| Neurocognitive functions after aortic arch repair with right brachial artery perfusion. | |
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MedLine Citation:
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PMID: 15276528 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Satisfactory neurologic outcome following aortic arch repair through right brachial artery perfusion is well established. However, how neurocognitive functions are affected following selective cerebral perfusion, still needs to be elucidated. METHODS: In a period between April 2002 and March 2003, 22 patients (19 male, 3 female, with a mean age of 46.8 +/- 12; range: 26 to 70 years old), underwent aortic arch repair using right brachial artery low flow (8 to 10 mL x kg(-1) x min(-1)) selective antegrade cerebral perfusion under moderate hypothermia (26 degrees C). There were 6 Stanford type-A dissections and 16 ascending aortic aneurysms. All patients were evaluated preoperatively and postoperatively (at seventh day and second month) for neurocognitive functions. RESULTS: There was no operative mortality. The average cardiopulmonary bypass time was 115.0 +/- 24.2 minutes and the average antegrade cerebral perfusion time was 29.8 +/- 7.1 minutes (19 to 38 minutes). No major neurologic deficit was observed in the postoperative period. In terms of neurocognitive test results, between the preoperative and postoperative assessments for both hemispheric cognitive functions no deterioration was detected. CONCLUSIONS: The low-flow selective antegrade cerebral perfusion technique through the right brachial artery may safely be used for the great majority of patients undergoing aortic arch repair without causing deteriorations in neurocognitive functions. |
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Authors:
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Mehmet Ali Ozatik; Seref A Küçüker; Hicran Tülüce; Ahmet Sartiaş; Erol Sener; Sirel Karakaş; Oğuz Taşdemir |
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Publication Detail:
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Type: Evaluation Studies; Journal Article; Review |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 78 ISSN: 1552-6259 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 2004 Aug |
Date Detail:
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Created Date: 2004-07-27 Completed Date: 2005-05-24 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: United States |
Other Details:
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Languages: eng Pagination: 591-5 Citation Subset: AIM; IM |
Affiliation:
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Cardiovascular Surgery Clinic, Ankara, Turkey. maozatik@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aneurysm, Dissecting / surgery* Aorta, Thoracic / surgery* Aortic Aneurysm, Thoracic / surgery* Brachial Artery* Brain Damage, Chronic / epidemiology, etiology, prevention & control* Cerebrovascular Circulation* Cognition Disorders / epidemiology, etiology, prevention & control* Female Hemorheology Humans Hypothermia, Induced Male Middle Aged Neuropsychological Tests Perfusion / methods* Postoperative Complications / epidemiology, etiology, prevention & control* Retrospective Studies Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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