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ID 37939
本文ファイル
著者
Nomimura, Takayuki
Kagawa, Tetsuya
Morita, Satoru
Hayashi, Saiho
Orihashi, Kazumasa
Shikata, Hiroo
Ryuu, Gou
Hamanaka, Yoshiharu
Matsuura, Yuichiro
Kawaue, Yasushi
Kanehiro, Keiichi
Ishihara, Hiroshi
キーワード
Ascending and arch aortic aneurysm
Selective cerebral perfusion
Retrograde cerebral perfusion
NDC
医学
抄録(英)
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.
掲載誌名
Hiroshima Journal of Medical Sciences
41巻
2号
開始ページ
31
終了ページ
35
出版年月日
1992-06
出版者
Hiroshima University Medical Press
ISSN
0018-2052
NCID
PubMedID
言語
英語
NII資源タイプ
紀要論文
広大資料タイプ
学内刊行物(紀要等)
DCMIタイプ
text
フォーマット
application/pdf
著者版フラグ
publisher
部局名
医歯薬学総合研究科
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