scholarly journals Silent brain infarction after minimally invasive cardiac surgery with retrograde perfusion

2020 ◽  
Vol 35 (8) ◽  
pp. 1927-1932
Author(s):  
Shuhei Nishijima ◽  
Yoshitsugu Nakamura ◽  
Daiki Yoshiyama ◽  
Yuto Yasumoto ◽  
Miho Kuroda ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Brain Infarction ◽  
Minimally Invasive Cardiac Surgery ◽  
Retrograde Perfusion ◽  
Silent Brain Infarction

scholarly journals Silent brain infarction after minimally invasive cardiac surgery with retrograde perfusion

2020 ◽  
Author(s):  
Shuhei Nishijima ◽  
Yoshitsugu Nakamura ◽  
Daiki Yoshiyama ◽  
Yuto Yasumoto ◽  
Miho Kuroda ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Brain Infarction ◽  
Minimally Invasive Cardiac Surgery ◽  
Retrograde Perfusion ◽  
Silent Brain Infarction

Pressure difference between radial and femoral artery pressure in minimally invasive cardiac surgery using retrograde perfusion

2018 ◽  
Vol 41 (10) ◽  
pp. 635-643 ◽  
Author(s):  
Yoshitsugu Nakamura ◽  
Sam Emmanuel ◽  
Fumiaki Shikata ◽  
Chihiro Shirai ◽  
Yujiro Ito ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Cardiopulmonary Bypass ◽  
Arterial Pressure ◽  
Minimally Invasive ◽  
Femoral Artery ◽  
Systolic Arterial Pressure ◽  
Minimally Invasive Cardiac Surgery ◽  
Pressure Differential ◽  
Artery Pressure ◽  
Retrograde Perfusion

Objective: To investigate whether radial artery pressure is a reliable surrogate measure of central arterial pressure as approximated by femoral artery pressure in minimally invasive cardiac surgery with retrograde perfusion via femoral cannulation. Method: Fifty-two consecutive patients undergoing minimally invasive cardiac surgery were prospectively included in this study. Cardiopulmonary bypass was established via a femoral artery cannulation and femoral vein. Radial and femoral arterial pressures were recorded continuously, and the pressure differential between them was calculated for both systolic and mean arterial pressures. The agreement between measurements from the two arteries was compared using Bland–Altman plots. An interval of 95% limits of agreement of less than 20 mm Hg was set as satisfactory agreement. Results: Average age was 65 ± 14 years. With respect to systolic arterial pressure, 28 patients (54%) had a peak pressure differential between radial and femoral arteries ⩾20 mm Hg. With respect to mean arterial pressure, only five patients (9%) had a peak pressure differential ⩾20 mm Hg. The pressure differential changed with time. Pressure differential in systolic arterial pressure was 5 ± 8 mm Hg until aortic declamping, then increased to a peak of 23 ± 16 mm Hg when cardiopulmonary bypass was turned off. The femoral systolic arterial pressures were significantly greater than radial systolic arterial pressures from time of aortic declamping to 20 min after cardiopulmonary bypass. The Bland–Altman plots revealed large biases and poor agreement in this period. Conclusion: Radial and femoral systolic artery pressure readings can differ significantly in minimally invasive cardiac surgery with retrograde perfusion. Intraoperative arterial pressure management based solely on radial systolic arterial pressure readings should be avoided.

Minimally Invasive Cardiac Surgery Using a Flexible Aortic Clamp

2007 ◽  
Vol 10 (6) ◽  
pp. E428-E430
Author(s):  
B. Reddy Dandolu ◽  
John L. Parmet ◽  
Charles Yarnall ◽  
Alice Isidro ◽  
Charles R. Bridges
Keyword(s):  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Minimally Invasive Cardiac Surgery
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