Having an experimental finding that intermittent pressure augmented RCP (IPA-RCP) significantly reduced postoperative brain damage in a canine model, we utilize IPA-RCP in clinical settings. IPA-RCP requires intermittent augmentation of superior vena caval pressure up to 45 mmHg every thirty seconds, while conventional RCP (C-RCP) continuous pressure of 15 mmHg. We examined the impact of IPA-RCP on the outcome of aortic arch surgery. Methods Since January 1999, we have had seventy-seven operations of total arch replacement via midsternal incision, excluding cases of emergency, active infection or with any history of cer-ebrovascular events. We retrospectively compared 45 patients undergoing C-RCP from January 1999 to April 2002 with 36 patients undergoing IPA-RCP from May 2002 to December 2006. Univariable and multivariable analysis were performed to examine statistically about the incidence of neurological morbidity, that is, delayed awakening, stroke and postoperative delirium.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2009 Springer
About this paper
Cite this paper
Takamoto, S., Nawata, K., Morota, T., Kitahori, K., Kawata, M. (2009). Intermittent Pressure Augmented Retrograde Cerebral Perfusion. In: Kazui, T., Takamoto, S. (eds) Advances in Understanding Aortic Diseases. Springer, Tokyo. https://doi.org/10.1007/978-4-431-99237-0_19
Download citation
DOI: https://doi.org/10.1007/978-4-431-99237-0_19
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-99236-3
Online ISBN: 978-4-431-99237-0
eBook Packages: MedicineMedicine (R0)