ArticleAmerican journal of translational research2021
Analysis of poor prognostic factors of cerebral nerve after deep hypothermic circulatory arrest in patients with type A aortic dissection.
Article in American journal of translational research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 4 citations in OpenAlex.
- Cerebral hypoperfusion resulting from improper cannulation positioning during aortic dissection surgery: a case report.Journal of cardiothoracic surgery · 2024Article
- A comparison of bilateral and unilateral cerebral perfusion for total arch replacement surgery for non-marfan, type A aortic dissection.Perfusion · 2024Article
- Risk factors for prolonged postoperative ICU stay in the patients with Stanford type A aortic dissection.Journal of cardiothoracic surgery · 2024Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the influences of deep hypothermic circulatory arrest (DHCA) on postoperative cranial nerve function in patients undergoing surgery for type A aortic dissection.
methodsA total of 100 patients undergoing DHCA during the surgery for type A aortic dissection in our hospital were selected as the study subjects. After surgery, 32 patients with neurological complications were assigned to Group A, and 68 patients without neurological complications were assigned to Group B. The clinical outcomes were compared between the two groups, and the risk factors of postoperative neurological complications were analyzed by univariate and multivariate logistic regression analysis.
resultsDuring the surgery, patients underwent cerebral perfusion at 5 min and 10 min during DHCA had remarkably decreased cerebral oxygen saturation (rSO2) and VmMCA than those before anesthesia induction (
conclusionThere were noticeable changes in hemodynamic and blood oxygen parameters in patients with type A aortic dissection undergoing DHCA during the perioperative period. The long duration of CPB and aortic occlusion and preoperative hypoxemia are the independent risk factors leading to postoperative impaired cranial nerve function.
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Identifiers
34650732PMC8507019W3206117577What OpenQuestion holds
Registered trials
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