vtioВестник трансплантологии и искусственных органовRussian Journal of Transplantology and Artificial Organs1995-1191Academician V.I.Shumakov National Medical Research Center of Transplantology and Artificial Organs", Ministry of Health of the Russian Federation10.15825/1995-1191-2011-3-41-45vtio-414Research ArticleТрансплантомикаTransplantomicsРЕТРОГРАДНАЯ ПЕРФУЗИЯ ГОЛОВНОГО МОЗГА КАК МЕТОД ЕГО ЗАЩИТЫ ВО ВРЕМЯ ГИПОТЕРМИЧЕСКОЙ ОСТАНОВКИ КРОВООБРАЩЕНИЯ ПРИ ОПЕРАЦИЯХ НА ВОСХОДЯЩЕМ ОТДЕЛЕ И ДУГЕ АОРТЫRETROGRADE CEREBRAL PERFUSION AS METHOD OF BRAIN PROTECTION DURING OPERATIONS ON ASCENDING AND TRANSVERSE AORTA WITH HYPOTHERMIC CIRCULATORY ARRESTТарабаркоН. Н.TarabarkoN. N.СеменовскийМ. Л.SemenovskyM. L.АкоповГ. А.AkopovG. A.ПопцовВ. Н.PoptsovV. N.ФГУ «ФНЦ трансплантологии и искусственных органов им. академика В.И. Шумакова» Минздравсоцразвития РФ, МоскваРоссияAcademician V.I. Schumakov Federal Research Center of Transplantology and Artificial Organs, MoscowRussian Federation201118062014133ВЕСТНИК ТРАНСПЛАНТОЛОГИИ И ИСКУССТВЕННЫХ ОРГАНОВ том XIII No 3–20114145Copyright © Тарабарко Н.Н., Семеновский М.Л., Акопов Г.А., Попцов В.Н., 20112011Тарабарко Н.Н., Семеновский М.Л., Акопов Г.А., Попцов В.Н.Tarabarko N.N., Semenovsky M.L., Akopov G.A., Poptsov V.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.transpl.ru/vtio/article/view/414

В настоящее время нет единой концепции в выборе метода защиты головного мозга при операциях на восходящем отделе и дуге аорты во время остановки кровообращения. Целью данного исследования стал анализ опыта проведения ретроградной перфузии головного мозга как метода его протекции при опе- рациях с гипотермической остановкой кровообращения, накопленного в отделении реконструктивной хирургии приобретенных заболеваний сердца ФНЦТИО. 

There is no optimal approach to cerebral protection during ascending and transverse aortic arch repairs in our days. This study was designed to analyze experience of using retrograde cerebral perfusion as method of brain protection during operations on ascending and transverse aorta with hypothermic circulatory arrest. 

ретроградная перфузия головного мозгарасслаивающая аневризма восходящего отдела аортырасслаивающая аневризма дуги аортыгипотермический циркуляторный арест.retrograde cerebral perfusionaortic dissectionhypothermic circulatory arrest.ReferencesEstrera A.L., Miller Ch.C., Taek-Yeon Lee. Circulation. 2008. Vol. 118. No 14, suppl. 1, September 30. P. 160– 166.Estrera A.L., Miller Ch.C., Taek-Yeon Lee. Circulation. 2008. Vol. 118. No 14, suppl. 1, September 30. P. 160– 166.Bavaria J.E., Pochettino A., Brinster D.R. New para- digms and improved results for the surgical treatment of acute type A dissection // Ann. Surg. 2001. Vol. 234. P. 336–342.Bavaria J.E., Pochettino A., Brinster D.R. New para- digms and improved results for the surgical treatment of acute type A dissection // Ann. Surg. 2001. Vol. 234. P. 336–342.Estrera A.L., Garami Z., Miller C.C. Determination of cerebral blood flow dynamics during retrograde cerebral perfusion using power M-mode transcranial Doppler // Ann. Thorac. Surg. 2003. Vol. 76. P. 704–709.Estrera A.L., Garami Z., Miller C.C. Determination of cerebral blood flow dynamics during retrograde cerebral perfusion using power M-mode transcranial Doppler // Ann. Thorac. Surg. 2003. Vol. 76. P. 704–709.Ergin M.A., Uysal S., McCullough J.N., Griepp R.B. Temporary neurological dysfunction after deep hypo- termic circulatory arrest: a clinical marker of long-term functional deficit // Ann. Thorac. Surg. 1999. Vol. 67. P. 1887–1890.Ergin M.A., Uysal S., McCullough J.N., Griepp R.B. Temporary neurological dysfunction after deep hypo- termic circulatory arrest: a clinical marker of long-term functional deficit // Ann. Thorac. Surg. 1999. Vol. 67. P. 1887–1890.Gega A., Rizzo J.A., Johnson M.H., Tranquilli M. Straight deep hypotermic arrest: experience in 394 patients sup- ports its effectiveness as a sole means of brain preserva- tion // Ann. Thorac. Surg. 2007. Vol. 84. P. 759–766.Gega A., Rizzo J.A., Johnson M.H., Tranquilli M. Straight deep hypotermic arrest: experience in 394 patients sup- ports its effectiveness as a sole means of brain preserva- tion // Ann. Thorac. Surg. 2007. Vol. 84. P. 759–766.Hagl C., Ergin M.A., Galla J.D. Neurologic outcome af- ter ascending aorta-aortic arch operations: effect of brain protection technique in high-risk patients // J. Thorac. Cardiovasc. Surg. 2001. Vol. 121. P. 1107–1121.Hagl C., Ergin M.A., Galla J.D. Neurologic outcome af- ter ascending aorta-aortic arch operations: effect of brain protection technique in high-risk patients // J. Thorac. Cardiovasc. Surg. 2001. Vol. 121. P. 1107–1121.Ehrlich M.P., Fang W.Ch., Grabenwoger M. // J. of Tho- rac. and Cardiovasc. Surg. 1999. Vol. 118, No 6. P. 1026– 1031.Ehrlich M.P., Fang W.Ch., Grabenwoger M. // J. of Tho- rac. and Cardiovasc. Surg. 1999. Vol. 118, No 6. P. 1026– 1031.Okita Y., Minatoya K., Tagusari O., Ando M. The Annals of Thoracic Surgery 72 (1) july 2001. P. 72–79.Okita Y., Minatoya K., Tagusari O., Ando M. The Annals of Thoracic Surgery 72 (1) july 2001. P. 72–79.Safi H.J., Letsou G.V., Iliopoulos D.C. Impact of retro- grade cerebral perfusion on ascending aortic and arch aneurism repair // Ann. Thorac. Surg. 1997. Vol. 63. P. 1601–1607.Safi H.J., Letsou G.V., Iliopoulos D.C. Impact of retro- grade cerebral perfusion on ascending aortic and arch aneurism repair // Ann. Thorac. Surg. 1997. Vol. 63. P. 1601–1607.Sinatra R., Melina G., Pulitani I. Emergency operation for acute type A aortic dissection: neurologic compli- cations and early mortality // Ann. Thorac. Surg. 2001. Vol. 71. P. 33–38.Sinatra R., Melina G., Pulitani I. Emergency operation for acute type A aortic dissection: neurologic compli- cations and early mortality // Ann. Thorac. Surg. 2001. Vol. 71. P. 33–38.Svensson L.G., Crawford E.S., Hess K.R. et al. Deep hy- pothermia with circulatory arrest: determinants of stroke and early mortality in 656 patients // J. Thorac. Cardio- vasc. Surg. 1993. Vol. 106. P. 19–31.Svensson L.G., Crawford E.S., Hess K.R. et al. Deep hy- pothermia with circulatory arrest: determinants of stroke and early mortality in 656 patients // J. Thorac. Cardio- vasc. Surg. 1993. Vol. 106. P. 19–31.

The authors declare that there are no conflicts of interest present.