Cited 16 times in
Effects of intermittent lower body perfusion on end-organ function during repair of acute DeBakey type I aortic dissection under moderate hypothermic circulatory arrest
DC Field | Value | Language |
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dc.contributor.author | 송석원 | - |
dc.contributor.author | 유경종 | - |
dc.date.accessioned | 2014-12-18T08:38:12Z | - |
dc.date.available | 2014-12-18T08:38:12Z | - |
dc.date.issued | 2013 | - |
dc.identifier.issn | 1010-7940 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/86675 | - |
dc.description.abstract | OBJECTIVES: To avoid deep hypothermia-related side effects, moderate hypothermic circulatory arrest (HCA) is commonly employed during aortic arch repair, thereby jeopardizing end-organ protection. We sought to analyse the effect of intermittent lower body perfusion (ILBP) on end-organ function during repair of acute DeBakey type I aortic dissection (AIAD). METHODS: Between May 2008 and May 2011, 107 patients underwent surgical repair for AIAD. All operations were performed with selective cerebral perfusion (SCP) under either moderate HCA only (n = 57) or moderate HCA with ILBP (n = 50). Adverse outcomes, including operative mortality, permanent neurological deficit, temporary neurological deficit, renal failure requiring dialysis and hepatic dysfunction, were compared between the two groups. RESULTS: The mean body temperature at the initiation of SCP was 28.7 ± 1.9 °C. Overall operative mortality occurred in 6 (5.6%) patients. The incidences of permanent neurological deficit and temporary neurological deficit were 1.9 and 4.7%, respectively. None of the 9 (8.4%) patients who suffered postoperative renal failure requiring dialysis received ILBP. The laboratory data showed significantly lower levels of hepatic and kidney enzymes in the ILBP group (P < 0.05). CONCLUSIONS: Significantly lower levels of hepatic and kidney enzymes indicate more effective end-organ protection with the use of ILBP. Our data suggest that ILBP provides more effective end-organ protection during repair of aortic arch under moderate HCA. | - |
dc.description.statementOfResponsibility | open | - |
dc.relation.isPartOf | EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aneurysm, Dissecting/surgery* | - |
dc.subject.MESH | Aortic Aneurysm/surgery* | - |
dc.subject.MESH | Blood Vessel Prosthesis Implantation | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Heart Arrest, Induced/adverse effects | - |
dc.subject.MESH | Heart Arrest, Induced/methods* | - |
dc.subject.MESH | Hospital Mortality | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Hypothermia, Induced/adverse effects | - |
dc.subject.MESH | Hypothermia, Induced/methods* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Postoperative Complications/etiology | - |
dc.subject.MESH | Reperfusion/adverse effects | - |
dc.subject.MESH | Reperfusion/methods | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Effects of intermittent lower body perfusion on end-organ function during repair of acute DeBakey type I aortic dissection under moderate hypothermic circulatory arrest | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Thoracic & Cardiovascular Surgery (흉부외과학) | - |
dc.contributor.googleauthor | Suk-Won Song | - |
dc.contributor.googleauthor | Kyung-Jong Yoo | - |
dc.contributor.googleauthor | Yoo Rim Shin | - |
dc.contributor.googleauthor | Sun-Hee Lim | - |
dc.contributor.googleauthor | Bum-Koo Cho | - |
dc.identifier.doi | 10.1093/ejcts/ezt145 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A02028 | - |
dc.contributor.localId | A02453 | - |
dc.relation.journalcode | J00811 | - |
dc.identifier.eissn | 1873-734X | - |
dc.identifier.pmid | 23509233 | - |
dc.identifier.url | http://ejcts.oxfordjournals.org/content/44/6/1070.long | - |
dc.subject.keyword | Aortic dissection | - |
dc.subject.keyword | Circulatory arrest | - |
dc.contributor.alternativeName | Song, Suk Won | - |
dc.contributor.alternativeName | Yoo, Kyung Jong | - |
dc.contributor.affiliatedAuthor | Song, Suk Won | - |
dc.contributor.affiliatedAuthor | Yoo, Kyung Jong | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 44 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 1070 | - |
dc.citation.endPage | 1075 | - |
dc.identifier.bibliographicCitation | EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, Vol.44(6) : 1070-1075, 2013 | - |
dc.identifier.rimsid | 29136 | - |
dc.type.rims | ART | - |
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