{"id":"https://openalex.org/W42444461","doi":null,"title":"Use of hypothermic circulatory arrest for cerebral protection during aortic surgery.","display_name":"Use of hypothermic circulatory arrest for cerebral protection during aortic surgery.","publication_year":1997,"publication_date":"1997-03-01","ids":{"openalex":"https://openalex.org/W42444461","mag":"42444461","pmid":"https://pubmed.ncbi.nlm.nih.gov/9271761"},"language":"en","primary_location":{"id":"pmid:9271761","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9271761","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of cardiac surgery","raw_type":"Journal Article"},"volume":null,"type":"article","indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5113772582","display_name":"Randall B. Griepp","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1324220072","display_name":"Mount Sinai Hospital","ror":"https://ror.org/01zkyz108","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1320796813","https://openalex.org/I1324220072"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"R B Griepp","raw_affiliation_strings":["Department of Cardiothoracic Surgery, Mount Sinai Medical Center, New York, New York 10029, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiothoracic Surgery, Mount Sinai Medical Center, New York, New York 10029, USA","institution_ids":["https://openalex.org/I1324220072"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103041373","display_name":"M. Arisan Ergin","orcid":"https://orcid.org/0000-0002-8690-6115","observed_orcids":["https://orcid.org/0000-0002-8690-6115"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"M A Ergin","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110382478","display_name":"Jock N. McCullough","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J N McCullough","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040327922","display_name":"Khanh Hoa Nguyen","orcid":"https://orcid.org/0000-0001-5096-1342","observed_orcids":["https://orcid.org/0000-0001-5096-1342"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"K H Nguyen","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109134539","display_name":"Tatu Sakari Juvonen","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"T Juvonen","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"N Chang","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"N Chang","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5027460157","display_name":"Eva B. Griepp","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"E B Griepp","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":4.991,"has_fulltext":false,"cited_by_count":72,"citation_normalized_percentile":{"value":0.95076576,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":98},"biblio":{"volume":"12","issue":"2 Suppl","first_page":"312","last_page":"21"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11055","display_name":"Cardiac and Coronary Surgery Techniques","score":0.5067999958992004,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11055","display_name":"Cardiac and Coronary Surgery Techniques","score":0.5067999958992004,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10618","display_name":"Aortic Disease and Treatment Approaches","score":0.21279999613761902,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11861","display_name":"Thermal Regulation in Medicine","score":0.17409999668598175,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hypothermic-circulatory-arrest","display_name":"hypothermic circulatory arrest","score":0.9959999918937683},{"id":"https://openalex.org/keywords/brain-protection","display_name":"cerebral protection","score":0.9589999914169312},{"id":"https://openalex.org/keywords/aortic-surgery","display_name":"aortic surgery","score":0.9980000257492065},{"id":"https://openalex.org/keywords/cerebral-metabolism","display_name":"brain metabolism","score":0.5479999780654907},{"id":"https://openalex.org/keywords/cerebrovascular-resistance","display_name":"cerebrovascular resistance","score":0.7950000166893005},{"id":"https://openalex.org/keywords/oxygen-extraction","display_name":"oxygen extraction","score":0.777999997138977},{"id":"https://openalex.org/keywords/topical-hypothermia","display_name":"topical hypothermia","score":0.8730000257492065},{"id":"https://openalex.org/keywords/retrograde-cerebral-perfusion","display_name":"retrograde cerebral perfusion","score":0.9819999933242798},{"id":"https://openalex.org/keywords/antegrade-cerebral-perfusion","display_name":"antegrade cerebral perfusion","score":0.9829999804496765},{"id":"https://openalex.org/keywords/neurological-injury","display_name":"neurological injury","score":0.6079999804496765},{"id":"https://openalex.org/keywords/stroke-risk-factors","display_name":"stroke risk factors","score":0.6690000295639038},{"id":"https://openalex.org/keywords/aortic-dissection","display_name":"aortic dissection","score":0.8420000076293945},{"id":"https://openalex.org/keywords/aortic-plaque","display_name":"aortic plaque","score":0.7799999713897705}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9057893753051758},{"id":"https://openalex.org/C154281038","wikidata":"https://www.wikidata.org/wiki/Q629232","display_name":"Cerebral perfusion pressure","level":3,"score":0.664118766784668},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.6563754677772522},{"id":"https://openalex.org/C2777390192","wikidata":"https://www.wikidata.org/wiki/Q1036696","display_name":"Hypothermia","level":2,"score":0.62928307056427},{"id":"https://openalex.org/C157767197","wikidata":"https://www.wikidata.org/wiki/Q886843","display_name":"Cerebral blood flow","level":2,"score":0.5907889008522034},{"id":"https://openalex.org/C2778881276","wikidata":"https://www.wikidata.org/wiki/Q552304","display_name":"Cardiopulmonary bypass","level":2,"score":0.5214231014251709},{"id":"https://openalex.org/C72859922","wikidata":"https://www.wikidata.org/wiki/Q11068","display_name":"Circulatory system","level":2,"score":0.5083147883415222},{"id":"https://openalex.org/C2994142871","wikidata":"https://www.wikidata.org/wiki/Q7873","display_name":"Oxygen delivery","level":3,"score":0.42963385581970215},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.32034045457839966},{"id":"https://openalex.org/C540031477","wikidata":"https://www.wikidata.org/wiki/Q629","display_name":"Oxygen","level":2,"score":0.2376457154750824},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.0},{"id":"https://openalex.org/C178790620","wikidata":"https://www.wikidata.org/wiki/Q11351","display_name":"Organic chemistry","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000818","descriptor_name":"Animals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000818","descriptor_name":"Animals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000818","descriptor_name":"Animals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001011","descriptor_name":"Aorta","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D001011","descriptor_name":"Aorta","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D001011","descriptor_name":"Aorta","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D001921","descriptor_name":"Brain","qualifier_ui":"Q000378","qualifier_name":"metabolism","is_major_topic":false},{"descriptor_ui":"D001921","descriptor_name":"Brain","qualifier_ui":"Q000378","qualifier_name":"metabolism","is_major_topic":false},{"descriptor_ui":"D001921","descriptor_name":"Brain","qualifier_ui":"Q000378","qualifier_name":"metabolism","is_major_topic":false},{"descriptor_ui":"D001927","descriptor_name":"Brain Diseases","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D001927","descriptor_name":"Brain Diseases","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D001927","descriptor_name":"Brain Diseases","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D001927","descriptor_name":"Brain Diseases","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D001927","descriptor_name":"Brain Diseases","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D001927","descriptor_name":"Brain Diseases","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D002315","descriptor_name":"Cardiopulmonary Bypass","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002315","descriptor_name":"Cardiopulmonary Bypass","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002315","descriptor_name":"Cardiopulmonary Bypass","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006324","descriptor_name":"Heart Arrest, Induced","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006324","descriptor_name":"Heart Arrest, Induced","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006324","descriptor_name":"Heart Arrest, Induced","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007036","descriptor_name":"Hypothermia, Induced","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D007036","descriptor_name":"Hypothermia, Induced","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D007036","descriptor_name":"Hypothermia, Induced","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D010101","descriptor_name":"Oxygen Consumption","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010101","descriptor_name":"Oxygen Consumption","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010101","descriptor_name":"Oxygen Consumption","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010477","descriptor_name":"Perfusion","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D010477","descriptor_name":"Perfusion","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D010477","descriptor_name":"Perfusion","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D017052","descriptor_name":"Hospital Mortality","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017052","descriptor_name":"Hospital Mortality","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017052","descriptor_name":"Hospital Mortality","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:9271761","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9271761","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of cardiac surgery","raw_type":"Journal Article"},{"id":"mag:42444461","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9271761","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9763000011444092,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W1860083870","https://openalex.org/W1971828754","https://openalex.org/W1776788185","https://openalex.org/W2076946644","https://openalex.org/W2014523630","https://openalex.org/W1437508234","https://openalex.org/W2272960717","https://openalex.org/W2293879268","https://openalex.org/W1983320975","https://openalex.org/W2095403784"],"abstract_inverted_index":{"Optimal":[0],"use":[1,308],"of":[2,11,34,62,87,95,149,155,204,233,253,275,281,284,289,304,309,325,362,368,375,393],"hypothermic":[3],"circulatory":[4],"arrest":[5],"during":[6,100,163,201],"aortic":[7,349],"surgery":[8],"requires":[9],"understanding":[10],"its":[12,234,240],"physiology.":[13],"Research":[14],"in":[15,126,167,199,225,242,286,319,336,346,352,379],"laboratory":[16,81,226,287],"animals":[17,227],"and":[18,70,137,190,222,255,278,296,355,374,391],"clinical":[19,292],"observations":[20,115],"have":[21,116,180,298,342],"now":[22,117],"documented":[23],"that":[24,83,119],"considerable":[25,80,120,344],"residual":[26],"cerebral":[27,97,102,175,207,290],"metabolism":[28,103,257],"remains":[29],"with":[30,134,321,329,332],"cooling":[31,40],"to":[32,54,66,183,214,239],"levels":[33,108],"15-18":[35],"degrees":[36,57],"C,":[37],"especially":[38,351],"if":[39,59],"intervals":[41],"are":[42,89,316],"short,":[43],"reflected":[44],"by":[45,91,109],"persistent":[46],"jugular":[47,73,121],"venous":[48,74,122],"desaturation.":[49],"Cooling":[50],"should":[51],"be":[52,237],"continued":[53,71],"below":[55],"15":[56],"C":[58],"the":[60,147,153,171,197,202,244,267,272,279,302,337,380,383],"duration":[61],"HCA":[63,88,310],"is":[64,79,104,124,131,138,193],"expected":[65],"exceed":[67,76],"20":[68],"minutes,":[69],"until":[72],"saturations":[75],"95%.":[77],"There":[78],"evidence":[82],"even":[84],"short":[85],"durations":[86],"followed":[90],"a":[92,156,259,356,359],"prolonged":[93,135,157,229],"interval":[94,160,203],"increased":[96,111],"vascular":[98],"resistance":[99],"which":[101,164],"maintained":[105],"at":[106,258,266],"normal":[107],"markedly":[110],"oxygen":[112,168],"extraction.":[113],"Clinical":[114],"confirmed":[118],"desaturation":[123],"present":[125,140],"patients":[127,320],"following":[128,161,186,228,348],"HCA:":[129],"it":[130],"more":[132],"pronounced":[133],"HCA,":[136,162,230],"still":[139],"as":[141,143,218,220],"late":[142],"six":[144],"hours":[145],"after":[146],"start":[148],"rewarming.":[150],"This":[151],"reinforces":[152],"concept":[154],"postoperative":[158],"vulnerable":[159],"any":[165],"compromise":[166],"delivery":[169],"has":[170,210],"potential":[172],"for":[173,389],"producing":[174],"injury.":[176],"Several":[177],"adjunctive":[178],"measures":[179,288],"been":[181,212],"shown":[182,213],"improve":[184,215],"outcome":[185,224],"HCA.":[187,205],"The":[188,366],"simplest":[189],"most":[191,384],"important":[192],"topical":[194],"hypothermia:":[195],"packing":[196],"head":[198],"ice":[200],"Retrograde":[206],"perfusion":[208,265],"(RCP)":[209],"also":[211],"EEG":[216],"recovery":[217],"well":[219],"histological":[221],"behavioral":[223],"but":[231],"some":[232,282],"effect":[235],"may":[236],"secondary":[238],"efficacy":[241],"keeping":[243],"brain":[245],"cold,":[246],"since":[247],"RCP":[248,285,295],"provides":[249],"very":[250],"low":[251],"rates":[252],"flow":[254],"supports":[256],"much":[260],"lower":[261,360],"level":[262],"than":[263],"antegrade":[264,276],"same":[268],"temperature.":[269],"But":[270],"despite":[271],"clear":[273],"superiority":[274,303],"perfusion,":[277],"documentation":[280],"benefits":[283],"protection,":[291],"results":[293],"using":[294],"ACP":[297],"not":[299],"yet":[300],"demonstrated":[301],"these":[305,314],"methods":[306],"over":[307],"alone,":[311],"perhaps":[312],"because":[313],"modalities":[315],"usually":[317],"employed":[318],"unusually":[322],"high":[323],"risk":[324,386],"neurological":[326],"injury:":[327],"those":[328],"dissection":[330],"or":[331,334,371,377],"clot":[333,376],"atheroma":[335,378],"aorta.":[338],"Nevertheless,":[339],"recent":[340],"years":[341],"seen":[343],"reduction":[345],"mortality":[347],"surgery,":[350],"older":[353],"patients,":[354],"trend":[357],"toward":[358],"incidence":[361],"permanent":[363],"neurologic":[364],"dysfunction.":[365],"presence":[367],"preoperative":[369],"rupture":[370],"hemodynamic":[372],"compromise,":[373],"aorta,":[381],"remain":[382],"significant":[385],"factors":[387],"both":[388],"death":[390],"occurrence":[392],"stroke.":[394]},"counts_by_year":[{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":1},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":4}],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2016-06-24T00:00:00"}
