Saccani S, Beghi C, Fragnito C, Barboso G, Fesani F
Cardiovascular Department, University of Parma, Italy.
J Cardiovasc Surg (Torino). 1992 May-Jun;33(3):311-4.
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 degrees 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.
本研究旨在评估低温体外循环对17例同期行颈动脉内膜切除术和心脏手术患者脑保护的疗效。采用全血液稀释进行心肺转流（CPB）。体温降至25摄氏度，并用心脏停搏液使心脏停跳。先进行颈动脉内膜切除术，然后进行心脏手术。未发生神经或心脏并发症。这些结果支持了低温心肺转流作为在同期心脏和颈动脉手术过程中提供脑保护方法的可靠性。
