PubMed · 1992 · 21 citations · 0 references
MedicineNeurosurgerySurgeryCardiothoracic SurgeryCerebrovascular SurgeryVascular SurgeryCardiopulmonary BypassCardiopulmonary ResuscitationCarotid Artery SurgeryCarotid EndarterectomyCerebral Bypass SurgeryExtracorporeal CirculationBody Core TemperatureBody TemperatureBody Temperature MaintenanceBypass For Cerebral IschemiaCerebral Protection During Cardiac SurgeryDeep Hypothermic Circulatory ArrestInduced HypothermiaPostoperative Cardiac Complications
This study was undertaken to evaluate the efficacy of hypothermic extracorporeal circulation for cerebral protection in 17 patients having simultaneous carotid endarterectomy and cardiac operations. The cardiopulmonary by-pass (CPB) was conducted using total hemodilution. The body temperature was cooled to 25 degrees C and the heart was arrested with cardioplegic solution. The carotid endarterectomy was performed first followed by the cardiac operation. No neurological or cardiac complications occurred. These results support the reliability of hypothermic cardiopulmonary bypass as a method of providing cerebral protection during simultaneous cardiac and carotid surgical procedures.