Shinpo H, Mizumoto T, Shimono T, Shikano K, Takeuchi Y, Tanaka K, Yada K, Yuasa H, Kusagawa M
Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine, Japan.
Kyobu Geka. 1993 Jul;46(8 Suppl):660-3.
We have developed the protocol for selective cerebral perfusion (SCP) and pharmacological cerebral protection, and used it successfully in cases of aortic arch aneurysm. The subjects of the present study were 34 patients (28 males, 6 females) whose aortic arch aneurysm were surgically treated. Preoperative brain CT and brain scintigram showed high incidence of brain ischemia. However only 4 patients experienced a neurological episode. We conclude that our SCP technique and pharmacological cerebral protection are useful component to surgery of the aortic arch.
我们已经制定了选择性脑灌注(SCP)和药物性脑保护方案,并成功应用于主动脉弓动脉瘤病例。本研究的对象为34例接受主动脉弓动脉瘤手术治疗的患者(男性28例,女性6例)。术前脑部CT和脑闪烁扫描显示脑缺血发生率较高。然而,只有4例患者出现神经功能障碍。我们得出结论,我们的SCP技术和药物性脑保护是主动脉弓手术的有用组成部分。