The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 4 , Pages e80-e82 , April 2010

Transcranial Doppler ultrasonography: A reliable method of monitoring pulsatile flow during cardiopulmonary bypass in infants and young children

  • Ashley Rogerson, BS

      Affiliations

    • Pediatric Cardiac Research Laboratories, Department of Pediatrics, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Penn State Hershey Children's Hospital, Hershey, Pa
  • ,
  • Yulong Guan, MD

      Affiliations

    • Pediatric Cardiac Research Laboratories, Department of Pediatrics, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Penn State Hershey Children's Hospital, Hershey, Pa
  • ,
  • Stephen J. Kimatian, MD

      Affiliations

    • Pediatric Cardiac Research Laboratories, Department of Pediatric Anesthesiology, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Penn State Hershey Children's Hospital, Hershey, Pa
  • ,
  • Allen Kunselman, MA

      Affiliations

    • Pediatric Cardiac Research Laboratories, Department of Pediatrics, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Penn State Hershey Children's Hospital, Hershey, Pa
  • ,
  • J. Brian Clark, MD

      Affiliations

    • Pediatric Cardiac Research Laboratories, Department of Pediatrics, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Penn State Hershey Children's Hospital, Hershey, Pa
    • Pediatric Cardiac Research Laboratories, Department of Pediatric Anesthesiology, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Penn State Hershey Children's Hospital, Hershey, Pa
  • ,
  • John L. Myers, MD

      Affiliations

    • Pediatric Cardiac Research Laboratories, Department of Pediatrics, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Penn State Hershey Children's Hospital, Hershey, Pa
    • Pediatric Cardiac Research Laboratories, Department of Pediatric Anesthesiology, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Penn State Hershey Children's Hospital, Hershey, Pa
  • ,
  • Akif Ündar, PhD

      Affiliations

    • Pediatric Cardiac Research Laboratories, Department of Pediatrics, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Penn State Hershey Children's Hospital, Hershey, Pa
    • Pediatric Cardiac Research Laboratories, Department of Surgery, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Penn State Hershey Children's Hospital, Hershey, Pa
    • Pediatric Cardiac Research Laboratories, Department of Bioengineering, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Penn State Hershey Children's Hospital, Hershey, Pa
    • Corresponding Author InformationAddress for reprints: Akif Ündar, PhD, Associate Professor of Pediatrics, Surgery, and Bioengineering, Penn State College of Medicine, Department of Pediatrics—H085, 500 University Dr, PO Box 850, Hershey, PA 17033-0850.

Received 23 December 2008 ,Revised 9 February 2009 ,Accepted 16 February 2009.

References 

  1. Polito A, Zaccaria R, Di Chiara L, Giorni C, Iacoella C, Sanders SP, et al. Cerebral blood flow during cardiopulmonary bypass in pediatric cardiac surgery: the role of transcranial Doppler – a systemic review of the literature. Cardiovasc Ultrasound. 2006;4:47
  2. Alkan T, Akcevin A, Ündar A, Türkoğlu H, Paker T, Aytaç A. Benefits of pulsatile perfusion on vital organ recovery during and after pediatric open heart surgery. ASAIO J. 2007;53:651–654
  3. Ündar A. Pulsatile versus nonpulsatile cardiopulmonary bypass procedures in neonates and infants: from bench to clinical practice. [invited editorial] ASAIO J. 2005;51:vi–x
  4. Reference guide: WinTCD software version 3.3. Madison (WI): Nicolet Biomedical Inc; 2002;
  5. Ündar A, Eichstaedt HC, Masai T, Yang SQ, Bigley JE, McGarry MC, et al. Comparison of six pediatric cardiopulmonary bypass pumps during pulsatile and nonpulsatile perfusion. J Thorac Cardiovasc Surg. 2001;122:827–829

 Disclosures: None.

 This research was supported by the Children's Miracle Network.

PII: S0022-5223(09)00566-2

doi: 10.1016/j.jtcvs.2009.02.053

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 4 , Pages e80-e82 , April 2010