The Journal of Thoracic and Cardiovascular Surgery
Volume 133, Issue 4 , Pages 880-887.e1 , April 2007

A randomized clinical trial of regional cerebral perfusion versus deep hypothermic circulatory arrest: Outcomes for infants with functional single ventricle

Read at the Eighty-sixth Annual Meeting of The American Association for Thoracic Surgery, Philadelphia, Pa, April 29-May 3, 2006.

  • Caren S. Goldberg, MD

      Affiliations

    • Division of Pediatric Cardiology, University of Michigan, Ann Arbor, Mich
    • Corresponding Author InformationAddress for reprints: Caren S. Goldberg, MD, C.S. Mott Children’s Hospital, L1221 Women’s Box 0204, 1500 East Medical Center Dr, Ann Arbor, MI 48109-0204.
  • ,
  • Edward L. Bove, MD

      Affiliations

    • Section of Cardiac Surgery, University of Michigan, Ann Arbor, Mich
  • ,
  • Eric J. Devaney, MD

      Affiliations

    • Section of Cardiac Surgery, University of Michigan, Ann Arbor, Mich
  • ,
  • Eileen Mollen, PhD

      Affiliations

    • Division of Pediatric Psychology, University of Michigan, Ann Arbor, Mich
  • ,
  • Edward Schwartz, PhD

      Affiliations

    • Division of Pediatric Psychology, University of Michigan, Ann Arbor, Mich
  • ,
  • Shauna Tindall, PhD

      Affiliations

    • Division of Pediatric Psychology, University of Michigan, Ann Arbor, Mich
  • ,
  • Cheryl Nowak, RN

      Affiliations

    • Section of Cardiac Surgery, University of Michigan, Ann Arbor, Mich
  • ,
  • John Charpie, MD

      Affiliations

    • Division of Pediatric Cardiology, University of Michigan, Ann Arbor, Mich
  • ,
  • Morton B. Brown, PhD

      Affiliations

    • School of Public Health, Department of Biostatistics, University of Michigan, Ann Arbor, Mich.
  • ,
  • Tom J. Kulik, MD

      Affiliations

    • Division of Pediatric Cardiology, University of Michigan, Ann Arbor, Mich
  • ,
  • Richard G. Ohye, MD

      Affiliations

    • Section of Cardiac Surgery, University of Michigan, Ann Arbor, Mich

Received 20 June 2006 ,Revised 8 November 2006 ,Accepted 20 November 2006.

  • Image Result

    llustration of RCP. Arrows represent flow of blood from cardiopulmonary bypass circuit through polytetrafluoroethylene graft anastomosed to the innominate artery. RCP, regional cerebral perfusion.

    llustration of RCP. Arrows represent flow of blood from cardiopulmonary bypass circuit through polytetrafluoroethylene graft anastomosed to the innominate artery. RCP, regional cerebral perfusion.

  • Image Result

    Survival for the RCP and DHCA treatment groups at hospital discharge after Norwood operation, to second-stage operation, and to 1 year of age. RCP, retrograde cerebral perfusion; DHCA, deep hypothermi

    Survival for the RCP and DHCA treatment groups at hospital discharge after Norwood operation, to second-stage operation, and to 1 year of age. RCP, retrograde cerebral perfusion; DHCA, deep hypothermic circulatory arrest.

  • Image Result
    PDI and MDI scores are plotted on the y-axis compared with MDI scores on the x-axis at pre–second stage (A) and at 1 year (B). PDI, Psychomotor Development Index; MDI, Mental Development Index.

    PDI and MDI scores are plotted on the y-axis compared with MDI scores on the x-axis at pre–second stage (A) and at 1 year (B). PDI, Psychomotor Development Index; MDI, Mental Development Index.

  • Image Result
    Box plots demonstrate comparison of DHCA and RCP groups for PDI pre–second stage (A), MDI pre–second stage (B), PDI at 1 year (C), and MDI at 1 year (D). DHCA, deep hypothermic circulatory arrest; RCP

    Box plots demonstrate comparison of DHCA and RCP groups for PDI pre–second stage (A), MDI pre–second stage (B), PDI at 1 year (C), and MDI at 1 year (D). DHCA, deep hypothermic circulatory arrest; RCP, regional cerebral perfusion; PDI, Psychomotor Development Index; MDI, Mental Development Index.

 Funded by the Doris Duke Charitable Foundation, University of Michigan General Clinical Research Center.

PII: S0022-5223(06)02180-5

doi: 10.1016/j.jtcvs.2006.11.029

The Journal of Thoracic and Cardiovascular Surgery
Volume 133, Issue 4 , Pages 880-887.e1 , April 2007