Document Detail


Fundus microvascular flow monitoring during retrograde cerebral perfusion: an experimental study.
MedLine Citation:
PMID:  11093473     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Retrograde cerebral perfusion (RCP) through the superior vena cava was clinically introduced as a supportive technique to protect the brain during deep hypothermic circulatory arrest. This study searched for a direct monitor of cerebral blood flow to evaluate the effect of cerebral perfusion. METHODS: Retinal microvascular perfusions were studied in six piglets using fundus fluorescein angiography (FFA) and color Doppler sonography before cardiopulmonary bypass and retrograde cerebral perfusion during deep hypothermic circulatory arrest. RESULTS: FFA showed initial filling of the fundus venae in 2.5 minutes, and complete filling in 4.5 minutes with partial filling of the arteriae. Arteriae completely filled in 8 minutes, and all of the arteriae and venae filled from 15 to 17 minutes. Color Doppler sonography showed that flow signals were detected in all of the fundus vessels during RCP. CONCLUSIONS: FFA and color Doppler sonography are direct and sensitive methods for observing cerebral blood flow and assessing the effect of cerebral perfusion.
Authors:
P Dong; Y Guan; J Yang; M He; C Wan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  70     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2000 Nov 
Date Detail:
Created Date:  2001-01-05     Completed Date:  2001-01-05     Revised Date:  2003-11-14    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1478-82     Citation Subset:  AIM; IM    
Affiliation:
Beijing Anzhen Hospital, Beijing Capital Medical University, Beijing Heart, Lung and Blood Vessel Medical Institute, People's Republic of China. qsww@public.east.cn.net
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MeSH Terms
Descriptor/Qualifier:
Animals
Cardiopulmonary Bypass
Cerebrovascular Circulation / physiology*
Fluorescein Angiography*
Fundus Oculi*
Hypothermia, Induced
Microcirculation / physiology*
Monitoring, Intraoperative / methods*
Perfusion / methods*
Swine
Ultrasonography, Doppler, Color*
Comments/Corrections
Comment In:
Ann Thorac Surg. 2001 Sep;72(3):978-9   [PMID:  11565711 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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