Can regional cerebral oxygen saturation monitoring during circulatory arrest time predict postoperative neurological dysfunction in patients undergoing surgical pulmonary thromboendarterectomy? Useful index for short‐ and long‐term outcomes

George Samanidis; Meletios Kanakis; Konstantinos Perreas

首页> 外文期刊>Journal of cardiac surgery. >Can regional cerebral oxygen saturation monitoring during circulatory arrest time predict postoperative neurological dysfunction in patients undergoing surgical pulmonary thromboendarterectomy? Useful index for short‐ and long‐term outcomes

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Can regional cerebral oxygen saturation monitoring during circulatory arrest time predict postoperative neurological dysfunction in patients undergoing surgical pulmonary thromboendarterectomy? Useful index for short‐ and long‐term outcomes

机译：Can regional cerebral oxygen saturation monitoring during circulatory arrest time predict postoperative neurological dysfunction in patients undergoing surgical pulmonary thromboendarterectomy? Useful index for short‐ and long‐term outcomes

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Abstract A hypothermic circulatory arrest is usually used to correct thoracic aorta pathologies. The emergency treatment of acute type A aortic dissection and elective repair of aortic arch pathologies are the most common indications for using hypothermic circulatory arrest. A hypothermic circulatory arrest can also be used for surgical pulmonary thromboendarterectomy in patients with chronic thromboembolic pulmonary hypertension. Intervals with total circulatory arrest offer a clear surgical field for thrombus and emboli removal from the pulmonary artery branches. The price to pay for intermittent circulatory arrest during pulmonary thromboendarterectomy is postoperative neurological dysfunction due to brain hypothermia and hypoperfusion. A noninvasive method for cerebral monitoring during cardiac surgery is real‐time regional cerebral oxygen saturation (rSO2). Liu et al. report that continuous monitoring of rSO2 during surgical pulmonary thromboendarterectomy may reduce the long cerebral hypoperfusion time and prevent postoperative neurological dysfunction.

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来源
《Journal of cardiac surgery.》 |2022年第8期|2386-2388|共3页
作者
George Samanidis; Meletios Kanakis; Konstantinos Perreas;
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作者单位

First Department of Adult Cardiac Surgery,Onassis Cardiac Surgery Center;

Department of Pediatric and Congenital Heart Surgery,Onassis Cardiac Surgery Center;

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原文格式 PDF
正文语种英语
中图分类心脏血管和淋巴系外科学;
关键词
cerebral oxygen saturation; hypothermic circulatory arrest; neurological injury; outcomes; pulmonary thromboendarterectomy;

Can regional cerebral oxygen saturation monitoring during circulatory arrest time predict postoperative neurological dysfunction in patients undergoing surgical pulmonary thromboendarterectomy? Useful index for short‐ and long‐term outcomes

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