Evaluation of cerebral circulation during retrograde perfusion by laser speckle flowgraphy

General Thoracic and Cardiovascular Surgery - Tập 65 - Trang 527-531 - 2016
Fumiaki Kimura1, Hirotsugu Kanda2, Yuki Toyama2, Takayuki Kunisawa2, Taiji Nagaoka3, Akitoshi Yoshida3, Hiroto Kitahara1, Hiroyuki Kamiya1
1Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Japan
2Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Asahikawa, Japan
3Department of Ophthalmology, Asahikawa Medical University, Asahikawa, Japan

Tóm tắt

Laser speckle flowgraphy (LSFG) is an ophthalmologic equipment that qualitatively detects the blood flow of the optic nerve head, which is known to be related with cerebral microcirculation. LSFG can also measure the mean blur rate, which quantitatively calculates the blood flow. We aimed to assess the utility of LSFG in the evaluation of cerebral perfusion during aortic surgery under hypothermic circulatory arrest with retrograde and antegrade cerebral perfusion. Two patients underwent total arch replacement for aneurysm. The blood flow of the optic nerve head was monitored with LSFG and the mean blur rate value was measured during the surgery. The LSFG could detect the blood flow quantitatively in the optic nerve head during both retrograde and antegrade cerebral perfusion; and the value was correlated with rSO2 value.

Tài liệu tham khảo

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