Avtor/Urednik | Geršak, Borut; Kužner, Jernej; Drevenšek, Gorazd | |
Naslov | Myocardial protection strategies during cardiac surgery | |
Prevedeni naslov | Strategije za zaščito miokarda med srčno kirurgijo | |
Tip | članek | |
Vir | Slov Kardiol | |
Vol. in št. | Letnik 2, št. 2 | |
Leto izdaje | 2005 | |
Obseg | str. 148-58 | |
Jezik | eng | |
Abstrakt | The techniques involving various protective measures during heart surgery (heart, brain and body protection) can improve the outcome of surgery if properly used. Heart protection can be invoked by ischemic/hypoxic or by pharmacological preconditioning or postconditioning: by brief episodes of ischemia prior to surgery or by using pharmacologic agents that can trigger protective pathways of preconditioning. Surgical means of protecting the myocardial muscle mainly include changes in cardioplegic solutions, timing and temperature distribution, and recently also the use of beating heart techniques in those types of surgery where these were previously impossible to use. Future tasks for various teams working on myocardial protection should be oriented toward minimally invasive and endoscopic surgicat techniques. Only with such an attitude can the body, heart and brain be spared as much as possible during cardiac surgical procedures. | |
Izvleček | Različni pristopi za zaščito možganov, srca in telesa med kirurškim posegom na srcu lahko-ob ustrezni uporabi izboljšajo izid operacije. Srce lahko med operacijo zaščitimo z ishemično oziroma hipoksično ter farmakološko predpripravo in razbremenitvijo srčne mišice, kar dosežejo s kratkotrajnimi epizodami ishemije ali z uporabo specifičnih farmakoloških učinkovin, ki v srcu sprožijo zaščitne presnovne poti. Kirurška zaščita srca pa se poslužuje predvsem prilagajanja v sestavi kardioplegične raztopine ter času in temperature njene aptikacije, v zadnjem času pa tudi tehnik na utripajočem srcu. V prihodnje bodo skupine, ki se ukvarjajo z zaščito srca, usmerjene predvsem v minimalno invazivne ali endoskopske tehnike, s katerimi bodo lahko še bolje zaščitili telo, srce in možgane med srčnokirurškimi posegi. | |
Deskriptorji | HEART SURGERY HEART ARREST, INDUCED CARDIOPLEGIC SOLUTIONS MYOCARDIAL STUNNING ISCHEMIC PRECONDITIONING, MYOCARDIAL HEART VALVE PROSTHESIS MYOCARDIAL REPERFUSION |