Cerebral Protection in Cerebrovascular and Aortic Surgery

1. Front Matter

   Pages I-IX

   PDF

2. Protection, diagnosis and treatment of cerebral ischemia

   1. Front Matter

      Pages 1-1

      PDF

   2. Neuroprotection in cerebral ischemia

      • W. Paschen, K.-A. Hossmann

      Pages 3-10

   3. PET, MRI, and MRS for imaging of functional brain disorders

      • K. Herholz, H. Lanfermann

      Pages 11-22

   4. Expression of ICAM-1 and VCAM-1 on endothelial cells after global cerebral ischemia and reperfusion in the rat

      • Wolfgang Harringer, X.-M. You, G. Steinhoff, U. Linstedt, A. Haverich

      Pages 23-26

   5. Cerebral protection during neurosurgical operations

      • J. Hamer

      Pages 27-35

   6. Intensive care of acute ischemic stroke

      • Werner Hacke, S. Schwab, M. De Georgia

      Pages 37-48

3. Cerebral protection in Cerebrovascular Surgery

   1. Front Matter

      Pages 49-49

      PDF

   2. Anesthesia in cerebrovascular surgery

      • A. Thiel, G. Hempelmann

      Pages 51-57

   3. Neuromonitoring during carotid artery surgery: Somatosensory evoked potentials versus transcranial Doppler sonography

      • Michael Dinkel, H. Langer, H. Loerler, J. Pflumm, J. Schüttler, H. Schweiger

      Pages 59-66

   4. The choice of method for cerebral protection from ischemia in carotid endarterectomy

      • P. O. Kazantchian, Vadim A. Popov, T. V. Rudakova

      Pages 67-70

   5. SEPs monitoring during carotid surgery: reliability and limitations

      • Maria Rosaria Cirelli, F. Magnoni, L. Pedrini, M. D’Addato

      Pages 71-74

   6. Effect of myocardial revascularization on the blood flow volume in carotid arteries

      • A. V. Gagaev, Anton L. Maximov, I. E. Soboleva, E. V. Chebotar, A. A. Charov, M. V. Riazanov et al.

      Pages 75-78

   7. Cerebral protection during simultaneous cerebrovascular and cardiac surgery using extracorporeal circulation for both procedures

      • Y. F. Finkbeiner, A. Schiessler, J. Ennker

      Pages 79-89

4. Cerebral protection in the pediatric age group

   1. Front Matter

      Pages 91-91

      PDF

   2. Studies of hypothermic circulatory arrest and low flow bypass as used for congenital heart surgery

      • R. A. Jonas

      Pages 93-102

   3. Alteration of cerebral blood flow velocity (CBFV) in neonates and infants after cardiac surgery. Relation to occurrence of cerebral injury?

      • H. Abdul-Khaliq, A. Gamillscheg, F. Uhlemann, V. Alexi-Meskishvili, Y. Weng, R. Hetzer et al.

      Pages 103-112

   4. Change of regional cerebral hemoglobin saturation (rSO2) in children undergoing corrective cardiac surgery of congenital heart disease by means of high-flow cardiopulmonary bypass (CPB)

      • H. Abdul-Khaliq, T. Weipert, V. Alexi-Meskishvili, Y. Weng, R. Hetzer, P. E. Lange

      Pages 113-118

   5. The relation between arterial oxygen tension and cerebral blood flow during cardiopulmonary bypass

      • G. Chow, I. G. Roberts, P. Fallon, M. Onoe, A. Lloyd-Thomas, M. J. Elliott et al.

      Pages 119-123

   6. Cerebral perfusion during low-flow cardiopulmonary bypass with circulatory arrest in rabbits — An experimental study for CPB in neonates

      • D. Troitzsch, S. Vogt, A. Peukert

      Pages 125-129

Among the greatest challenges in cardiovascular surgery today remain operations on aortic arch pathology, supraaortic vessels, and the protection of the brain from hypoxic or ischemic injury during these delicate operations. Since DeBakey's first successful repair of an aortic arch aneurysm in 1957, understanding of the aortic arch pathology, neuroprotective strategies, neuromonitoring and surgical technique have markedly improved. Although the specific surgical procedures have reached an advanced standard and general acceptance, many questions remain unanswered and have contributed to ongoing controversy.
Cerebral Protection in Cerebrovascular and Aortic Surgery presents the current knowledge of understanding causes and pathogenesis of cerebral damage during surgery on the aortic arch and supraaortic vessels and prevention of brain damage by specific surgical therapy.

• aneurysm
• arteries
• brain
• bypass
• cardiac surgery
• cardiovascular
• heart
• monitoring
• pathogenesis
• pathology
• prevention
• surgery
• surgical technique
• therapy
• vascular surgery
• thoracic surgery

• Heart Institute Lahr/Baden, Lahr, Germany

  J. Ennker

• 6560 Fannin, # 1144, Houston, USA

  Joseph S. Coselli

• Dept. of Cardiothoracic Surgery, St. George Hospital, London, Great Britain

  T. Treasure

Policies and ethics