弓部大動脈りゅうに対する脳分離体外循環におけるＣｏｏｌ　Ｈｅａｄ‐Ｗａｒｍ　Ｂｏｄｙ法の臨床的有用性の検討

• 堀 辰之

  大阪警察病院器材センター

• 榊原 哲夫

  大阪警察病院心臓血管外科

• 高野 弘志

  大阪警察病院心臓血管外科

• 大畑 俊裕

  大阪警察病院心臓血管外科

• 松若 良介

  八尾徳州会病院心臓血管外科

• 阪越 信夫

  河内総合病院心臓血管外科

• 篠原 宣幸

  大阪警察病院器材センター

書誌事項

タイトル別名

• Surgery for Aneurysm of the Proxymal Aorta Using Cool Head-Warm Body Perfusion.

抄録

Hypothermic cerebral perfusion is one of the commonly used methods for cerebral protection in aortic arch surgery. To reduce the adverse effects caused by hypothermia, we used a modified selective cerebral perfusion technique, called cool head-warm body perfusion, during the period from January 1990 to March 1999, for 61 patients with aneurysm of the ascending aorta or aortic arch who underwent aortic repair using selective cerebral perfusion. Three perfusion techniques were used, differentiated by body temperature: deep hypothermia (nasopharyngeal temperature of 20°c, n=14) (DH group), moderate hypothermia (nasopharyngeal temperature of 28°c, n=17) (MH group), cool head-warm body (nasopharyngeal temperature of 25°c and bladder temperature of 32°c, n=30) (CHWB group). The three groups were compared in terms of duration of cardiopulmonary bypass and operation, intraoperative blood loss, and operative outcome. Operation and rewarming time was significantly shorter in the CHWB group than in the other groups. Cardiopulmonary bypass time was significantly shorter in the CHWB group than in the DH group. Blood loss was significantly less in the CHWB group than in the DH group. Postoperative awakening time was significantly shorter in the CHWB group than in the other groups, and postoperative intubation time was significantly shorter in the CHWB group than in the DH group. Hospital mortality was 14% in the DH group, 12% in the MH group, and 7% in the CHWB group. Stroke occurred in one patient in each group (7% for DH, 6% for MH, 3% for CHWB). No difference was observed in the rate of hospital mortality or stroke. These data suggest that cool head-warm body perfusion in aortic surgery is a useful and safe technique.

収録刊行物

• 人工臓器

  人工臓器 29 (1), 80-84, 2000

  一般社団法人 日本人工臓器学会

キーワード

• selective cerebral perfusion
• cool head-warm body perfusion

詳細情報

• CRID: 1390001204957097984
• NII論文ID: 10006366808
• NII書誌ID: AN00120167
• DOI: 10.11392/jsao1972.29.80
• ISSN: 18836097
• ISSN: 03000818
• Web Site: https://search.jamas.or.jp/link/ui/2000179056
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可