Técnica de perfusión selectiva cerebral vía subclavia para la corrección de patologías del arco aórtico / Selective cerebral perfusion technique by subclavian approach for correction of aortic arch pathology
Rev. colomb. cardiol
;
14(4): 232-237, jul.-ago. 2007. tab
Article
in Spanish
| LILACS
| ID: lil-469043
RESUMEN
Objetivo:
describir y evaluar la técnica de perfusión subclavia para protección cerebral selectiva con hipotermia moderada.Métodos:
estudio descriptivo de 19 pacientes, a quienes se les practicó corrección de disección o aneurisma del arco aórtico mediante la utilización de esta técnica...ABSTRACT
Objective:
describe and evaluate the subclavian perfusion technique for selective cerebral protection with moderate hypothermia.Methods:
descriptive study of 19 patients to whom correction of the dissection or aneurysm of the aortic arch through the utilization of this technique was practiced.Results:
between September 2002 and September 2005, 19 patients were operated. 68.4% were men with mean age 54.05 ± 13.53 years. 57.8% corresponded to aortic dissection type A; the remaining 42.2% had aneurysms in some portion of the aorta, with arch involvement. 73.7% had aortic valve insufficiency. 47.3% were in functional class I, 31.5% in class II and 21% in class III. 36.8% required coronary revascularization. Mean time of selective cerebral perfusion was 28.95 ± 8.73 minutes; systemic perfusion was 163.31 ± 32.15 minutes; aortic clamping was 135.36 ± 34.48 minutes and mean temperature was 27.66° ± 0.94°C. There were 3 deaths. No definitive neurological complications were found.Conclusions:
this technique may be standardized for elective or emergent surgeries. It is a simple reproducible technique that allows more prolonged periods of time for the reconstruction of the aortic arch without producing cerebral ischemia; the extracorporeal circulation times are shorter, there are few bleeding complications, there is a decrease of cerebral anterograde embolism, and an excellent neurological result.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Aorta, Thoracic
/
Perfusion
/
Catheterization
Language:
Spanish
Journal:
Rev. colomb. cardiol
Journal subject:
Cardiology
Year:
2007
Type:
Article
Affiliation country:
Colombia
Institution/Affiliation country:
Clínica Medellín/CO
/
Hospital Santa Sofía/CO
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