Volume 19 Issue 5
May  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(5): 727-730
TIAN Zhen-yu, LI Cong, LI Hao-wei. Cerebral protective effects of anterograde cerebral perfusion via right axillary artery and retrograde cerebral perfusion via superior vena cava in patients with Stanford type A aortic dissection[J]. Chinese Journal of General Practice, 2021, 19(5): 727-730. doi: 10.16766/j.cnki.issn.1674-4152.001902
Citation: TIAN Zhen-yu, LI Cong, LI Hao-wei. Cerebral protective effects of anterograde cerebral perfusion via right axillary artery and retrograde cerebral perfusion via superior vena cava in patients with Stanford type A aortic dissection[J]. Chinese Journal of General Practice, 2021, 19(5): 727-730. doi: 10.16766/j.cnki.issn.1674-4152.001902
shu

Cerebral protective effects of anterograde cerebral perfusion via right axillary artery and retrograde cerebral perfusion via superior vena cava in patients with Stanford type A aortic dissection

doi: 10.16766/j.cnki.issn.1674-4152.001902

  • Department of Cardiovascular Surgery, Henan Chest Hospital, Zhengzhou, Henan 450000, China

Funds:

 182102310137

  • Received Date: 2020-08-06
    Available Online: 2022-02-16
    Abstract
  •   Objective  To explore the protective effects of Antegrade cerebral perfusion(ACP) via right axillary artery and Retrograde cerebral perfusion (RCP) via superior vena cava on Stanford type A aortic dissection.   Methods  The data of 76 patients with Stanford type A acute aortic dissection from January 2018 to January 2019 in Henan Chest Hospital were analysed retrospectively. According to the way of cerebral perfusion, they were divided into two groups: group A (46 cases) received ACP via right axillary artery and group B (30 cases) received RCP via superior vena cava. The sex, age, disease history, smoking history, operation mode, perioperative clinical data, the occurrence of transient transient nervous system dysfunction (TND), permanent nervous system dysfunction (PND) and death in hospital were compared between the two groups.   Results  The circulatory arrest time and cerebral perfusion time in group A were (16.18±3.28) min and (20.77±2.82) min, respectively, which were significantly lower than those in group B which were (24.82±3.53) min and (24.86±3.19) min. The differences were statistically significant (t=10.892, 5.867, all P < 0.05). The incidence of TND in group A was 17.39%, which was significantly lower than that in group B (43.33%, P < 0.05), whereas the incidence of PND and hospital mortality in group A were 4.35% and 3.33%, respectively, and there was no significant difference compared with those in group B (3.33% and 3.33%, all P>0.05).   Conclusion  The time of cardiopulmonary bypass and cerebral perfusion of ACP via right axillary artery was shorter than that of RCP via superior vena cava. The former could significantly reduce the incidence of TND with better brain protection.

     

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