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Seminars in Thoracic and Cardiovascular Surgery
Volume 13, Issue 2
, Pages 170-175
, April 2001
Importance of blood pressure regulation in maintaining adequate tissue perfusion during cardiopulmonary bypass
References
- Adverse cerebral outcomes after coronary bypass surgery. Multicenter Study of Perioperative Ischemia Research Group and the Ischemia Research and Education Foundation Investigators. N Engl J Med. 1996;335:1857–1863
- Differential effects of advanced age on neurologic and cardiac risks of coronary artery operations. J Thorac Cardiovasc Surg. 1992;104:1510–1517
- Neurologic and neuropsychological morbidity following major surgery: Comparison of coronary artery bypass and peripheral vascular surgery. Stroke. 1987;18:700–707
- . Acute mesenteric ischemia after cardiopulmonary bypass. J Vasc Surg. 1992;16:391–396
- Gastrointestinal complications after coronary artery bypass grafting. J Thorac Cardiovasc Surg. 1994;108:899–906
- . Postoperative abdominal complications in cardiopulmonary bypass patients: A case-controlled study. Ann Thorac Surg. 1995;59:1210–1213
- . Average blood flow and oxygen uptake in the human brain during resting wakefulness: A critical appraisal of the Kety-Schmidt technique. J Cereb Blood Flow Metab. 1995;15:485–491
- . Pressure-dependent cerebral ischemia during cardiopulmonary bypass. Neurology. 1973;23:521–529
- Characteristics of cerebrovascular accidents after coronary artery bypass grafting. Am Surg. 1992;58:584–589
- The impact of microemboli during cardiopulmonary bypass on neuropsychological functioning. Stroke. 1994;25:1393–1399
- Cerebral microembolism during cardiopulmonary bypass. Retinal microvascular studies in vivo with fluorescein angiography. J Thorac Cardiovasc Surg. 1988;95:668–676
- Increasing organ blood flow during cardiopulmonary bypass in pigs: Comparison of dopamine and perfusion pressure. Crit Care Med. 1995;23:1090–1098
- Factors and their influence on regional cerebral blood flow during nonpulsatile cardiopulmonary bypass. Ann Thorac Surg. 1984;38:592–600
- Cerebral autoregulation and flow/metabolism coupling during cardiopulmonary bypass: The influence of PaCO2. Anesth Analg. 1987;66:825–832
- The effect of age on cerebral blood glow during hypothermic cardiopulmonary bypass. J Thorac Cardiovasc Surg. 1989;97:541–547
- Critical cerebral perfusion pressure during tepid heart operations in dogs. Ann Thorac Surg. 1998;66:118–124
- Phenylephrine increases cerebral blood flow during low-flow hypothermic cardiopulmonary bypass in baboons. Anesthesiology. 1996;85:380–384
- Cerebral blood flow is determined by arterial pressure and not cardiopulmonary bypass flow rate. Ann Thorac Surg. 1995;60:165–170
- . Bypass flow, mean arterial pressure, and cerebral perfusion during cardiopulmonary bypass in dogs. J Cardiothorac Vasc Anesth. 2000;14:25–28
- Cerebral pressure-flow relationship during cardiopulmonary bypass in the dog at normothermia and moderate hypothermia. J Cereb Blood Flow Metab. 1994;14:510–518
- . Experimental study of cerebral autoregulation during cardiopulmonary bypass with or without pulsatile perfusion. J Thorac Cardiovasc Surg. 1994;108:446–454
- Effect of pump flow rate on cerebral blood flow during hypothermic cardiopulmonary bypass in adults. J Cardiothorac Vasc Anesth. 1997;11:415–419
- Effect of aging on cerebral autoregulation during cardiopulmonary bypass. Association with postoperative cognitive dysfunction. Circulation. 1994;90:II243–II249
- Effect of perfusion pressure on cerebral blood flow during normothermic cardiopulmonary bypass. Circulation. 1996;94(suppl 9):II353–II357
- Improvement of outcomes after coronary artery bypass. A randomized trial comparing intraoperative high versus low mean arterial pressure. J Thorac Cardiovasc Surg. 1995;110:1302–1314
- Differential age effects on mean arterial pressure and rewarming on cognitive dysfunction after cardiac surgery. Anesth Analg. 1995;81:236–242
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Cardiopulmonary bypass at high pressure reduces stroke incidence in patients with TEE diagnosed sever aortic atheromatous disease.
Anasthesiology. 1995;83:A141;
(abstr)
- Intraoperative physiologic variables and outcome in cardiac surgery: Part I. In-hospital mortality. Ann Thorac Surg. 2000;69:1070–1076
- Intraoperative physiologic variables and outcome in cardiac surgery: Part II. Neurologic outcome. Ann Thorac Surg. 2000;69:1077–1083
- . Autoregulation of cerebral blood flow in experimental focal brain ischemia. J Cereb Blood Flow Metab. 1990;10:327–336
- Early collateral blood supply and late parenchymal brain damage in patients with middle cerebral artery occlusion. Stroke. 1989;20:735–740
- Pressure flow relations in canine collateral-dependent cerebrum. Stroke. 1992;23:988–994
- Risk factors for stroke after coronary artery bypass. J Thorac Cardiovasc Surg. 1992;104:1518–1523
- . Brain luxury perfusion during cardiopulmonary bypass in humans. A study of the cerebral blood flow response to changes in CO2, O2, and blood pressure. J Cereb Blood Flow Metab. 1986;6:366–378
- A randomized study of the influence of perfusion technique and pH management strategy in 316 patients undergoing coronary artery bypass surgery. I. Mortality and cardiovascular morbidity. J Thorac Cardiovasc Surg. 1995;110:340–348
- . Acid-base management during hypothermic cardiopulmonary bypass does not affect cerebral metabolism but does affect blood flow and neurologic outcome. Ann Thorac Surg. 1992;59:1308–1311
- Regional perfusion abnormalities with phenylephrine during normothermic bypass. Ann Thorac Surg. 1997;63:728–735
- . Gut mucosal ischemia during normothermic cardiopulmonary bypass results from blood flow redistribution and increased oxygen demand. J Thorac Cardiovasc Surg. 1995;110:819–828
☆ Address reprint requests to Jeffrey P. Gold, MD, Professor and Chairman, Department of Cardiovascular and Thoracic Surgery, The Albert Einstein College of Medicine-Montefiore Medical Center, 111 East 210th Street, Bronx, NY.
PII: S1043-0679(01)70031-7
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Seminars in Thoracic and Cardiovascular Surgery
Volume 13, Issue 2
, Pages 170-175
, April 2001
