Retrograde Cerebral Perfusion Using a New Double-Lumen Balloon Catheter via Internal Jugular Vein Cannulation

We developed a new double-lumen balloon catheter for retrograde cerebral perfusion (RCP) via jugular vein cannulation. Between November 1996 and September 2000, 34 of 73 patients treated with surgical procedures for thoracic aortic aneurysms underwent RCP using the new catheter during circulatory ar...

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Published inJapanese Journal of Cardiovascular Surgery Vol. 31; no. 1; pp. 29 - 32
Main Authors Okano, Takahisa, Shimada, Yasuyuki, Yaku, Hitoshi, Satoh, Shinichi, Kanda, Keiichi, Kitamura, Nobuo, Sakai, Osamu
Format Journal Article
LanguageJapanese
Published The Japanese Society for Cardiovascular Surgery 2002
Online AccessGet full text
ISSN0285-1474
1883-4108
DOI10.4326/jjcvs.31.29

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Abstract We developed a new double-lumen balloon catheter for retrograde cerebral perfusion (RCP) via jugular vein cannulation. Between November 1996 and September 2000, 34 of 73 patients treated with surgical procedures for thoracic aortic aneurysms underwent RCP using the new catheter during circulatory arrest under deep hypothermia. Nine patients underwent a median sternotomy, and 25 underwent a left thoracotomy. In all cases, the new catheter installation under fluoroscopy was easy, and it took about 15min. The mean RCP time, pressure, and flow rate were 26.8min, 20.0mmHg, and 202.6ml/min, respectively. Our procedure using the new catheter was safe and easy in RCP during circulatory arrest in aortic arch replacement regardless of surgical approaches such as a left thoracotomy or median sternotomy.
AbstractList We developed a new double-lumen balloon catheter for retrograde cerebral perfusion (RCP) via jugular vein cannulation. Between November 1996 and September 2000, 34 of 73 patients treated with surgical procedures for thoracic aortic aneurysms underwent RCP using the new catheter during circulatory arrest under deep hypothermia. Nine patients underwent a median sternotomy, and 25 underwent a left thoracotomy. In all cases, the new catheter installation under fluoroscopy was easy, and it took about 15min. The mean RCP time, pressure, and flow rate were 26.8min, 20.0mmHg, and 202.6ml/min, respectively. Our procedure using the new catheter was safe and easy in RCP during circulatory arrest in aortic arch replacement regardless of surgical approaches such as a left thoracotomy or median sternotomy.
Author Shimada, Yasuyuki
Kitamura, Nobuo
Yaku, Hitoshi
Sakai, Osamu
Satoh, Shinichi
Okano, Takahisa
Kanda, Keiichi
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  fullname: Okano, Takahisa
  organization: Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine
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  fullname: Shimada, Yasuyuki
  organization: Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine
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  fullname: Yaku, Hitoshi
  organization: Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine
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  fullname: Satoh, Shinichi
  organization: Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine
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  fullname: Kanda, Keiichi
  organization: Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine
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  fullname: Kitamura, Nobuo
  organization: Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine
– sequence: 1
  fullname: Sakai, Osamu
  organization: Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine
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References 5) 土井潔,佐藤伸一,平井二郎ほか:内頸静脈穿刺による逆行性脳灌流-2機能を有する新型カテーテルの開発.人工臓器26:596-600,1997.
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4) Doi, K., Satoh, S., Hirai, J. et al.: A new double lumen balloon catheter for retrograde cerebral perfusion via jugular vein cannulation. ASAIO J. 43: M 731-M 735, 1997.
6) 土井潔,佐藤伸一,神田圭一ほか:内頸静脈穿刺による逆行性脳灌流用カテーテルの臨床応用.人工臓器27:431-434,1998.
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7) 青見茂之,橋本明政,今牧瑞浦ほか:超低体温併用逆行性脳灌流法の脳保護効果と安全な使用法.胸部外科46:415-418,1993.
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10) Ueda, K., Miki, S., Kusuhara, K. et al.: Deep hypothermia systemic circulatory arrest and continuous retrograde cerebral perfusion for surgery of aortic arch aneurysm. Cardiothorac. Surg. 6: 36-41, 1992.
1) Takamoto, S., Matsuda, T., Harada, M. et al.: Simple hypothermic retrograde cerebral perfusion during aortic arch surgery. J. Cardiovasc. Surg. 37: 441-444, 1996.
References_xml – reference: 8) Sasaguri, S., Yamamoto, S. and Hosoda, Y.: What is the safe time limit for retrograde cerebral perfusion with hypothermic circulatory arrest in aortic surgery? J. Cardiovasc. Surg. 37: 441-444, 1996.
– reference: 10) Ueda, K., Miki, S., Kusuhara, K. et al.: Deep hypothermia systemic circulatory arrest and continuous retrograde cerebral perfusion for surgery of aortic arch aneurysm. Cardiothorac. Surg. 6: 36-41, 1992.
– reference: 7) 青見茂之,橋本明政,今牧瑞浦ほか:超低体温併用逆行性脳灌流法の脳保護効果と安全な使用法.胸部外科46:415-418,1993.
– reference: 1) Takamoto, S., Matsuda, T., Harada, M. et al.: Simple hypothermic retrograde cerebral perfusion during aortic arch surgery. J. Cardiovasc. Surg. 37: 441-444, 1996.
– reference: 9) Lemole, G. M., Strong, M. P., Spagna, P. M. et al.: Improved results for dissecting aneurysms: Intraluminal sutureless prosthesis. J. Thorac. Cardiovasc. Surg. 83: 249-255, 1982.
– reference: 2) 村瀬允也,前田正信,寺西克仁ほか:内頸静脈弁の形態と機能の検討.日心外会誌22:383-386,1993.
– reference: 5) 土井潔,佐藤伸一,平井二郎ほか:内頸静脈穿刺による逆行性脳灌流-2機能を有する新型カテーテルの開発.人工臓器26:596-600,1997.
– reference: 4) Doi, K., Satoh, S., Hirai, J. et al.: A new double lumen balloon catheter for retrograde cerebral perfusion via jugular vein cannulation. ASAIO J. 43: M 731-M 735, 1997.
– reference: 6) 土井潔,佐藤伸一,神田圭一ほか:内頸静脈穿刺による逆行性脳灌流用カテーテルの臨床応用.人工臓器27:431-434,1998.
– reference: 3) de Brux, J. L., Subayi, J. B., Pegis, J. D. et al.: Retrograde cerebral perfusion: Anatomic study of the distribution of blood to the brain. Ann. Thorac. Surg. 60: 1294-1298, 1995.
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Snippet We developed a new double-lumen balloon catheter for retrograde cerebral perfusion (RCP) via jugular vein cannulation. Between November 1996 and September...
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Title Retrograde Cerebral Perfusion Using a New Double-Lumen Balloon Catheter via Internal Jugular Vein Cannulation
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