| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2022-02-07 |
| タイトル |
|
|
タイトル |
Functional brain isolation technique for stroke prevention in thoracic endovascular aortic repair |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
主題 |
thoracic endovascular aortic repair |
| キーワード |
|
|
主題 |
shaggy aorta |
| キーワード |
|
|
主題 |
stroke |
| キーワード |
|
|
主題 |
isolated cerebral perfusion |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 著者 |
Tsuda, Kazumasa
Washiyama, Naoki
Takahashi, Daisuke
Shiiya, Norihiko
|
| 書誌情報 |
European Journal of Cardio-Thoracic Surgery
巻 60,
号 2,
p. 420-422,
発行日 2021-08
|
| 出版者 |
|
|
出版者 |
Oxford University Press |
| 権利 |
|
|
権利情報 |
© The Author(s) 2021. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. |
| 権利 |
|
|
権利情報 |
This is a pre-copyedited, author-produced version of an article accepted for publication in "European Journal of Cardio-Thoracic Surgery" following peer review. The version of record [Kazumasa Tsuda, Naoki Washiyama, Daisuke Takahashi, Norihiko Shiiya, "Functional brain isolation technique for stroke prevention in thoracic endovascular aortic repair"; 60(2): p420-422] is available online at: https://academic.oup.com/ejcts/article-abstract/60/2/420/6130058, ”https://doi.org/10.1093/ejcts/ezab030". |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
To prevent embolic stroke during thoracic endovascular aortic repair, we have adopted the brain isolation technique since June 2014 in nine selected high risk patients (9/134: 6.7%) having ulcerated or protruding atheromas within the proximal aorta. Cardiopulmonary bypass was used to prevent aortic atheromas from entering the brain. We used a heparin-coated closed-loop cardiopulmonary bypass system incorporating a soft reservoir bag with 1 mg/kg heparin to minimize the disadvantages of extracorporeal circulation. The bypass graft (right axillary-left carotid-left axillary) was used as an arterial inflow in patients undergoing zone-1 landing (n=8), while peripheral cannulation into three brachiocephalic arteries was employed in the remaining patient. Initial pump flow was set at 1.3 L/min/m2, and native cardiac output was reduced by adjusting the reservoir bag volume. Aortography was performed to confirm non-visualization of the arch vessels before catheter manipulation. There was no mortality and one solitary left cerebellar infarction. |
| ISSN |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
1010-7940 |
| EISSN |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
1873-734X |
| PubMed番号 |
|
|
関連タイプ |
isVersionOf |
|
|
識別子タイプ |
PMID |
|
|
関連識別子 |
33550420 |
| 出版社DOI |
|
|
関連タイプ |
isVersionOf |
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
10.1093/ejcts/ezab030 |
| 著者版フラグ |
|
|
出版タイプ |
AM |
|
出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
EJCTS-60-420.pdf (1.0 MB)
