Intermittent distal perfusion shortens hypothermic circulatory arrest time in aortic arch replacement surgery
Intermittent distal perfusion shortens hypothermic circulatory arrest time in aortic arch replacement surgery
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DOI：
10.1007/s11748-016-0690-8
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发表时间：
2017-04
影响因子：
1.2
通讯作者：
M. Goda;S. Suzuki;Naoto Yabu;Masami Goda;D. Machida;M. Masuda
中科院分区：
文献类型：
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作者：
M. Goda;S. Suzuki;Naoto Yabu;Masami Goda;D. Machida;M. Masuda
本文介绍了全牙弓置换术中低温停循环期间间断远端灌注的方法和疗效。在低温停循环期间，象鼻被固定在降主动脉内。然后，通过象鼻插入AP Grid导管，并以500 ml/min的流速进行5 min的血液灌注。灌注后，完成远端吻合。23例患者（组I）与21例患者没有程序（组II）的临床结果进行了比较。组I的持续低温停循环时间显著短于组II（32.7 vs. 72.7 min;p< 0.05），术后血清肌酐水平显著低于组II（1.29 vs. 1.68;p< 0.05）。腹部并发症的发生率在I组中也较少。间歇性远端灌注缩短了低温停循环时间，对包括肾脏在内的下半身具有保护作用。
The procedure and efficacy of the intermittent distal perfusion during hypothermic circulatory arrest in total arch replacement was described. During hypothermic circulatory arrest, elephant trunk was fixed inside the descending aorta. Then, the AP Grid Catheter was inserted through the elephant trunk, and blood perfusion at a flow rate of 500 ml/min for 5 min was installed. After the perfusion, distal anastomosis was completed. Clinical results of 23 patients (Group I) with this technique were compared with these of 21 patients without the procedure (Group II). Continuous hypothermic circulatory arrest time was significantly shorter (32.7 vs. 72.7 min;p< 0.05) and postoperative serum creatinine level was significantly lower (1.29 vs. 1.68;p< 0.05) in Group I than Group II. The incidence of abdominal complication was also fewer in Group I. Intermittent distal perfusion shortens hypothermic circulatory arrest time and is protective for the lower body including kidneys.