Clinical application of intermittent pressure-augmented retrograde cerebral perfusion.
Brain protection is important during aortic arch surgery, especially in patients with cerebral ischemia. We clinically applied the effectiveness of a novel protocol of retrograde cerebral perfusion with intermittent pressure augmentation for brain protection in a canine model, as described in a previous report. Although, in our patient the brachiocephalic artery and left subclavian artery were occluded as a result of aortitis, there was a history of right cerebral infarction, recovery of consciousness, and no neurologic sequelae. Near-infrared oximetry showed recovery of intracranial blood oxygen saturation every time the pressure was augmented.
Kubota
Hiroshi
H
Department of Cardiovascular Surgery, Kyorin University, Tokyo, Japan. kub@ks.kyorin-u.ac.jp
Takamoto
Shinichi
S
Yoshino
Hideaki
H
Kitahori
Kazuhiko
K
Kawata
Mitsuhiro
M
Tonari
Kunihiko
K
Endo
Hidehito
H
Tsuchiya
Hiroshi
H
Inaba
Yusuke
Y
Takahashi
Yu
Y
Sudo
Kenichi
K
D000328:Adult; D001013:Aorta, Thoracic / Q000601:surgery*; D001921:Brain / Q000098:blood supply*; D002545:Brain Ischemia / Q000517:prevention & control*; D013504:Cardiovascular Surgical Procedures; D005260:Female; D006801:Humans; D010092:Oximetry; D010477:Perfusion / Q000379:methods*; D019265:Spectroscopy, Near-Infrared; D013625:Takayasu Arteritis / Q000601:surgery*