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Aortic Surgery and Deep-Hypothermic Circulatory Arrest

Seminars in Cardiothoracic and Vascular Anesthesia, 2014
Aortic arch surgery has become increasingly complex, and novel surgical approaches have been utilized. Efforts aimed at improving neurological outcomes in this patient population have been numerous, with varying degrees of success. This article summarizes the anesthetic considerations for procedures on the aortic arch, including evidence-based outcomes
Heather, Reed   +2 more
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Charles Drew and the Origins of Deep Hypothermic Circulatory Arrest

The Annals of Thoracic Surgery, 1997
Convinced that the high risk of operation using the early heart-lung machines was due to a toxic effect of the oxygenators in use in the 1950s, Charles Drew of Westminster Hospital in London devised a circulatory support system in which the patient's own lungs functioned as the oxygenator.
A R, Dobell, J S, Bailey
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Neurologic Sequelae Associated With Deep Hypothermic Circulatory Arrest

The Annals of Thoracic Surgery, 1998
Earlier studies of the incidence of neurologic disturbances after deep hypothermic circulatory arrest produced conflicting results. This article reviews the results of the Boston Circulatory Arrest Study, and another study undertaken to compare neurologic outcome in infants after deep hypothermic circulatory arrest using alpha-stat and pH-stat ...
openaire   +2 more sources

Deep Hypothermic Circulatory Arrest in a Patient With Cold-Induced Urticaria

The Annals of Thoracic Surgery, 2015
Acquired cold urticaria is a condition characterized by the onset of pruritic hives, swelling, and occasional severe systemic reactions, during the rewarming phase, after cold exposure. Pulmonary thromboendarterectomy (PTE) is a cardiac surgical procedure where organized thrombus is excised from the pulmonary vasculature in order to improve pulmonary ...
Michael G, Fitzsimons   +6 more
openaire   +2 more sources

Deep Hypothermic Circulatory Arrest With and Without Retrograde Cerebral Perfusion

International Anesthesiology Clinics, 1996
Our study indicated that RCP provided significant protection against both postoperative strokes and early death. However, in the subjects studied, the combined detrimental effects of postoperative stroke, COPD, cardiac complications, and procedures requiring composite valve replacement outweighed the protective benefit afforded by RCP in the prevention
S A, Raskin   +3 more
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Deep hypothermic circulatory arrest: Current status and indications

Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual, 2002
A number of groups have directed clinical and laboratory research efforts to define and delineate the limits of hypothermic circulatory arrest. The deleterious effects of cardiopulmonary bypass in small children are reviewed to place into historical perspective the impetus behind the development of hypothermic circulatory arrest.
openaire   +2 more sources

Deep Hypothermic Circulatory Arrest for a Patient With Known Cold Agglutinins

The Annals of Thoracic Surgery, 2009
We report a case study of a patient with renal cell carcinoma with tumor extension into the right atrium. This case was complicated by the diagnosis of cold agglutinins and the need for deep hypothermic circulatory arrest. A collaborative approach yielded a positive outcome.
Sharon A, Pecsi   +2 more
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Deep Hypothermic Circulatory Arrest Effectively Preserves Neurocognitive Function

The Annals of Thoracic Surgery, 2013
Few (conflicting) studies have quantitatively assessed neurocognitive effects of deep hypothermic circulatory arrest (DHCA). We assess neurocognitive function quantitatively before and after DHCA in comparison with non-DHCA patients.Sixty-two aortic surgical patients underwent a battery of neuropsychometric tests, both preoperative and postoperative ...
Katherine H, Chau   +3 more
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Aortic Valve Replacement Under Deep Hypothermic Circulatory Arrest

Journal of Cardiac Surgery, 2002
Aortic valve replacement (AVR) in the presence of a calcified aorta or patent grafts may preclude clamping of the ascending aorta. We employed deep hypothermic circulatory arrest in order to circumvent this problem.Between January 1993 and December 2000, 415 patients underwent AVR in our department.
Shuli, Silberman   +5 more
openaire   +2 more sources

Rhythmic electrographic discharges during deep hypothermic circulatory arrest

Clinical Neurophysiology, 2016
The main objective of this study is to examine the prevalence and timing of rhythmic electrographic discharges and periodic sharp transients during aortic arch repair surgeries using DHCA as detected by continuous intraoperative encephalogram (EEG) and correlate it with outcome.Electronic medical records and the intraoperative EEGs of 32 patients who ...
Anteneh M, Feyissa   +4 more
openaire   +2 more sources

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