The Journal of Thoracic and Cardiovascular Surgery
Volume 141, Issue 3 , Pages 815-821 , March 2011

Noninvasive cerebral oxygenation may predict outcome in patients undergoing aortic arch surgery

  • Gregory W. Fischer, MD

      Affiliations

    • Department of Anesthesiology, Mount Sinai School of Medicine, Mount Sinai Medical Center, New York, NY
    • Department of Cardiothoracic Surgery, Mount Sinai School of Medicine, Mount Sinai Medical Center, New York, NY
    • Corresponding Author InformationAddress for reprints: Gregory W. Fischer, MD, Department of Anesthesiology & Cardiothoracic Surgery, One Gustave L. Levy Place, Box 1010, Mount Sinai Medical Center, New York, NY 10029.
    • ,
  • Hung-Mo Lin, PhD

      Affiliations

    • Department of Anesthesiology, Mount Sinai School of Medicine, Mount Sinai Medical Center, New York, NY
    • ,
  • Marina Krol, PhD

      Affiliations

    • Department of Anesthesiology, Mount Sinai School of Medicine, Mount Sinai Medical Center, New York, NY
    • ,
  • Maria F. Galati, MBA

      Affiliations

    • Department of Anesthesiology, Mount Sinai School of Medicine, Mount Sinai Medical Center, New York, NY
    • ,
  • Gabriele Di Luozzo, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Mount Sinai School of Medicine, Mount Sinai Medical Center, New York, NY
    • ,
  • Randall B. Griepp, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Mount Sinai School of Medicine, Mount Sinai Medical Center, New York, NY
    • ,
  • David L. Reich, MD

      Affiliations

    • Department of Anesthesiology, Mount Sinai School of Medicine, Mount Sinai Medical Center, New York, NY

Received 1 December 2009 ,Revised 5 May 2010 ,Accepted 16 May 2010.

References 

  1. Gega A, Rizzo JA, Johnson MH, Tranquilli M, Farkas EA, Elefteriades JA. Straight deep hypothermic arrest: experience in 394 patients supports its effectiveness as a sole means of brain preservation. Ann Thorac Surg. 2007;84:759–766
  2. Reich DL, Uysal S, Sliwinski M, Ergin MA, Kahn RA, Konstadt SN, et al. Neuropsychologic outcome after deep hypothermic circulatory arrest in adults. J Thorac Cardiovasc Surg. 1999;117:156–163
  3. Murkin JM, Adams SJ, Novick RJ, Quantz M, Bainbridge D, Iglesias I, et al. Monitoring brain oxygen saturation during coronary bypass surgery: a randomized, prospective study. Anesth Analg. 2007;104:51–58
  4. CAS Medical Systems. CASMED Web site. Available at: http://www.casmed.com. Accessed September 1, 2009.
  5. Royston D. High-dose aprotinin therapy: a review of the first five years' experience. J Cardiothorac Vasc Anesth. 1992;6:76–100
  6. Strauch JT, Spielvogel D, Lauten A, Lansman SL, McMurtry K, Bodian CA, et al. Axillary artery cannulation: routine use in ascending aorta and aortic arch replacement. Ann Thorac Surg. 2004;78:103–108
  7. Spielvogel D, Etz CD, Silovitz D, Lansman SL, Griepp RB. Aortic arch replacement with a trifurcated graft. Ann Thorac Surg. 2007;83:791–795
  8. Etz CD, Homann TM, Rane N, Bodian CA, Di Luozzo G, Plestis KA, et al. Aortic root reconstruction with a bioprosthetic valved conduit: a consecutive series of 275 procedures. J Thorac Cardiovasc Surg. 2007;133:1455–1463
  9. Slater JP, Guarino T, Stack J, Vinod K, Bustami RT, Brown JM, et al. Cerebral oxygen desaturation predicts cognitive decline and longer hospital stay after cardiac surgery. Ann Thorac Surg. 2009;87:36–44
  10. Casati A, Fanelli G, Pietropaoli P, Proietti R, Tufano R, Danelli G, et al. Continuous monitoring of cerebral oxygen saturation in elderly patients undergoing major abdominal surgery minimizes brain exposure to potential hypoxia. Anesth Analg. 2005;101:740–747
  11. Maganti M, Rao V, Armstrong S, Feindel CM, Scully HE, David TE. Redo valvular surgery in elderly patients. Ann Thorac Surg. 2009;87:521–525
  12. Chukwuemeka A, Borger MA, Ivanov J, Armstrong S, Feindel CM, David TE. Valve surgery in octogenarians: a safe option with good medium-term results. J Heart Valve Dis. 2006;15:191–196
  13. Loran DB, Hyde BR, Zwischenberger JB. Perioperative management of special populations: the geriatric patient. Surg Clin North Am. 2005;85:1259–1266

 Supported by National Institutes of Health grant NS045488.

 Disclosures: Authors have nothing to disclose with regard to commercial support.

PII: S0022-5223(10)00485-X

doi: 10.1016/j.jtcvs.2010.05.017

The Journal of Thoracic and Cardiovascular Surgery
Volume 141, Issue 3 , Pages 815-821 , March 2011

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