Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
ISSN: 2155-6148
Paolo Nardi
Department of Operative Unit Cardiac Surgery, Tor Vergata University Hospital,
Viale Oxford 81, 00133 Rome
Italy
Research Article
Neurologic Dysfunction after Aortic Dissection Surgery: Different Cerebral Hypothermic Antegrade Perfusion Techniques
Author(s): Carlo Bassano, Paolo Nardi, Dionisio Ferdinando Colella, Emanuele Bovio, Marta Pugliese, Marco Russo, Paolo Prati, Alessandra Tartaglione, Roberto Scaini, Antonio Scafuri and Giovanni RuvoloCarlo Bassano, Paolo Nardi, Dionisio Ferdinando Colella, Emanuele Bovio, Marta Pugliese, Marco Russo, Paolo Prati, Alessandra Tartaglione, Roberto Scaini, Antonio Scafuri and Giovanni Ruvolo
Introduction: Neurologic dysfunction remains one of the most disabling complications of emergency aortic arch surgery. Many cerebral protection techniques are described, but their comparison has always been hampered by the wide spectrum of preoperative conditions, pathologic anatomies, complications, and surgical procedures. The aim of our study was to evaluate the incidence of early permanent neurologic injury and in-hospital mortality after emergency aortic arch surgery splitted by different antegrade cerebral perfusion techniques combined with hypothermic circulatory arrest (HCA).
Methods: Between January 2005 and December 2015, 249 patients underwent emergent surgery for acute, type A aortic dissection. Of these, 112 (45%) (Mean age 63.8 ± 12.8 years, 82 males) received cerebral protection through antegrade perfusion of the supra-aor.. View More»
DOI:
10.4172/2155-6148.1000813