このエントリーをはてなブックマークに追加
ID 37939
file
creator
Nomimura, Takayuki
Kagawa, Tetsuya
Morita, Satoru
Hayashi, Saiho
Orihashi, Kazumasa
Shikata, Hiroo
Ryuu, Gou
Hamanaka, Yoshiharu
Matsuura, Yuichiro
Kawaue, Yasushi
Kanehiro, Keiichi
Ishihara, Hiroshi
subject
Ascending and arch aortic aneurysm
Selective cerebral perfusion
Retrograde cerebral perfusion
NDC
Medical sciences
abstract
During the past 5 years, 30 cases of thoracic aortic aneurysm were treated. Selective cerebral perfusion (SCP) and retrograde cerebral perfusion (RCP) were conducted for cerebral protection during aortic cross clamping. SCP was carried out in 5 cases of dissecting aneurysm (all Stanford type A, including a case of AAE) and 3 cases of arch aneurysm. RCP was conducted in 5 cases of dissecting aneurysm (4 Stanford type A; 1 Stanford type B with retrograde dissection) and 2 cases of aortic arch aneurysm. The mean cerebral perfusion time of SCP exceeded that of RCP (89 ± 26 min in SCP versus 61 ± 33 min in RCP p < 0.05). The hospital mortality rate was 38 % (SCP) and 29% (RCP). Neurological complications were prolonged unconsciousness (1/8 in SCP, 1/7 in RCP) and transient paralysis (0/8 in SCP, 1/7 in RCP). Although the mechanism for the cerebral protective effect of RCP is unknown, this perfusion method is easy and safe, requiring little time for ascending and/or arch aortic reconstruction.
journal title
Hiroshima Journal of Medical Sciences
volume
Volume 41
issue
Issue 2
start page
31
end page
35
date of issued
1992-06
publisher
Hiroshima University Medical Press
issn
0018-2052
ncid
pubmed id
language
eng
nii type
Departmental Bulletin Paper
HU type
Departmental Bulletin Papers
DCMI type
text
format
application/pdf
text version
publisher
department
Graduate School of Biomedical Science
他の一覧