Comparative Study of Cerebral Protection during Surgery of Thoracic Aortic Aneurysm

• Sueda, Taijiro

• Nomimura, Takayuki

• Kagawa, Tetsuya

• Morita, Satoru

• Hayashi, Saiho

• Orihashi, Kazumasa

• Shikata, Hiroo

• Ryuu, Gou

• Hamanaka, Yoshiharu

• Matsuura, Yuichiro

• Kawaue, Yasushi

• Kanehiro, Keiichi

• Ishihara, Hiroshi

抄録

During the past 5 years, 30 cases of thoracic aortic aneurysm were treated. Selective cerebral perfusion (SCP) and retrograde cerebral perfusion (RCP) were conducted for cerebral protection during aortic cross clamping. SCP was carried out in 5 cases of dissecting aneurysm (all Stanford type A, including a case of AAE) and 3 cases of arch aneurysm. RCP was conducted in 5 cases of dissecting aneurysm (4 Stanford type A; 1 Stanford type B with retrograde dissection) and 2 cases of aortic arch aneurysm. The mean cerebral perfusion time of SCP exceeded that of RCP (89 ± 26 min in SCP versus 61 ± 33 min in RCP p < 0.05). The hospital mortality rate was 38 % (SCP) and 29% (RCP). Neurological complications were prolonged unconsciousness (1/8 in SCP, 1/7 in RCP) and transient paralysis (0/8 in SCP, 1/7 in RCP). Although the mechanism for the cerebral protective effect of RCP is unknown, this perfusion method is easy and safe, requiring little time for ascending and/or arch aortic reconstruction.

収録刊行物

• Hiroshima Journal of Medical Sciences

  Hiroshima Journal of Medical Sciences 41 (2), 31-35, 1992-06

  Hiroshima University Medical Press

キーワード

• Ascending and arch aortic aneurysm
• Selective cerebral perfusion
• Retrograde cerebral perfusion

詳細情報

• CRID: 1050296265985371008
• NII論文ID: 120005625716
• NII書誌ID: AA00664312
• Web Site: http://ir.lib.hiroshima-u.ac.jp/00037939
• 本文言語コード: en
• 資料種別: departmental bulletin paper
• データソース種別:
  • IRDB
  • CiNii Articles