Malperfusion During Hypothermic Antegrade Cerebral Perfusion: Cerebral Perfusion Index —An Early Indicator Compared to Cerebral Oximetry

HYPOTHERMIC CIRCULATORY arrest combined with selective cerebral perfusion commonly is employed to permit surgical repair of the ascending and transverse aorta. A variety of perfusion techniques are employed, including retrograde cerebral perfusion via the superior vena cava (SVC), unilateral antegrade cerebral perfusion (ACP) via the innominate or right subclavian arteries, or perfusion with selective cannulation of both carotid arteries.1 The degree of hypothermia also varies markedly, from deep hypothermic levels (14-18 °C) to more modest levels (26-28°C).

Source: Journal of Cardiothoracic and Vascular Anesthesia - January 10, 2018 Category: Anesthesiology Authors: Mark W. Fegley, Audrey Spelde, David Johnson, Nimesh D. Desai, Warren J. Levy Tags: Case Report Source Type: research