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在一名接受颈动脉内膜切除术的高危患者中,采用心肺支持进行临床诱导低温治疗。

Clinically induced hypothermia with cardiopulmonary support in a high-risk patient undergoing carotid endarterectomy.

作者信息

Hervik Kjersti, Næsheim Torvind Olav, Myrmel Truls, Dammann Thomas, Bahar Ramez

机构信息

Department of Cardiothoracic and Vascular Surgery, University Hospital of North Norway, Tromsø, Norway.

Department of Anaesthesia, University Hospital of North Norway, Tromsø, Norway.

出版信息

J Vasc Surg Cases Innov Tech. 2022 Mar 4;8(2):171-174. doi: 10.1016/j.jvscit.2022.02.002. eCollection 2022 Jun.

DOI:10.1016/j.jvscit.2022.02.002
PMID:35391997
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8980557/
Abstract

Contralateral carotid occlusion increases the risk of stroke by hypoperfusion in patients undergoing carotid surgery. We present the case of a high-risk patient with crescendo cerebral ischemic events, for whom clinically induced hypothermia controlled by cardiopulmonary bypass was applied as a protective measure during carotid endarterectomy.

摘要

对侧颈动脉闭塞会增加接受颈动脉手术患者因灌注不足而发生中风的风险。我们报告了一例有进行性脑缺血事件的高危患者的病例,在颈动脉内膜切除术期间,对其采用了由体外循环控制的临床诱导低温作为一种保护措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53ca/8980557/19dea59ef59b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53ca/8980557/1bc859b62c0f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53ca/8980557/60ae7ca5ef3a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53ca/8980557/19dea59ef59b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53ca/8980557/1bc859b62c0f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53ca/8980557/60ae7ca5ef3a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53ca/8980557/19dea59ef59b/gr3.jpg

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本文引用的文献

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Variations in the Circle of Willis in a large population sample using 3D TOF angiography: The Tromsø Study.利用 3D TOF 血管造影对大人群样本进行 Willis 环变异分析:特罗姆瑟研究。
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Early Outcomes in the ROADSTER 2 Study of Transcarotid Artery Revascularization in Patients With Significant Carotid Artery Disease.ROADSTER 2 研究:经颈动脉血运重建术治疗重度颈动脉疾病患者的早期结果。
Stroke. 2020 Sep;51(9):2620-2629. doi: 10.1161/STROKEAHA.120.030550. Epub 2020 Aug 19.
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Concomitant carotid endarterectomy and cardiac surgery does not decrease postoperative stroke rates.
同期颈动脉内膜切除术和心脏手术并不会降低术后脑卒中发生率。
J Vasc Surg. 2020 Aug;72(2):589-596.e3. doi: 10.1016/j.jvs.2019.10.072. Epub 2020 Feb 14.
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Effect of hypothermia in patients undergoing simultaneous carotid endarterectomy and coronary artery bypass graft surgery.低温对同期行颈动脉内膜切除术和冠状动脉搭桥手术患者的影响。
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Selective external endarterectomy in patients with ipsilateral symptomatic internal carotid artery occlusion.同侧症状性颈内动脉闭塞患者的选择性颈动脉内膜切除术。
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