ArticleThe Annals of thoracic surgery2016
Electroencephalography During Hemiarch Replacement With Moderate Hypothermic Circulatory Arrest.
Article in The Annals of thoracic surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 29 citations in OpenAlex.
- Aortic Arch and Frozen Elephant Trunk Surgery: Anesthetic Challenges and Strategies for Organ Protection.Journal of clinical medicine · 2026Review
- Neurovascular Complications of Acute Aortic Syndrome.Journal of stroke · 2025Review
- Cerebral protection: Antegrade cerebral perfusion in the modern era. Does temperature matter?JTCVS techniques · 2024Article
- Quantitative Electroencephalography for Predication of Neurological Dysfunction in Type A Aortic Dissection: A Prospective Observational Study.Journal of the American Heart Association · 2024Observational
- Quantitative Electroencephalography Monitoring in Type A Aortic Dissection Surgery: A Clinical Case Review and Prospective Applications.Brain and behavior · 2024Review
- Synaptic memory and CaMKII.Physiological reviews · 2023Review
- Quiescence during burst suppression and postictal generalized EEG suppression are distinct patterns of activity.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2022Article
- Perioperative electroencephalography in cardiac surgery with hypothermic circulatory arrest: a narrative review.Interactive cardiovascular and thoracic surgery · 2022Review
- Neuromonitoring and neuroprotection advances for aortic arch surgery.JTCVS techniques · 2021Article
- Does Hypothermic Circulatory Arrest for Aortic Surgery Trigger Near-Death Experience? Incidence of Near-Death Experiences after Aortic Surgeries Performed under Hypothermic Circulatory Arrest.Aorta (Stamford, Conn.) · 2021Article
- Aortic valve repair with a newly approved geometric annuloplasty ring in patients undergoing proximal aortic repair: early results from a single-centre experience.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2020Article
- Electroencephalography: Clinical Applications During the Perioperative Period.Frontiers in medicine · 2020Review
- Does moderate hypothermia really carry less bleeding risk than deep hypothermia for circulatory arrest? A propensity-matched comparison in hemiarch replacement.The Journal of thoracic and cardiovascular surgery · 2016Article
- The utility of the aortic dissection team: outcomes and insights after a decade of experience.Annals of cardiothoracic surgery · 2016Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThis study aimed to characterize intraoperative electroencephalography (EEG) during moderate hypothermic circulatory arrest (MHCA) with selective antegrade cerebral perfusion (SACP), which has not been described previously.
methodsThis was a single-institution retrospective study of patients undergoing aortic hemiarch replacement using MHCA (temperatures <28°C at circulatory arrest [CA]) and unilateral SACP with EEG monitoring from July 1, 2013 to November 1, 2014. The EEG pattern was determined before and immediately after CA, as well as after establishment of SACP. Patient and procedural characteristics and outcomes were determined and compared after stratification by the presence of ischemic EEG changes.
resultsThe study included 71 patients. Before CA, 47 patients (66%) demonstrated a continuous EEG pattern, with or without periodic complexes, and 24 (34%) had a burst suppression EEG pattern. Immediately after CA, abrupt loss of electrocerebral activity occurred in 32 patients (45%), suggestive of cerebral ischemia. Establishment of unilateral SACP rapidly restored electrocerebral activity in all but 2 patients. One patient had persistent loss of left-sided activity, which resolved after transition to bilateral SACP. Another patient had persistent global loss of activity and was placed back on cardiopulmonary bypass for further cooling before reinitiation of CA. No significant differences in characteristics or outcomes were assessed between patients with and without loss of EEG activity.
conclusionsNearly half of patients undergoing hemiarch replacement with MHCA/SACP experience abrupt loss of electrocerebral activity after CA is initiated. Although unilateral SACP usually restores prearrest electrocerebral activity, intraoperative EEG may be particularly valuable for the identification of patients with persistent cerebral ischemia even after SACP.
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