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The safe institution of antegrade selective cerebral perfusion in patients with cerebrovaseular diseases, particularly old infarction.

Research Project

Project/Area Number 15591468
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Thoracic surgery
Research InstitutionHamamatsu University School of Medicine

Principal Investigator

KAZUI Teruhisa  Hamamatsu Univ.School of medicine, the 1^<st> surgery, professor, 医学部, 教授 (20094203)

Co-Investigator(Kenkyū-buntansha) SUZUKI Takayasu  Hamamatsu Univ.School of medicine, research assistant, 医学部, リサーチアシスタント (50397395)
Project Period (FY) 2003 – 2004
Project Status Completed (Fiscal Year 2004)
Budget Amount *help
¥3,500,000 (Direct Cost: ¥3,500,000)
Fiscal Year 2004: ¥1,600,000 (Direct Cost: ¥1,600,000)
Fiscal Year 2003: ¥1,900,000 (Direct Cost: ¥1,900,000)
Keywordscerebral protection / Edaravone / 8-OHdG / malondialdehyde / SEP / ASCP / old cerebral infarction / Total arch replacement / Antegrade cerebral perfusion / Cerebral protection / Cerebral infarction / Eduravone / MDA / 大動脈瘤 / 選択的脳灌流 / edaravon
Research Abstract

Objective :
We sought to examine the cerebral protective effects of prophylactically administered Edaravone, in a canine model of old cerebral infarction, undergoing an antegrade selective cerebral perfusion.
Methods :
A canine model of cerebral infarct was created by injecting a cylindrical silicone embolus in the middle cerebral artery. Animals that developed obvious neurological deficits and had survived for 4 weeks or more were included in the experimental group (n=5). Healthy mongrel dogs were used as control (n=5). Deep hypothermia with antegrade selective cerebral perfusion was performed in the control (non-Edaravone group : group A, Edaravone treated group : group B) and experimental (non-Edaravone group : group C, Edaravone treated group : group D)groups. Serum concentrations of 8-hydroxy-2'-deoxyguanosine (8-OHdG) and malondialdehyde (MDA) were measured, and central conduction time and amplitude ratio of somatosensory evoked potential were assessed during the procedure.
Result :
Both control and experimental groups had similar preoperative parameters. In group C, the serum concentrations of 8-OHdG and MDA, and the central conduction time increased significantly compared with those in group A and B. However the differences between group C and group D with regard to those parameters were not significant. The amplitude ratio in group C significantly decreased compared with that in the other groups.
Conclusion :
This experiment suggests that the prophylactic administration of Edaravone before antegrade selective cerebral perfusion is likely to provide effective cerebral protection in dogs with old cerebral infarction.

Report

(3 results)
  • 2004 Annual Research Report   Final Research Report Summary
  • 2003 Annual Research Report
  • Research Products

    (16 results)

All 2005 2004 2003 2002 2001 2000 1999 1996 1991 1974

All Journal Article (15 results) Book (1 results)

  • [Journal Article] Total aortic arch replacement and limited circulatory arrest of the brain.2005

    • Author(s)
      Kazui T, Bashar AHM, et al.
    • Journal Title

      Journal of Thoracic and Cardiovasclar Surgery 129

      Pages: 1207-1208

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Comparison of pH management during antegrade selective cerebral perfusion in canine models with old cerebral infarction.2004

    • Author(s)
      Ohkura K, Kazui T, et al.
    • Journal Title

      Journal of Thoracic and Cardiovasclar Surgery 128

      Pages: 378-385

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Separate graft or En bloc anastomosis for arch vessels reimplantation to the aortic arch.vessels reimplantation to the aortic arch.2004

    • Author(s)
      Di Eusanio M, Kazui T, et al.
    • Journal Title

      Annals of Thoracic Surgery 77

      Pages: 2021-2028

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Comparison of pH-management during antegrade selective cerebral perfusion in canine models with old cerebral infarction.2004

    • Author(s)
      Ohkura K, Kazui T, Yamamoto S, et al.
    • Journal Title

      J Thorac Cardiovasc Surg 128

      Pages: 378-385

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Brain protection using antegradeselective cerebral perfusion : A multicenter-study.2003

    • Author(s)
      Di Eusanio M, Kazui T, et al.
    • Journal Title

      Annals of Thoracic Surgery 76

      Pages: 1181-1189

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Antegrade selective cerebral perfusion during operations on the thoracic aorta : Factors influencing survival and neurologic outcome in 413 patients.2002

    • Author(s)
      Di Eusanio M, Schepens MAAM, Morshuis WJ, et al.
    • Journal Title

      J Thorac Cardiovasc Surg 124

      Pages: 1080-1086

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Neurologic outcome after ascending aorta-aortic arch operations : effect of brain protection technique in high-risk patients.2001

    • Author(s)
      Hagl C, Ergin MA, Galla JD, et al.
    • Journal Title

      J Thorac Cardiovasc Surg 121

      Pages: 1107-1121

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Cerebral oxygenation monitoring for total arch replacement using selective cerebral perfusion.2001

    • Author(s)
      Yamashita K, Kazui T, Terada H, et al.
    • Journal Title

      J Thorac Cardiovasc Surg 72

      Pages: 503-508

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Improved results of atherosclerotic arch aneurysm operation with a refined tenique.2001

    • Author(s)
      Kazui T, Washiyama N, Muhammad BAH, et al.
    • Journal Title

      J Thorac Cardiovasc Surg 121

      Pages: 491-499

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Experimental study on the effect of antegrade cerebral perfusion with old cerebral infarction.2001

    • Author(s)
      Washiyama N, Kazui T, Takinami M, et al.
    • Journal Title

      J Thorac Cardiovasc Surg 122

      Pages: 734-740

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Total arch replacement using aortic arch branched grafts with the aid of antegrade selective cerebral perfusion.2000

    • Author(s)
      Kazui T, Washiyama N, Basher AHM, et al.
    • Journal Title

      Ann Tharac Surg 70

      Pages: 3-9

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Antegrade selective cerebral perfusion in operations on the proximal thoracic aorta.1999

    • Author(s)
      Dossche KM, Schepens MAAM, Morshuis WJ, et al.
    • Journal Title

      Ann Tharac Surg 67

      Pages: 1904-1910

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Comparative experimental study of cerebral protection during aortic arch reconstruction.1996

    • Author(s)
      Sakurada T, Kazui T, Tanaka H, et al.
    • Journal Title

      Ann Tharac Surg 61

      Pages: 1348-1354

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Low-flow hypothermic CPB protects the brain.1991

    • Author(s)
      Swain JA, McDonald TJ, Griffith PK, et al.
    • Journal Title

      J Thorac Cardiovasc Surg 102

      Pages: 76-84

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Barbiturate protection in acute focal cerebral ischemia.1974

    • Author(s)
      Smith AL, Hoff JT, Nielsen SL, et al.
    • Journal Title

      Stroke 5

      Pages: 1-7

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Book] エキスパートに学ぶ大動脈瘤手術2003

    • Author(s)
      数井 暉久
    • Publisher
      メディカルレビュー社
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary

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Published: 2003-04-01   Modified: 2016-04-21  

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