| Japanese |
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| Title | 逆行性脳灌流を用いた胸部大動脈瘤及び大動脈解離に対する手術の麻酔管理及び周術期合併症についての検討 |
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| Subtitle | 原著 |
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| Authors | 舘田武志, 金古逸美, 黒澤定信, 戸田耕子, 宮里享子, 原康治, 青木正 |
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| Authors(kana) | |
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| Organization | 聖マリアンナ医科大学麻酔学教室 |
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| Journal | 循環制御 |
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| Volume | 18 |
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| Number | 2 |
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| Page | 185-189 |
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| Year/Month | 1997/ |
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| Article | 原著 |
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| Publisher | 日本循環制御医学会 |
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| Abstract | 「要旨」本研究では胸部大動脈手術患者の麻酔管理及び周術期合併症について, 超低体温循環停止下に逆行性脳灌流(RCP)を併用し手術を行った症例とRCPを併用しないで超低体温循環停止のみで手術を行った症例の比較検討を行った. RCPを併用した群(RCP併用群)では超低体温のみの群(DHCA単独群)に比べ大動脈遮断時間(RCP併用群 : 85±33分, DHCA単独群 : 70±47分), 循環停止時間(RCP併用群 : 34±11分, DHCA単独群 : 25±7分)は延長したが, 術後中枢神経合併症の発症頻度は両熊虫で有意差は認められなかった(RCP併用群 : 3例, DHCA単独群 : 5例). しかし, RCP併用群では症状は軽症が多く, 脳循環に有利であると推察された. さらに胸部大動脈瘤及び大動脈解離では高血圧を合併している事が多く, これらの患者での逆行性脳循環に対する検討が必要と思われた. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | Retrograde cerebral perfusion, Deep hypothermic circulatory arrest, Perioperative complication |
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| English |
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| Title | Anesthetic Management and Perioperative Complication in Thoracic Aortic Surgery using Continuous Retrograde Cerebral Perfusion. |
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| Subtitle | |
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| Authors | Takeshi Tateda, Itsumi Kaneko, Sadanobu Kurosawa, Koko Toda, Kyoko Miyazato, Koji Hara, Tadashi Aoki |
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| Authors(kana) | |
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| Organization | Department of Anesthesiology, St. Marianna University School of Medicine |
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| Journal | Circulation Control |
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| Volume | 18 |
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| Number | 2 |
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| Page | 185-189 |
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| Year/Month | 1997/ |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | Continuous retrograde cerebral perfusion (RCP) with deep hypothermic circulatory arrest (DHCA) has been used for operative procedure in thoracic aortic aneurysm and aortic dissection involving the aortic arch. However, the cerebral protective effects of RCP remain controversial. The purpose of this retrospective study was to compare the usefulness of RCP with DHCA and DHCA alone in 41 thoracic aortic surgery involving the aortic arch. The respective durations of aortic cross clamping and circulatory arrest were 85±33 min. 34±11 min in RCP with DHCA and 70±47 min, 25±7 min in DHCA alone. The duration of circulatory arrest was significantly longer in RCP with DHCA than in DHCA alone. However. there were no significant differences on duration of aortic cross clamping and incidence of postoperative neurological complications between RCP with DHCA and DHCA alone. We conclude that RCP with DHCA is more advantageous than DHCA alone on cerebral protection during thoracic aortic surgery involving the aortic arch. |
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| Practice | Basic medicine |
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| Keywords | Retrograde cerebral perfusion, Deep hypothermic circulatory arrest, Perioperative complication |
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