The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 3 , Pages 530-535 , March 2010

Optimal flow rate for antegrade cerebral perfusion

  • Takashi Sasaki, MD

      Affiliations

    • Stanford University, Division of Pediatric Cardiac Surgery, Department of Cardiothoracic Surgery, Stanford, Calif
    • ,
  • Shoichi Tsuda, MD

      Affiliations

    • Stanford University, Division of Pediatric Cardiac Surgery, Department of Cardiothoracic Surgery, Stanford, Calif
    • ,
  • R. Kirk Riemer, PhD

      Affiliations

    • Stanford University, Division of Pediatric Cardiac Surgery, Department of Cardiothoracic Surgery, Stanford, Calif
    • ,
  • Chandra Ramamoorthy, MD

      Affiliations

    • Stanford University, Division of Pediatric Cardiac Surgery, Department of Anesthesiology, Stanford, Calif
    • ,
  • V. Mohan Reddy, MD

      Affiliations

    • Stanford University, Division of Pediatric Cardiac Surgery, Department of Cardiothoracic Surgery, Stanford, Calif
    • ,
  • Frank L. Hanley, MD

      Affiliations

    • Stanford University, Division of Pediatric Cardiac Surgery, Department of Cardiothoracic Surgery, Stanford, Calif
    • Corresponding Author InformationAddress for reprints: Frank L. Hanley, MD, Stanford University, Department of Cardiothoracic Surgery, 300 Pasteur Drive, Falk Rm CV116C, Stanford, CA 94305-5407.

Received 1 July 2009 ,Revised 24 November 2009 ,Accepted 7 December 2009.

References 

  1. Pigula FA, Nemoto EM, Griffith BP, Siewers RD. Regional low-flow perfusion provides cerebral circulatory support during neonatal aortic arch reconstruction. J Thorac Cardiovasc Surg. 2000;119:331–339
  2. Andropoulos DB, Stayer SA, McKenzie ED, Fraser CD. Novel cerebral physiologic monitoring to guide low-flow cerebral perfusion during neonatal aortic arch reconstruction. J Thorac Cardiovasc Surg. 2003;125:491–499
  3. Goldberg CS, Bove EL, Devaney EJ, Mollen E, Schwartz E, Tindall S, et al. A randomized clinical trial of regional cerebral perfusion versus deep hypothermic circulatory arrest: outcomes for infants with functional single ventricle. J Thorac Cardiovasc Surg. 2007;133:880–887
  4. Visconti KJ, Rimmer D, Gauvreau K, del Nido P, Mayer JE, Hagino I, et al. Regional low-flow perfusion versus circulatory arrest in neonates: one-year neurodevelopmental outcome. Ann Thorac Surg. 2006;82:2207–2213
  5. Rastan AJ, Walther T, Alam NA, Daehnert I, Borger MA, Mohr FW, et al. Moderate versus deep hypothermia for the arterial switch operation- experiences with 100 consecutive patients. Eur J Cardiothorac Surg. 2008;33:619–625
  6. Klaessens JH, Hopman JC, Liem KD, van Os SH, Thijssen JM. Effects of skin on bias and reproducibility of near-infrared spectroscopy measurement of cerebral oxygenation changes in porcine brain. J Biomed Opt. 2005;10:44003
  7. Heymann MA, Payne BD, Hoffman JI, Rudolph AM. Blood flow measurements with radionuclide-labeled particles. Prog Cardiovasc Dis. 1977;20:55–79
  8. Greeley WJ, Ungerleider RM, Smith LR, Reves JG. The effects of deep hypothermic cardiopulmonary bypass and total circulatory arrest on cerebral blood flow in infants and children. J Thorac Cardiovasc Surg. 1989;97:737–745
  9. Rudy LW, Heymann MA, Edmunds LH. Distribution of systemic blood flow during cardiopulmonary bypass. J Appl Physiol. 1973;34:194–200
  10. Hales JR. Radioactive microsphere measurement of cardiac output and regional tissue blood flow in the sheep. Pflugers Arch. 1973;344:119–132
  11. Chakravarti S, Srivastava S, Mittnacht AJ. Near infrared spectroscopy (NIRS) in children. Semin Cardiothorac Vasc Anesth. 2008;12:70–79
  12. Daubeney PE, Pilkington SN, Janke E, Charlton GA, Smith DC, Webber SA. Cerebral oxygenation measured by near-infrared spectroscopy: comparison with jugular bulb oximetry. Ann Thorac Surg. 1996;61:930–934
  13. DeCampli WM, Schears G, Myung R, Schults S, Creed J, Pastuszko A, et al. Tissue oxygen tension during regional low-flow perfusion in neonates. J Thorac Cardiovasc Surg. 2003;125:472–480

 Disclosures: None.

PII: S0022-5223(09)01599-2

doi: 10.1016/j.jtcvs.2009.12.005

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 3 , Pages 530-535 , March 2010

Article Tools

* Image Usage & Resolution