The application of different temperature during hypothermic circulatory arrest on aortic arch surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

CAI Shihao ^1,2 ,  FAN Xiaoping ¹ , HUANG Jinsong ¹ , PENG Jihai ² , HE Jie ^1,3 , XU Wenliu ³

1. Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, P.R.China;
2. Graduate School, The Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, P.R.China;
3. Department of Rehabilitation, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, P.R.China;

Corresponding?author：

FAN Xiaoping, Email: fukui-hanson@hotmail.com

Keywords：

Hypothermic circulatory arrest; aortic arch; surgery

DOI：

10.7507/1007-4848.201803076

Video：

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We conducted a detailed analysis of different hypothermic circulatory arrest techniques, from its evolution, application on aortic arch surgery and research, focusing on the application and advantages and disadvantage, which provides some guide for the future discussion on the optimal temperature of hypothermic circulatory arrest.

Citation： CAI Shihao, FAN Xiaoping, HUANG Jinsong, PENG Jihai, HE Jie, XU Wenliu. The application of different temperature during hypothermic circulatory arrest on aortic arch surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(4): 390-393. doi: 10.7507/1007-4848.201803076 Copy

1.	Ziganshin BA, Rajbanshi BG, Tranquilli M, et al. Straight deep hypothermic circulatory arrest for cerebral protection during aortic arch surgery: Safe and effective. J Thorac Cardiovasc Surg, 2014, 148(3): 888-898.
2.	Pacini D, Leone A, Di Marco L, et al. Antegrade selective cerebral perfusion in thoracic aorta surgery: safety of moderate hypothermia. Eur J Cardiothorac Surg, 2007, 31(4): 618-622.
3.	Yan TD, Bannon PG, Bavaria J, et al. Consensus on hypothermia in aortic arch surgery. Ann Cardiothorac Surg, 2013, 2(2): 163-168.
4.	Bigelow WG, Lindsay WK, Greenwood WF. Hypothermia; its possible role in cardiac surgery: an investigation of factors governing survival in dogs at low body temperatures. Ann Surg, 1950, 132(5): 849-866.
5.	Sealy WC, Brown IW Jr, Young WG Jr. A report on the use of both extracorporeal circulation and hypothermia for open heart surgery. Ann Surg, 1958, 147(5): 603-613.
6.	Zierer A, Moon MR, Melby SJ, et al. Impact of perfusion strategy on neurologic recovery in acute type A aortic dissection. Ann Thorac Surg, 2007, 83(6): 2122-2128.
7.	Svensson LG, Crawford ES, Hess KR, et al. Deep hypothermia with circulatory arrest. Determinants of stroke and early mortality in 656 patients. J Thorac Cardiovasc Surg, 1993, 106(1): 19-28.
8.	van der Zee MP, Koene BM, Mariani MA. Fatal air embolism during cardiopulmonary bypass: analysis of an incident and prevention measures. Interact Cardiovasc Thorac Surg, 2014, 19(5): 875-877.
9.	Okita Y, Miyata H, Motomura N, et al. A study of brain protection during total arch replacement comparing antegrade cerebral perfusion versus hypothermic circulatory arrest, with or without retrograde cerebral perfusion: analysis based on the Japan Adult Cardiovascular Surgery Database. J Thorac Cardiovasc Surg, 2015, 149(2 Suppl): S65-S73.
10.	Estrera AL, Miller CC 3rd, Lee TY, et al. Ascending and transverse aortic arch repair: the impact of retrograde cerebral perfusion. Circulation, 2008, 118(14 Suppl): S160-S166.
11.	Ueda Y. A reappraisal of retrograde cerebral perfusion. Ann Cardiothorac Surg, 2013, 2(3): 316-325.
12.	De Bakey ME, Crawford ES, Cooley DA, et al. Successful resection of fusiform aneurysm of aortic arch with replacement by homograft. Surg Gynecol Obstet, 1957, 105(6): 657-664.
13.	Kazui T. Update in surgical management of aneurysms of the thoracic aorta. Rinsho Kyobu Geka, 1986, 6(1): 7-15.
14.	Kazui T, Inoue N, Yamada O, et al. Selective cerebral perfusion during operation for aneurysms of the aortic arch: a reassessment. Ann Thorac Surg, 1992, 53(1): 109-114.
15.	Okita Y, Okada K, Omura A, et al. Total arch replacement using selective antegrade cerebral perfusion as the neuroprotection strategy. Ann Cardiothorac Surg, 2013, 2(2): 169-174.
16.	Svyatets M, Tolani K, Zhang M, et al. Perioperative management of deep hypothermic circulatory arrest. J Cardiothorac Vasc Anesth, 2010, 24(4): 644-655.
17.	Tian DH, Wan B, Bannon PG, et al. A meta-analysis of deep hypothermic circulatory arrest alone versus with adjunctive selective antegrade cerebral perfusion. Ann Cardiothorac Surg, 2013, 2(3): 261-270.
18.	Krabbe-Hartkamp MJ, van der Grond J, de Leeuw FE, et al. Circle of Willis: morphologic variation on three-dimensional time-of-flight MR angiograms. Radiology, 1998, 207(1): 103-111.
19.	Urbanski PP, Lenos A, Blume JC, et al. Does anatomical completeness of the circle of Willis correlate with sufficient cross-perfusion during unilateral cerebral perfusion? Euro J Cardio-thorac Surg, 2008, 33(3): 402-408.
20.	Angeloni E, Benedetto U, Takkenberg JJ, et al. Unilateral versus bilateral antegrade cerebral protection during circulatory arrest in aortic surgery: a meta-analysis of 5100 patients. J Thorac Cardiovasc Surg, 2014, 147(1): 60-67.
21.	Kr?henbühl ES, Clément M, Reineke D, et al. Antegrade cerebral protection in thoracic aortic surgery: lessons from the past decade. Eur J Cardiothorac Surg, 2010, 38(1): 46-51.
22.	Malvindi PG, Scrascia G, Vitale N. Is unilateral antegrade cerebral perfusion equivalent to bilateral cerebral perfusion for patients undergoing aortic arch surgery? Interact Cardiovasc Thorac Surg, 2008, 7: 891-897.
23.	Usui A, Oohara K, Murakami F, et al. Body temperature influences regional tissue blood flow during retrograde cerebral perfusion. J Thorac Cardiovasc Surg, 1997, 114(3): 440-447.
24.	Zhu JM, Qi RD, Chen L, et al. Surgery for acute type A dissection using total arch replacement combined with stented elephant trunk implantation: Preservation of autologous brachiocephalic vessels. J Thorac Cardiovasc Surg, 2015, 150(1): 101-105.
25.	Ma WG, Zheng J, Dong SB, et al. Sun's procedure of total arch replacement using a tetrafurcated graft with stented elephant trunk implantation: analysis of early outcome in 398 patients with acute type A aortic dissection. Ann Cardiothorac Surg, 2013, 2(5): 621-628.
26.	Tian DH, Wan B, Bannon PG, et al. A meta-analysis of deep hypothermic circulatory arrest versus moderate hypothermic circulatory arrest with selective antegrade cerebral perfusion. Ann Cardiothorac Surg, 2013, 2(2): 148-158.
27.	Keenan JE, Wang H, Gulack BC, et al. Does moderate hypothermia really carry less bleeding risk than deep hypothermia for circulatory arrest? A propensity-matched comparison in hemiarch replacement. J Thorac Cardiovasc Surg, 2016, 152(6): 1559-1569.
28.	Vallabhajosyula P, Jassar AS, Menon RS, et al. Moderate versus deep hypothermic circulatory arrest for elective aortic transverse hemiarch reconstruction. Ann Thorac Surg, 2015, 99(5): 1511-1517.
29.	Paone G, Likosky DS, Brewer R, et al. Transfusion of 1 and 2 units of red blood cells is associated with increased morbidity and mortality. Ann Thorac Surg, 2014, 97(1): 87-93.
30.	Weinrauch V, Safar P, Tisherman S, et al. Beneficial effect of mild hypothermia and detrimental effect of deep hypothermia after cardiac arrest in dogs. Stroke, 1992, 23(10): 1454-1462.
31.	Zierer A, Moritz A. Cerebral protection for aortic arch surgery: mild hypothermia with selective cerebral perfusion. Semin Thorac Cardiovasc Surg, 2012, 24(2): 123-126.
32.	Zierer A, Detho F, Dzemali O, et al. Antegrade cerebral perfusion with mild hypothermia for aortic arch replacement: single-center experience in 245 consecutive patients. Ann Thorac Surg, 2011, 91(6): 1868-1873.
33.	Newland RF, Tully PJ, Baker RA. Hyperthermic perfusion during cardiopulmonary bypass and postoperative temperature are independent predictors of acute kidney injury following cardiac surgery. Perfusion, 2013, 28(3): 223-231.
34.	Newland RF, Baker RA, Mazzone AL, et al. Rewarming temperature during cardiopulmonary bypass and acute kidney injury: A multicenter analysis. Ann Thorac Surg, 2016, 101(5): 1655-1662.

1. Ziganshin BA, Rajbanshi BG, Tranquilli M, et al. Straight deep hypothermic circulatory arrest for cerebral protection during aortic arch surgery: Safe and effective. J Thorac Cardiovasc Surg, 2014, 148(3): 888-898.
2. Pacini D, Leone A, Di Marco L, et al. Antegrade selective cerebral perfusion in thoracic aorta surgery: safety of moderate hypothermia. Eur J Cardiothorac Surg, 2007, 31(4): 618-622.
3. Yan TD, Bannon PG, Bavaria J, et al. Consensus on hypothermia in aortic arch surgery. Ann Cardiothorac Surg, 2013, 2(2): 163-168.
4. Bigelow WG, Lindsay WK, Greenwood WF. Hypothermia; its possible role in cardiac surgery: an investigation of factors governing survival in dogs at low body temperatures. Ann Surg, 1950, 132(5): 849-866.
5. Sealy WC, Brown IW Jr, Young WG Jr. A report on the use of both extracorporeal circulation and hypothermia for open heart surgery. Ann Surg, 1958, 147(5): 603-613.
6. Zierer A, Moon MR, Melby SJ, et al. Impact of perfusion strategy on neurologic recovery in acute type A aortic dissection. Ann Thorac Surg, 2007, 83(6): 2122-2128.
7. Svensson LG, Crawford ES, Hess KR, et al. Deep hypothermia with circulatory arrest. Determinants of stroke and early mortality in 656 patients. J Thorac Cardiovasc Surg, 1993, 106(1): 19-28.
8. van der Zee MP, Koene BM, Mariani MA. Fatal air embolism during cardiopulmonary bypass: analysis of an incident and prevention measures. Interact Cardiovasc Thorac Surg, 2014, 19(5): 875-877.
9. Okita Y, Miyata H, Motomura N, et al. A study of brain protection during total arch replacement comparing antegrade cerebral perfusion versus hypothermic circulatory arrest, with or without retrograde cerebral perfusion: analysis based on the Japan Adult Cardiovascular Surgery Database. J Thorac Cardiovasc Surg, 2015, 149(2 Suppl): S65-S73.
10. Estrera AL, Miller CC 3rd, Lee TY, et al. Ascending and transverse aortic arch repair: the impact of retrograde cerebral perfusion. Circulation, 2008, 118(14 Suppl): S160-S166.
11. Ueda Y. A reappraisal of retrograde cerebral perfusion. Ann Cardiothorac Surg, 2013, 2(3): 316-325.
12. De Bakey ME, Crawford ES, Cooley DA, et al. Successful resection of fusiform aneurysm of aortic arch with replacement by homograft. Surg Gynecol Obstet, 1957, 105(6): 657-664.
13. Kazui T. Update in surgical management of aneurysms of the thoracic aorta. Rinsho Kyobu Geka, 1986, 6(1): 7-15.
14. Kazui T, Inoue N, Yamada O, et al. Selective cerebral perfusion during operation for aneurysms of the aortic arch: a reassessment. Ann Thorac Surg, 1992, 53(1): 109-114.
15. Okita Y, Okada K, Omura A, et al. Total arch replacement using selective antegrade cerebral perfusion as the neuroprotection strategy. Ann Cardiothorac Surg, 2013, 2(2): 169-174.
16. Svyatets M, Tolani K, Zhang M, et al. Perioperative management of deep hypothermic circulatory arrest. J Cardiothorac Vasc Anesth, 2010, 24(4): 644-655.
17. Tian DH, Wan B, Bannon PG, et al. A meta-analysis of deep hypothermic circulatory arrest alone versus with adjunctive selective antegrade cerebral perfusion. Ann Cardiothorac Surg, 2013, 2(3): 261-270.
18. Krabbe-Hartkamp MJ, van der Grond J, de Leeuw FE, et al. Circle of Willis: morphologic variation on three-dimensional time-of-flight MR angiograms. Radiology, 1998, 207(1): 103-111.
19. Urbanski PP, Lenos A, Blume JC, et al. Does anatomical completeness of the circle of Willis correlate with sufficient cross-perfusion during unilateral cerebral perfusion? Euro J Cardio-thorac Surg, 2008, 33(3): 402-408.
20. Angeloni E, Benedetto U, Takkenberg JJ, et al. Unilateral versus bilateral antegrade cerebral protection during circulatory arrest in aortic surgery: a meta-analysis of 5100 patients. J Thorac Cardiovasc Surg, 2014, 147(1): 60-67.
21. Kr?henbühl ES, Clément M, Reineke D, et al. Antegrade cerebral protection in thoracic aortic surgery: lessons from the past decade. Eur J Cardiothorac Surg, 2010, 38(1): 46-51.
22. Malvindi PG, Scrascia G, Vitale N. Is unilateral antegrade cerebral perfusion equivalent to bilateral cerebral perfusion for patients undergoing aortic arch surgery? Interact Cardiovasc Thorac Surg, 2008, 7: 891-897.
23. Usui A, Oohara K, Murakami F, et al. Body temperature influences regional tissue blood flow during retrograde cerebral perfusion. J Thorac Cardiovasc Surg, 1997, 114(3): 440-447.
24. Zhu JM, Qi RD, Chen L, et al. Surgery for acute type A dissection using total arch replacement combined with stented elephant trunk implantation: Preservation of autologous brachiocephalic vessels. J Thorac Cardiovasc Surg, 2015, 150(1): 101-105.
25. Ma WG, Zheng J, Dong SB, et al. Sun's procedure of total arch replacement using a tetrafurcated graft with stented elephant trunk implantation: analysis of early outcome in 398 patients with acute type A aortic dissection. Ann Cardiothorac Surg, 2013, 2(5): 621-628.
26. Tian DH, Wan B, Bannon PG, et al. A meta-analysis of deep hypothermic circulatory arrest versus moderate hypothermic circulatory arrest with selective antegrade cerebral perfusion. Ann Cardiothorac Surg, 2013, 2(2): 148-158.
27. Keenan JE, Wang H, Gulack BC, et al. Does moderate hypothermia really carry less bleeding risk than deep hypothermia for circulatory arrest? A propensity-matched comparison in hemiarch replacement. J Thorac Cardiovasc Surg, 2016, 152(6): 1559-1569.
28. Vallabhajosyula P, Jassar AS, Menon RS, et al. Moderate versus deep hypothermic circulatory arrest for elective aortic transverse hemiarch reconstruction. Ann Thorac Surg, 2015, 99(5): 1511-1517.
29. Paone G, Likosky DS, Brewer R, et al. Transfusion of 1 and 2 units of red blood cells is associated with increased morbidity and mortality. Ann Thorac Surg, 2014, 97(1): 87-93.
30. Weinrauch V, Safar P, Tisherman S, et al. Beneficial effect of mild hypothermia and detrimental effect of deep hypothermia after cardiac arrest in dogs. Stroke, 1992, 23(10): 1454-1462.
31. Zierer A, Moritz A. Cerebral protection for aortic arch surgery: mild hypothermia with selective cerebral perfusion. Semin Thorac Cardiovasc Surg, 2012, 24(2): 123-126.
32. Zierer A, Detho F, Dzemali O, et al. Antegrade cerebral perfusion with mild hypothermia for aortic arch replacement: single-center experience in 245 consecutive patients. Ann Thorac Surg, 2011, 91(6): 1868-1873.
33. Newland RF, Tully PJ, Baker RA. Hyperthermic perfusion during cardiopulmonary bypass and postoperative temperature are independent predictors of acute kidney injury following cardiac surgery. Perfusion, 2013, 28(3): 223-231.
34. Newland RF, Baker RA, Mazzone AL, et al. Rewarming temperature during cardiopulmonary bypass and acute kidney injury: A multicenter analysis. Ann Thorac Surg, 2016, 101(5): 1655-1662.

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