Summary
Selective cerebral perfusion (SCP) has been employed since 1979. High mortality and cerebral complication rates were encountered during the initial period, but with modification of the perfusion condition, the development of a monitoring system, and more experience, these rates were markedly reduced. SCP is most frequently applied for surgery on aortic arch aneurysms, and a standard surgical approach to this lesion has been firmly established since 1986. Recently a more aggressive approach, the “extended application of SCP,” was introduced for the purpose of minimizing cerebral complications caused by intraoperative atheromatous embolization. With induction of this new technique in accordance with the present surgical procedure, the cerebral complication rate is now further reduced to the point of being acceptable.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Griep RB, Stinson EB, Hollingswor JF, et al (1975) Prosthetic replacement of the aortic arch. J Thorac Cardiovasc Surg 70:1051–1063
Kuwahara M, Nakajima N, Ando M, et al (1988) The study of cerebral circulation in selective cerebral perfusion method (in Japanese). Jpn J Thorac Surg 36:466–471
Kuwahara M, Yamamoto F, Nakajima N, et al (1998) An analysis of cerebral metabolism during selective cerebral perfusion continuous monitoring by SJV 02 (in Japanese). Jpn J Thorac Surg 36:1319–1325
Ando M, Adachi S, Nakajima N, et al (1991) Surgical technique and its problem on the surgery for aortic arch aneurysm (in Japanese). Jpn J Thorac Surg 39:706–708
Ueda U, Miki N, Kuwahara K, et al (1988) Surgical treatment of ascending aortic aneurysm and aortic dissection extending to aortic arch—open distal anatomosis and retrograde cerebral perfusion as adjunctive (in Japanese). Jpn J Thorac Surg 36:161
Katz MG, Khazin V, Cohen A, et al (1999) Distribution of cerebral flow using retrograde versus antegrade cerebral perfusion. Ann Thorac Surg 67:1065–1069
Higami T, Kosawa S, Nohara H, et al (1999) Retrograde cerebral perfusion versus selective celebrai perfusion as evaluated by cerebral oxygen saturation during aortic arch replacement. Ann Thorac Surg 67:1091–1096
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2001 Springer Japan
About this paper
Cite this paper
Nakajima, N. et al. (2001). Brain Protection with the Use of Antegrade Selective Cerebral Perfusion and Aortic Surgery. In: Kawada, S., Ueda, T., Shimizu, H. (eds) Cardio-aortic and Aortic Surgery. Keio University International Symposia for Life Sciences and Medicine, vol 7. Springer, Tokyo. https://doi.org/10.1007/978-4-431-65934-1_9
Download citation
DOI: https://doi.org/10.1007/978-4-431-65934-1_9
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-65936-5
Online ISBN: 978-4-431-65934-1
eBook Packages: Springer Book Archive