Clinical results of retrograde cerebral perfusion in treatment of aortic disease

Basit Öğe Kaydı
dc.contributor.authorCalkavur T.
dc.contributor.authorAtay Y.
dc.contributor.authorYagdi T.
dc.contributor.authorCikirikcioglu M.
dc.contributor.authorCan L.
dc.contributor.authorGurcun U.
dc.contributor.authorOgbaran M.
dc.contributor.authorBiilkay O.
dc.contributor.authorBuket S.
dc.date.accessioned2019-10-27T00:32:00Z
dc.date.available2019-10-27T00:32:00Z
dc.date.issued1998
dc.departmentEge Üniversitesien_US
dc.description.abstractBetween 1993 and 1998, 106 adults underwent ascending aorta or aortic arch operations using deep-hypothermic circulatory arrest and retrograde cerebral perfusion via the superior vena cava. Aortic lesions were acute type I dissection in 44 (41.5%), chronic type I dissection in 12 (11.3%), acute type II dissection in 6 (5.7%), chronic type H dissection in 9 (8.5%), ascending aorta or aortic arch aneurysms in 34 (32.1%), and an aneurysm of the sinus of Valsalva with aortic arch aneurysm in 1 (0.9%). The overall neurologic dysfunction rate was 6.6%. Early mortality was 18.8%. By multivariate analysis, circulatory arrest longer than 60 minutes and chronic renal failure were significant predictors of neurological dysfunction. Female gender, preoperative hemodynamic instability, circulatory arrest longer than 60 minutes, preoperative neurological dysfunction, and preoperative organ malperfusion were significant predictors of early mortality. We concluded that retrograde cerebral perfusion minimized neurological complications by preventing debris and air emboli and by providing adequate metabolic support in patients who needed circulatory arrest for surgical treatment of aortic pathology.en_US
dc.identifier.doi10.1177/021849239800600412
dc.identifier.endpage294en_US
dc.identifier.issn0218-4923
dc.identifier.issn0218-4923en_US
dc.identifier.issue4en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage288en_US
dc.identifier.urihttps://doi.org/10.1177/021849239800600412
dc.identifier.urihttps://hdl.handle.net/11454/23634
dc.identifier.volume6en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherAsia Publishing Exchange Pte Ltden_US
dc.relation.ispartofAsian Cardiovascular and Thoracic Annalsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleClinical results of retrograde cerebral perfusion in treatment of aortic diseaseen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

Scopus İndeksli Yayınlar Koleksiyonu