Document Detail

Tepid hypothermic (32 {degrees}C) circulatory arrest for total aortic arch replacement: a paradigm shift from profound hypothermic surgery.
MedLine Citation:
PMID:  21429869     Owner:  NLM     Status:  Publisher    
In total aortic arch replacement (TARCH) using hypothermic circulatory arrest (HCA) and selective cerebral perfusion (SCP), postoperative cerebral complications, including metabolic abnormalities, are by no means rare. Furthermore, there is a lack of international guidelines for the optimal perfusion temperature and flow for SCP and so on. Starting in 2008, TARCH was performed using tepid HCA at 32 °C. In the present study, 27 patients (group C) who underwent TARCH with deep hypothermia at the lowest rectal temperatures of 20-25 °C were retrospectively reviewed and compared with 23 patients (group W) who underwent TARCH with 32 °C tepid hypothermia. Preoperative patient characteristics and intraoperative and postoperative parameters were compared. Preoperative patient characteristics did not differ significantly between the two groups. Circulatory arrest time, cardiopulmonary bypass time, operating time, amount of blood transfused and postoperative neurological complications were significantly reduced in group W compared with group C. Our procedure of TARCH using tepid hypothermia at 32 °C was safe, and it significantly reduced all parameters of extracorporeal circulation time. However, this study has several limitations. To indicate the safety and usefulness of tepid HCA for TARCH, a further multifaceted study should be performed with a greater number of patients. Keywords: Thoracic aortic aneurysm; Open surgery; Hypothermic cardiac arrest.
Go Watanabe; Hiroshi Ohtake; Shigeyuki Tomita; Shohjiro Yamaguchi; Keiichi Kimura; Noriyoshi Yashiki
Related Documents :
21346689 - The effect of auricular acupuncture on fentanyl requirement during hip arthroplasty: a ...
20231649 - Effects of nasal continuous positive airway pressure and cannula use in the neonatal in...
21354829 - Long term outcome in patients not initially seizure free after resective epilepsy surgery.
21085929 - Clinical and radiographic outcomes of minimally invasive total knee arthroplasty throug...
21275529 - Tunica albuginea reefing: a novel technique for the treatment of erectile dysfunction.
21279949 - Treatment of long-term catheter-related bloodstream infections with a taurolidine block...
17199649 - Lactic acid chemical peels as a new therapeutic modality in melasma in comparison to je...
24406579 - Patient-specific implants compared with stored bone grafts for patients with interval c...
2709649 - Extracorporeal shock wave lithotripsy: a study of renal stone differences.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-22
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  -     ISSN:  1569-9285     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Department of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Pulmonary valve replacement with mechanical prostheses in re-do Fallot patients.
Next Document:  Rescue extracorporeal membrane oxygenation in children with refractory cardiac arrest.