| Perfusion pressure does not affect neurologic outcome in axillary artery side graft cannulation in type a aortic dissection. | |
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MedLine Citation:
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PMID: 16844628 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Bilgin Emrecan; Levent Yilik; Engin Tulukoglu; Ali Gürbüz |
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Publication Detail:
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Type: Controlled Clinical Trial; Journal Article |
Journal Detail:
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Title: The heart surgery forum Volume: 9 ISSN: 1522-6662 ISO Abbreviation: Heart Surg Forum Publication Date: 2006 |
Date Detail:
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Created Date: 2006-07-17 Completed Date: 2006-12-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100891112 Medline TA: Heart Surg Forum Country: United States |
Other Details:
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Languages: eng Pagination: E725-7 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Surgery, Ataturk Training and Research Hospital, Izmir, Turkey. bilginemrecan@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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