Advertisement

Transkranielles Doppler-Monitoring während kardiopulmonalem Bypass: Ein Vergleich pulsatiler und nichtpulsatiler Perfusionsverfahren

  • M. Kaps
  • A. Haase
  • W. A. Stertmann
  • J. Mulch
  • D. Kling

Zusammenfassung

Vor- und Nachteile pulsatiler und nichtpulsatiler Perfusionsverfahren der extrakorporalen Perfusion sind seit Jahren Gegenstand kontroverser Diskussionen (Philbin et al. 1982; Mavroudis 1978). Die als unphysiologisch erachtete nichtpulsatile Strömung soll den Strömungswiderstand erhöhen, den kapillären Blutfluß stören, Herzund Nierenfunktion beeinträchtigen sowie weitere homöostatische und endokrine Nebeneffekte haben (Übersicht s. Edmunds 1982).

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Aaslid R, Markwalder TM, Nornes H (1982) Noninvasive transcranial Doppier ultrasound recording of flow velocity in basal cerebral arteries. J Neurosurg 51: 769–774.Google Scholar
  2. Edmunds LH (1982) Pulseless cardiopulmonary bypass. J Thorac Cardiovasc Surg 84: 800–804.PubMedGoogle Scholar
  3. Furlan AJ, Breuer AC (1984) Central nervous system complications of open heart surgery. Stroke 15: 912–915.PubMedCrossRefGoogle Scholar
  4. Harders A, Gilsbach J (1984) Transkranielle Doppler-Sonographie in der Neurochirurgie. Ultraschall 5: 237–245.CrossRefGoogle Scholar
  5. Mavroudis C (1978) To pulse or not to pulse. Ann Thorac Surg 25: 259–271.PubMedCrossRefGoogle Scholar
  6. Pedley TA, Emerson RG (1984) Neurological complications of cardiac surgery. In: Matthews WB, Blaser GH (eds) Recent advantages in clinical neurology. Churchill Livingstone, Edinburgh London Melbourne New York, pp 159–178.Google Scholar
  7. Philbin DM, Hickey PR, Buckley MJ (1982) Should we pulse? J Thorac Cardiovasc Surg 84: 805–806.PubMedGoogle Scholar
  8. Ringelstein EB, Zeumer H, Korbmacher G, Wulfinghoff F (1985) Transcranielle Dopplersonographie der him versorgenden Arterien: Atraumatische Diagnostik von Stenosen und Verschlüssen des Carotisphons und der A. cerebri media. Nervenarzt 56: 296–306.PubMedGoogle Scholar
  9. Taylor KM (1982) Effect of pulsatile flow and arterial line filtration on cerebral cellular damage during open-heart surgery. In: Becker R, Katz J, Polonius MJ, Speidel H (eds) Psychopathological and neurological dysfunctions following open-heart-surgery. Springer, Berlin Heidelberg New York, pp 362–370.Google Scholar
  10. Baker WH, Littooy FN, Hayes AC (1984) Carotid endarterectomy without a shunt: The control series. J Vasc Surg 1: 50.PubMedGoogle Scholar
  11. Barnes RW, Liebman PR, Marszalek PB, Kirk CL, Goldman MH (1981) The natural history of asymptomatic carotid disease in patients undergoing cardiovascular surgery. Surgery 90: 1075–1083.PubMedGoogle Scholar
  12. Crowell RM, Marcoux FW, DeGirolami U (1981) Variability and reversibility of focal cerebral ischemia in unanesthetized monkeys. Neurology 31: 1295–3102.PubMedGoogle Scholar
  13. DeGirolami U, Crowell RM, Marcoux FW (1984) Selective necrosis and total necrosis in focal cerebral ischemia. Neuropathologic observations on experimental middle cerebral artery occlusion in the macaque monkey. J Neuropathol Exp Neurol 43: 57–71.PubMedCrossRefGoogle Scholar
  14. Furlan AJ, Breuer AC (1984) Central nervous system complications of open heart surgery. Stroke 15: 912–915.PubMedCrossRefGoogle Scholar
  15. Hafner CD (1984) Minimizing the risk of carotid endarterectomy. J Vasc Surg 1: 392.PubMedGoogle Scholar
  16. Hart R, Hindham B (1982) Mechanisms of perioperative cerebral infarction. Stroke 13: 766–772.PubMedCrossRefGoogle Scholar
  17. Henriksen L, Hjelms E, Lindeburgh T (1983) Brain hyperperfusion during cardiac operations. J Thorac Cardiovasc Surg 86: 202–208.PubMedGoogle Scholar
  18. Javid H (1983) Intraluminal shunting during carotid endarterectomy. In: Bergan JJ, Yao JST (eds) Cerebrovascular insufficiency. Grune &am; Stratton, New York, p 309.Google Scholar
  19. Lundar T, Lindegaard KF, Frosaker T, Aaslid R, Wiberg J, Nornes H (1985) Cerebral perfusion during nonpulsatile cardiopulmonary bypass. Ann Thorac Surg 40: 144–150.PubMedCrossRefGoogle Scholar
  20. Sundt TM, Sharbrough FW, Piepgras DG (1983) The significance of cerebral blood flow measurements during carotid endarterectomy. In: Bergan JJ, Yao JST (eds) Cerebrovascular insufficiency. Grune &am; Stratton, New York.Google Scholar
  21. Thompson JE (1983) Carotid endarterectomy, 1982 — the state of the art. Br J Surg 70: 371.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1987

Authors and Affiliations

  • M. Kaps
  • A. Haase
  • W. A. Stertmann
  • J. Mulch
  • D. Kling

There are no affiliations available

Personalised recommendations