Document Detail


Perfusion pressure does not affect neurologic outcome in axillary artery side graft cannulation in type a aortic dissection.
MedLine Citation:
PMID:  16844628     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Antegrade selective cerebral perfusion (ASCP) through the right axillary is a safe and effective method for cerebral protection in aortic surgery. In the present study, we evaluated whether or not pressure control in ASCP affected the neurologic outcome. METHOD: Sixty-two patients (17 female, 45 male) with a mean age of 53.9 +/- 9.4 years (range, 23-74 years) with a diagnosis of Type A aortic dissection were operated on by using the right axillary artery side graft cannulation technique. ASCP with pressure control was used in the first 37 (59.6%) patients (group 1), whereas ASCP with flow control was used in the consecutive 25 patients (39.4%) (group 2). The groups were compared according to postoperative neurologic outcomes. RESULTS: The hospital mortality rate was 9.7% with 6 patients. The mean ASCP flows of group 1 was 663 +/- 76 mL/min and 692 +/- 51 mL/min in group 2. This difference was not statistically significant (P = .120). The neurological dysfunction rates were 2.7% in group 1 with 1 patient and 8% in group 2 with 2 patients (P = .560). CONCLUSION: In this study, we could not find a statistically significant difference in patients treated with ASCP through the right axillary applicated with pressure control versus flow control.
Authors:
Bilgin Emrecan; Levent Yilik; Engin Tulukoglu; Ali Gürbüz
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Publication Detail:
Type:  Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  The heart surgery forum     Volume:  9     ISSN:  1522-6662     ISO Abbreviation:  Heart Surg Forum     Publication Date:  2006  
Date Detail:
Created Date:  2006-07-17     Completed Date:  2006-12-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100891112     Medline TA:  Heart Surg Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E725-7     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Ataturk Training and Research Hospital, Izmir, Turkey. bilginemrecan@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aneurysm, Dissecting / complications,  surgery*
Aortic Aneurysm / complications,  surgery*
Axillary Artery / transplantation*
Catheterization
Female
Humans
Male
Middle Aged
Nervous System Diseases / diagnosis,  etiology*
Perfusion / adverse effects,  methods
Pressure
Treatment Outcome

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


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