This study was undertaken to evaluate the efficacy of hypothermic extracorporeal circulation for cerebral protection in 17 patients having simultaneous carotid endarterectomy and cardiac operations. The cardiopulmonary by-pass (CPB) was conducted using total hemodilution. The body temperature was cooled to 25°C and the heart was arrested with cardioplegic solution. The carotid endarterectomy was performed first followed by the cardiac operation. No neurological or cardiac complications occurred. These results support the reliability of hypothermic cardiopulmonary bypass as a method of providing cerebral protection during simultaneous cardiac and carotid surgical procedures.
|Data di pubblicazione:||1992|
|Titolo:||Carotid endarterectomy under hypothermic extracorporeal circulation: A method of brain protection for special patients|
|Rivista:||JOURNAL OF CARDIOVASCULAR SURGERY|
|Codice identificativo ISI:||WOS:A1992HY11200011|
|Codice identificativo Scopus:||2-s2.0-0026681721|
|Parole Chiave:||adult; aged; article; brain protection; cardiopulmonary bypass; carotid artery disease; carotid endarterectomy; clinical article; extracorporeal circulation; female; human; hypothermia; male|
|Appare nelle tipologie:||Articolo su Rivista|