zhidong ZHANG
;
Zhaoyun CHENG
- Publication Type:Journal Article
- Keywords:
Arotic arch surgery;
Antagrade cerebral perfusion;
Deep hyperthermic circulatory arrest;
Brain protection
- From:
Clinical Medicine of China
2008;24(8):816-818
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the brain protection of sequential double-sided antegrade cerebral perfusion to central nervous system in arotie arch surgery. Methods 24 patients received aortic arch replacement under deep hyperthermic circulatory arrest (DHCA) ,with fight-sided, and following double-sided, and left-sided,if necessary, antagrade cerebral perfnsion through right axillary arterial cannula or right femoral arterial eannula homeochronously. Post-operation recovery and the central nervous complications (CNC) were recorded and analyzed. Results 2 cases died, one of whom died of refractory low cardiac output syndrome and the other died of late massive gastrointestinal tract hemorrhage. No patient suffered severe CNC. Conclusion Sequential double-sided antegrade cerebral perfusion combined with DHCA can provide good brain protection in arotic arch replacement.
