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Cerebral Oxygenation Monitoring Using Near Infrared Spectroscopy for Posttraumatic Innominate Pseudoaneurysmal Surgery

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Affiliated Author(s)
이용철장영호
Alternative Author(s)
Lee, Yong CheolJang, Young Ho
Journal Title
Keimyung Medical Journal
Issued Date
2007
Keyword
BrainCerebral oxygen saturationInnominate artery
Abstract
Posttraumatic pseudoaneurysm of innominate artery (IA) is uncommon vascular injury. The conventional surgical repair of the IA injury needs profound hypothermia with circulatory arrest, cardiopulmonary bypass with selective perfusion of the right common carotid artery (CCA), or external or internal shunts. However, in case of the presence of contralateral cerebral perfusion to right CCA, it is possible without selective perfusion of the right CCA. We experienced anesthetic management of repairing traumatic pseudoaneurysm of the IA using
near infrared spectroscopy (NIRS) without bypass or shunting. Regional cerebral oxygen saturation (rSO2) was continuously measured with NIRS. The back flow test with NIRS to ensure cerebral collateral circulation to the right CCA was performed before IA repair. Right/Left rSO2 were 73/69% and 72/72% at immediately and 3 min after clamp, respectively. The rSO2 were well maintained as baseline level after test-clamping of the IA. Surgical repair was performed without arterial bypass and postoperative course was uneventful. He was discharged without any neurologic complication.
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Publisher
Keimyung University School of Medicine
Citation
Yong Cheul Lee et al. (2007). Cerebral Oxygenation Monitoring Using Near Infrared
Spectroscopy for Posttraumatic Innominate
Pseudoaneurysmal Surgery. Keimyung Medical Journal, 26(2), 147–151.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15402
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2007
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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