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Deep Hypothermic Circulatory Arrest: Real-Life Suspended Animation
Progress in Cardiovascular Diseases, 2013Deep hypothermic circulatory arrest (DHCA) is a cerebral protection technique that was developed in the 1950s and popularized in the 1970s. It has become one of the three most common cerebral protection techniques currently used in aortic arch surgeries, with the other two being antegrade cerebral perfusion (ACP) and retrograde cerebral perfusion (RCP).
John Elefteriades, Bulat A Ziganshin
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Journal of Thoracic and Cardiovascular Surgery, 2006 OBJECTIVE: Neurodevelopmental impairments after repair of congenital heart disease with cardiopulmonary bypass and deep hypothermic circulatory arrest continue to affect the lives of children.
G Burkhard Mackensen +2 more
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Establishment of Deep Hypothermic Circulatory Arrest in Rats
Journal of Visualized Experiments, 2022Deep hypothermic circulatory arrest (DHCA) is routinely applied during surgeries for complex congenital heart disease and aortic arch disease. The present study aims to provide a method for establishing DHCA in rats. To evaluate the impact of the DHCA process on vital signs, a normal temperature cardiopulmonary bypass (CPB) rat model without ...
Weidong, Yan, Bingyang, Ji
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Aprotinin in deep hypothermic circulatory arrest
The Annals of Thoracic Surgery, 1999Early experience with aprotinin in deep hypothermic circulatory arrest (DHCA) raised alarm about hazards associated with its use. Based on what little is known about possible mechanistic interactions between hypothermia, stasis, and aprotinin, there is no evidence that aprotinin becomes unusually hazardous in DHCA.
C R, Smith, T B, Spanier
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Deep Hypothermic Circulatory Arrest: Alternative Strategies for Cerebral Perfusion. A Review Article
Perfusion (United Kingdom), 2011 Deep hypothermic circulatory arrest is an essential tool in the surgeon’s armamentarium. There are essentially three strategies to address cerebral ischemia during arrest periods.
Fraser Rubens
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Perioperative Management of Deep Hypothermic Circulatory Arrest
Journal of Cardiothoracic and Vascular Anesthesia, 2010thermic component significantly decreases brain metabolism and oxygen requirements and thus permits a longer period of interrupted blood perfusion to the brain. The cerebral metabolic rate is related exponentially to brain (core body) temperature, with the cerebral metabolic rate decreasing by about 50% for each 6°C drop in brain temperature.6 ...
Marina, Svyatets +4 more
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Impact of deep hypothermic circulatory arrest on the BIS index
Journal of Clinical Anesthesia, 2010To investigate the influence of duration of deep hypothermic circulatory arrest (DHCA) on recovery of the bispectral index (BIS).Prospective cohort study.Operating room of university teaching hospital.30 adult, ASA physical status III and IV patients scheduled for cardiac surgery with extracorporeal circulation (ECC) and DHCA.There were no study ...
Stephan, Ziegeler +4 more
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Deep hypothermic circulatory arrest for treatment of renal carcinoma
Journal of Clinical Anesthesia, 2009The case of a 67-year-old woman with multiple medical problems who presented for resection of a metastatic renal cell carcinoma involving the posterior fossa, is presented. Anesthetic management of the patient, who suffered metastasis to the brain, and who required deep hypothermic circulatory arrest, is discussed.
Reza, Gorji +3 more
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Successful use of deep hypothermic circulatory arrest in pregnancy
The Annals of Thoracic Surgery, 1994A woman pregnant for 21 weeks underwent an emergency operation because of an aortic arch aneurysm that had ruptured into her left lung. Cardiopulmonary bypass and deep hypothermia were used and she needed 37 minutes of circulatory arrest at a core temperature of 19 degrees C.
E, Buffolo +6 more
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Deep Hypothermic Circulatory Arrest in a Patient With Osteogenesis Imperfecta
Journal of Cardiothoracic and Vascular Anesthesia, 2007h STEOGENESIS IMPERFECTA (OI) is an inherited disease of the connective tissue.1-4 Because the incidence of I in the general population is low, the literature on manageent of patients undergoing cardiac surgery and particularly eep hypothermic circulatory arrest (DHCA) is scarce.
Andrej, Alfirevic, Steven, Insler
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