NDLI: Integrated cerebral perfusion for hypothermic circulatory arrest during transverse aortic arch repairs.

Please wait, while we are loading the content...

Completely thoracoscopic pulmonary vein isolation with ganglionic plexus ablation and left atrial appendage amputation for treatment of atrial fibrillation.

Immunoreactivity of integrin-linked kinase in primary non-small-cell lung cancer and survival after curative resection.

Left atrial appendage contributes to left atrial booster function after the maze procedure: quantitative assessment with multidetector computed tomography.

Integrated cerebral perfusion for hypothermic circulatory arrest during transverse aortic arch repairs.

Is endovascular repair the new gold standard for primary adult coarctation?

Preoperative introduction and maintenance immunosuppression therapy of oral-only tacrolimus, mycophenolate mofetil and steroids reduce acute rejection episodes after lung transplantation.

Impact of preoperative atrial fibrillation on the late outcome of off-pump coronary artery bypass surgery.

How do annuloplasty rings affect mitral leaflet dynamic motion?

May cyclooxygenase-2 (COX-2), p21 and p27 expression affect prognosis and therapeutic strategy of patients with malignant pleural mesothelioma?

The long-term result of total repair for tetralogy of Fallot.

Medium-term results of systematic off-pump coronary surgery performed by trainee surgeons.

Mitral valved stent implantation.

Preservation of the pulmonary autograft after failure of the Ross procedure.

Obtaining an upper estimate of the survival benefit associated with surgery for mesothelioma.

Comparison of bovine jugular vein with pulmonary homograft conduits in children less than 2 years of age.

The Ross operation - a feasible and safe option in the setting of a bicuspid aortic valve?

Is NT-pro-BNP predictive of atrial fibrillation in patients undergoing coronary artery bypass surgery?

Long-term results of hybrid endovascular repair for thoraco-abdominal aortic aneurysms.

Unusual insertion of a mitral chord causing severe valve regurgitation.

Advantages of preoperative three-dimensional contrast-enhanced computed tomography for anomalous pulmonary artery in video-assisted thoracoscopic segmentectomy.

Where is the ruptured bronchial artery aneurysm?

The impact of preoperative atrial fibrillation on early and late mortality after coronary artery bypass grafting.

Long-term outcome of double-lung and heart-lung transplantation for pulmonary hypertension: a comparative retrospective study of 219 patients.

Outcome of patients suffering from acute type B aortic dissection: a retrospective single-centre analysis of 135 consecutive patients.

Editorial comment May cyclooxygenase-2 (COX-2), p21 and p27 expression affect prognosis and therapeutic strategy of patients with malignant pleural mesothelioma?

Editorial comment Endovascular repair for adult coarctation: stating the obvious!

NEXT = new events in xurgical technology.

Year: 2010 Volume: 38 Issue: 2

Year: 2010 Volume: 38 Issue: 1

Year: 2010 Volume: 38 Issue: Supplementary

Year: 2010 Volume: 37

Year: 2009 Volume: 36

Year: 2009 Volume: 35

Year: 2008 Volume: 34

Year: 2005 Volume: 28

Integrated cerebral perfusion for hypothermic circulatory arrest during transverse aortic arch repairs.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Estrera, Anthony L. Miller, Charles C. Lee, Taek-Yeon Shah, Pallav Irani, Adel D. Ganim, Nidal Abdullah, Saad Safi, Hazim J.
Description	Country affiliation: United States Author Affiliation: Estrera AL ( Department of Cardiothoracic and Vascular Surgery, The University of Texas at Houston Medical School, Memorial Hermann Heart and Vascular Institute, Houston, TX, USA. anthony.l.estrera@uth.tmc.edu)
Abstract	OBJECTIVES: Antegrade cerebral perfusion (ACP) during hypothermic circulatory arrest (HCA) for ascending/transverse arch repair is used for cerebral protection. This study evaluates ACP in combination with retrograde cerebral perfusion (RCP) during extended HCA and compares it to RCP-only. METHODS: Between January 2005 and April 2007, we performed 64 consecutive arch repairs requiring extended HCA (>40 min). RCP-only was used with 34 patients and ACP with brief RCP ('integrated') was used with 30 patients. Mean HCA time was 51 + or - 13 min. Mean RCP-only time was 47 + or - 9.6 min; in the integrated group, mean ACP time was 42 + or - 14.4 min with an added RCP time of 10.8 + or - 7.6 min. For the entire cohort, 95% (61/64) underwent total arch repair, and 67% (43/64) had elephant trunk reconstruction. Variables predictive of mortality and neurological outcomes were analysed prospectively, but technique selection was non-randomised. RESULTS: Preoperative and operative variables did not differ between the RCP-only and the integrated groups except for aortic valve replacement, which was more frequently performed in the integrated group (33% (10/30) vs 12% (4/34), P=0.05), and preoperative renal dysfunction, which was more frequent in the RCP group (26% (9/34) vs 7% (2/30), P=0.04). No significant difference was observed in outcomes between the groups; however, the integrated group had higher mortality, stroke and temporary neurological deficit than RCP-only. CONCLUSIONS: The observed trends in actual outcomes were a cause for concern. ACP combined with a short period of RCP did not provide better outcomes than RCP-only. The use of RCP remains warranted in our experience.
File Format	HTM / HTML
ISSN	10107940
e-ISSN	1873734X
Journal	European Journal of Cardio-Thoracic Surgery
Issue Number	3
Volume Number	38
Language	English
Publisher	Oxford University Press
Publisher Date	2010-09-01
Publisher Place	Germany
Access Restriction	Open
Subject Keyword	Discipline Cardiology__semicolon__surgery Aorta, Thoracic Surgery Cerebrovascular Circulation Physiology Blood Vessel Prosthesis Implantation Brain Ischemia Prevention & Control Heart Arrest, Induced Heart Valve Prosthesis Implantation Hypothermia, Induced Intraoperative Care Perfusion Retrospective Studies
Content Type	Text
Resource Type	Article
Subject	Pulmonary and Respiratory Medicine Surgery Cardiology and Cardiovascular Medicine

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Antegrade selective cerebral perfusion and moderate hypothermia in aortic arch surgery: clinical outcomes in elderly patients.

Aortic arch surgery using bilateral antegrade selective cerebral perfusion in combination with near-infrared spectroscopy.

Aortic arch surgery: moderate or mild hypothermic circulatory arrest?

Double arterial perfusion strategy for extensive thoracic aortic surgery to avoid lower body hypothermic circulatory arrest.

How really safe is unilateral selective cerebral perfusion?

Selective cerebral perfusion with mild hypothermic lower body circulatory arrest is safe for aortic arch surgery.

Technical advances improved outcome in patients undergoing surgery of the ascending aorta and/or aortic arch: ten years experience.

Aortic arch surgery with a mild-to-moderate circulatory arrest: the significance of aortic arch pathology.

Selective cerebral perfusion with aortic cannulation and short-term hypothermic circulatory arrest in aortic arch reconstruction.

Integrated cerebral perfusion for hypothermic circulatory arrest during transverse aortic arch repairs.

Similar Documents

Antegrade selective cerebral perfusion and moderate hypothermia in aortic arch surgery: clinical outcomes in elderly patients.

Aortic arch surgery using bilateral antegrade selective cerebral perfusion in combination with near-infrared spectroscopy.

Aortic arch surgery: moderate or mild hypothermic circulatory arrest?

Double arterial perfusion strategy for extensive thoracic aortic surgery to avoid lower body hypothermic circulatory arrest.

How really safe is unilateral selective cerebral perfusion?

Selective cerebral perfusion with mild hypothermic lower body circulatory arrest is safe for aortic arch surgery.

Technical advances improved outcome in patients undergoing surgery of the ascending aorta and/or aortic arch: ten years experience.

Aortic arch surgery with a mild-to-moderate circulatory arrest: the significance of aortic arch pathology.

Selective cerebral perfusion with aortic cannulation and short-term hypothermic circulatory arrest in aortic arch reconstruction.

Integrated cerebral perfusion for hypothermic circulatory arrest during transverse aortic arch repairs.