ALERT!
This site is not optimized for Internet Explorer 8 (or older).
Please upgrade to a newer version of Internet Explorer or use an alternate browser such as Chrome or Firefox.
Innovations to the Norwood Procedure: Sustained Total All-Region Perfusion
Prabhu NK, Meza JM, Andersen ND, Turek JW. Innovations on the Norwood Procedure: Sustained Total All-Region (STAR) Perfusion. September 2021. doi:10.25373/ctsnet.16589807
Recovery following the neonatal Norwood procedure is often complicated by bleeding, acute kidney injury, systemic inflammatory response, and low cardiac function [1]. The traditional conduct of this operation under deep hypothermic circulatory arrest likely exacerbates these problems. Total body perfusion during Norwood reconstruction may improve post-operative recovery by cooling to only mild hypothermia and eliminating ischemic time in all vascular beds. Here we present a novel technique for sustained total all-region (STAR) perfusion of the heart, upper body, and lower body throughout the Norwood operation [2, 3].
References
- Hornik CP, He X, Jacobs JP, et al. Complications after the Norwood operation: an analysis of The Society of Thoracic Surgeons Congenital Heart Surgery Database. Ann Thorac Surg. 2011;92(5):1734-40.
- Turek JW, Hanfland RA, Davenport TL, et al. Norwood reconstruction using continuous coronary perfusion: a safe and translatable technique. Ann Thorac Surg. 2013;96(1):219-23.
- Andersen ND, Prabhu NK, Turek JW. Sustained Total All-Region (STAR) Perfusion for Norwood Reconstruction. Operative Techniques in Thoracic and Cardiovascular Surgery 2020;25(3):126-39.
Disclaimer
The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
Comments