| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2018-05-31 |
| タイトル |
|
|
タイトル |
弓部大動脈再建における脳保護の検討 |
| タイトル |
|
|
タイトル |
Strategy for cerebral protection during aortic arch replacement |
|
言語 |
en |
| 言語 |
|
|
言語 |
jpn |
| 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 |
| ID登録 |
|
|
ID登録 |
10.24517/00050829 |
|
ID登録タイプ |
JaLC |
| 著者 |
榊原, 直樹
浦山, 博
松永, 康弘
竹村, 博文
村上, 眞也
上山, 圭史
川筋, 道雄
渡辺, 洋宇
|
| 著者別表示 |
Sakakibara, Naoki
Urayama, Hiroshi
Matsunaga, Yasuhiro
Takemura, Hirofumi
Murakami, Shinya
Ueyama, K.
Kawasuji, Michio
Watanabe, Yoh
|
| 提供者所属 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
金沢大学医薬保健研究域医学系 |
| 書誌情報 |
胸部外科 = 日本心臓血管外科学会雑誌
en : The Japanese journal of thoracic surgery
巻 46,
号 8 Suppl,
p. 648-651,
発行日 1993-07
|
| ISSN |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0021-5252 |
| NCID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00062650 |
| 出版者 |
|
|
出版者 |
日本心臓血管外科学会 = The Japanese Society for Cardiovascular Surgery / 南江堂 |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
We analyzed cerebral protection of twenty-five patients, 11 of whom underwent ascending-arch aortic replacement and 14 underwent aortic arch replacement, supported with cardiopulmonary bypass. Twenty of patients underwent selective cerebral perfusion (SCP) with moderate hypothermic circulatory support; 12 of single SCP, 8 of double SCPs. Major arch branch reconstruction were performed with 11 patients; 3 of triple branches, 2 of double branches and 6 of single branch reconstruction. Cerebral impairment was found in 7 patients (25%) with SCP; 3 of them died of low output syndrome and major bleeding during perioperative period. Four of 17 patients, who survived more than one month, showed cerebral infarction in 2 patients and temporary neurological deficit in 2 patients. Our strategies for cerebral protection are (1) careful cerebral four vessels study, (2) SCP with perfusion pressure more than 40 mmHg and flow rate of 7-10 ml/kg/min under moderate hypothermia, (3) bilaterally double branches perfusion minimally for arch replacement, (4) intensive cerebral monitoring from multiple aspect, (5) pharmacological support with barbiturate or aprotinin, (6) gentle maneuver and reliable major branch cannulation to prevent debris embolism. |
| 権利 |
|
|
権利情報 |
Copyright © 日本心臓血管外科学会 The Japanese Society for Cardiovascular Surgery |
| 著者版フラグ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 関連URI |
|
|
|
識別子タイプ |
URI |
|
|
関連識別子 |
http://jscvs.umin.ac.jp/ |
|
|
関連名称 |
http://jscvs.umin.ac.jp/ |
ME-PR-SAKAKIBARA-N-648-651.pdf (181.6 kB)
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