Neuropsychological outcomes after pulmonary endarterectomy using moderate hypothermia and periodic circulatory arrest
In this prospective, single-center, observational study, we investigated the association between repeated short periods of circulatory arrest with moderate hypothermia during pulmonary endarterectomy (PEA) in patients with chronic thromboembolic pulmonary hypertension (CTEPH) and different neuropsyc...
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| Veröffentlicht in: | The Journal of heart and lung transplantation 2018-07, Vol.37 (7), p.860-864 |
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| container_end_page | 864 |
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| container_title | The Journal of heart and lung transplantation |
| container_volume | 37 |
| creator | Vanini, Benedetta Grazioli, Valentina Sciortino, Antonio Pin, Maurizio Merli, Vera N. Celentano, Anna Parisi, Ilaria Klersy, Catherine Petrucci, Lucia Salati, Maurizio Politi, Pierluigi D’Armini, Andrea M. |
| description | In this prospective, single-center, observational study, we investigated the association between repeated short periods of circulatory arrest with moderate hypothermia during pulmonary endarterectomy (PEA) in patients with chronic thromboembolic pulmonary hypertension (CTEPH) and different neuropsychological dimensions.
We examined 70 patients with CTEPH, >18 to 80 years of age, who had been treated with PEA. Neuropsychological testing was performed.
Learning ability and delayed memory remained well within the normal range for patients’ age. We found a statistically significant post-surgical improvement in motor speed, which was accompanied by a better quality of life and reduced symptoms of depression and anxiety.
PEA with repeated short periods of circulatory arrest in CTEPH did not result in any neuropsychological complications and may even lead to post-surgical psychological improvements. |
| doi_str_mv | 10.1016/j.healun.2018.02.007 |
| format | Article |
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We examined 70 patients with CTEPH, >18 to 80 years of age, who had been treated with PEA. Neuropsychological testing was performed.
Learning ability and delayed memory remained well within the normal range for patients’ age. We found a statistically significant post-surgical improvement in motor speed, which was accompanied by a better quality of life and reduced symptoms of depression and anxiety.
PEA with repeated short periods of circulatory arrest in CTEPH did not result in any neuropsychological complications and may even lead to post-surgical psychological improvements.</description><identifier>ISSN: 1053-2498</identifier><identifier>EISSN: 1557-3117</identifier><identifier>DOI: 10.1016/j.healun.2018.02.007</identifier><identifier>PMID: 29550147</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>chronic thromboembolic pulmonary hypertension ; circulatory arrest ; moderate hypothermia ; neuropsychological dimensions ; pulmonary endarterectomy</subject><ispartof>The Journal of heart and lung transplantation, 2018-07, Vol.37 (7), p.860-864</ispartof><rights>2018 International Society for the Heart and Lung Transplantation</rights><rights>Copyright © 2018 International Society for the Heart and Lung Transplantation. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-6f2a20d09c635a815f904e271c4bec6e9b9446dae142bf286064e645a7e280043</citedby><cites>FETCH-LOGICAL-c362t-6f2a20d09c635a815f904e271c4bec6e9b9446dae142bf286064e645a7e280043</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.healun.2018.02.007$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29550147$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vanini, Benedetta</creatorcontrib><creatorcontrib>Grazioli, Valentina</creatorcontrib><creatorcontrib>Sciortino, Antonio</creatorcontrib><creatorcontrib>Pin, Maurizio</creatorcontrib><creatorcontrib>Merli, Vera N.</creatorcontrib><creatorcontrib>Celentano, Anna</creatorcontrib><creatorcontrib>Parisi, Ilaria</creatorcontrib><creatorcontrib>Klersy, Catherine</creatorcontrib><creatorcontrib>Petrucci, Lucia</creatorcontrib><creatorcontrib>Salati, Maurizio</creatorcontrib><creatorcontrib>Politi, Pierluigi</creatorcontrib><creatorcontrib>D’Armini, Andrea M.</creatorcontrib><title>Neuropsychological outcomes after pulmonary endarterectomy using moderate hypothermia and periodic circulatory arrest</title><title>The Journal of heart and lung transplantation</title><addtitle>J Heart Lung Transplant</addtitle><description>In this prospective, single-center, observational study, we investigated the association between repeated short periods of circulatory arrest with moderate hypothermia during pulmonary endarterectomy (PEA) in patients with chronic thromboembolic pulmonary hypertension (CTEPH) and different neuropsychological dimensions.
We examined 70 patients with CTEPH, >18 to 80 years of age, who had been treated with PEA. Neuropsychological testing was performed.
Learning ability and delayed memory remained well within the normal range for patients’ age. We found a statistically significant post-surgical improvement in motor speed, which was accompanied by a better quality of life and reduced symptoms of depression and anxiety.
PEA with repeated short periods of circulatory arrest in CTEPH did not result in any neuropsychological complications and may even lead to post-surgical psychological improvements.</description><subject>chronic thromboembolic pulmonary hypertension</subject><subject>circulatory arrest</subject><subject>moderate hypothermia</subject><subject>neuropsychological dimensions</subject><subject>pulmonary endarterectomy</subject><issn>1053-2498</issn><issn>1557-3117</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kE9r3DAQxUVpaP6036AUHXOxM5Il2b4ESmiTQEgu6VlopXFWi205khXYb18tm-bY0wzDe_N4P0K-M6gZMHW1q7doxjzXHFhXA68B2k_kjEnZVg1j7eeyg2wqLvrulJyntAMA3kj-hZzyXkpgoj0j-RFzDEva220Yw4u3ZqQhrzZMmKgZVox0yeMUZhP3FGdnYjmhXcO0pzn5-YVOwWE0K9LtfgnrFuPkDTWzowtGH5y31Ppo82jWUF6YGDGtX8nJYMaE397nBfnz-9fzzV318HR7f_PzobKN4mulBm44OOitaqTpmBx6EMhbZsUGrcJ-0wuhnEEm-GbgnQIlUAlpWuQdgGguyOXx7xLDay7BevLJ4jiaGUNOuqCTgnFouiIVR6mNIaWIg16in0przUAfgOudPgI_uDoNXBfgxfbjPSFvJnQfpn-Ei-D6KMDS881j1Ml6nC06f-CoXfD_T_gL31SWtg</recordid><startdate>201807</startdate><enddate>201807</enddate><creator>Vanini, Benedetta</creator><creator>Grazioli, Valentina</creator><creator>Sciortino, Antonio</creator><creator>Pin, Maurizio</creator><creator>Merli, Vera N.</creator><creator>Celentano, Anna</creator><creator>Parisi, Ilaria</creator><creator>Klersy, Catherine</creator><creator>Petrucci, Lucia</creator><creator>Salati, Maurizio</creator><creator>Politi, Pierluigi</creator><creator>D’Armini, Andrea M.</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201807</creationdate><title>Neuropsychological outcomes after pulmonary endarterectomy using moderate hypothermia and periodic circulatory arrest</title><author>Vanini, Benedetta ; Grazioli, Valentina ; Sciortino, Antonio ; Pin, Maurizio ; Merli, Vera N. ; Celentano, Anna ; Parisi, Ilaria ; Klersy, Catherine ; Petrucci, Lucia ; Salati, Maurizio ; Politi, Pierluigi ; D’Armini, Andrea M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-6f2a20d09c635a815f904e271c4bec6e9b9446dae142bf286064e645a7e280043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>chronic thromboembolic pulmonary hypertension</topic><topic>circulatory arrest</topic><topic>moderate hypothermia</topic><topic>neuropsychological dimensions</topic><topic>pulmonary endarterectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vanini, Benedetta</creatorcontrib><creatorcontrib>Grazioli, Valentina</creatorcontrib><creatorcontrib>Sciortino, Antonio</creatorcontrib><creatorcontrib>Pin, Maurizio</creatorcontrib><creatorcontrib>Merli, Vera N.</creatorcontrib><creatorcontrib>Celentano, Anna</creatorcontrib><creatorcontrib>Parisi, Ilaria</creatorcontrib><creatorcontrib>Klersy, Catherine</creatorcontrib><creatorcontrib>Petrucci, Lucia</creatorcontrib><creatorcontrib>Salati, Maurizio</creatorcontrib><creatorcontrib>Politi, Pierluigi</creatorcontrib><creatorcontrib>D’Armini, Andrea M.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of heart and lung transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vanini, Benedetta</au><au>Grazioli, Valentina</au><au>Sciortino, Antonio</au><au>Pin, Maurizio</au><au>Merli, Vera N.</au><au>Celentano, Anna</au><au>Parisi, Ilaria</au><au>Klersy, Catherine</au><au>Petrucci, Lucia</au><au>Salati, Maurizio</au><au>Politi, Pierluigi</au><au>D’Armini, Andrea M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neuropsychological outcomes after pulmonary endarterectomy using moderate hypothermia and periodic circulatory arrest</atitle><jtitle>The Journal of heart and lung transplantation</jtitle><addtitle>J Heart Lung Transplant</addtitle><date>2018-07</date><risdate>2018</risdate><volume>37</volume><issue>7</issue><spage>860</spage><epage>864</epage><pages>860-864</pages><issn>1053-2498</issn><eissn>1557-3117</eissn><abstract>In this prospective, single-center, observational study, we investigated the association between repeated short periods of circulatory arrest with moderate hypothermia during pulmonary endarterectomy (PEA) in patients with chronic thromboembolic pulmonary hypertension (CTEPH) and different neuropsychological dimensions.
We examined 70 patients with CTEPH, >18 to 80 years of age, who had been treated with PEA. Neuropsychological testing was performed.
Learning ability and delayed memory remained well within the normal range for patients’ age. We found a statistically significant post-surgical improvement in motor speed, which was accompanied by a better quality of life and reduced symptoms of depression and anxiety.
PEA with repeated short periods of circulatory arrest in CTEPH did not result in any neuropsychological complications and may even lead to post-surgical psychological improvements.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29550147</pmid><doi>10.1016/j.healun.2018.02.007</doi><tpages>5</tpages></addata></record> |
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| ispartof | The Journal of heart and lung transplantation, 2018-07, Vol.37 (7), p.860-864 |
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| language | eng |
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| source | Elsevier ScienceDirect Journals Complete |
| subjects | chronic thromboembolic pulmonary hypertension circulatory arrest moderate hypothermia neuropsychological dimensions pulmonary endarterectomy |
| title | Neuropsychological outcomes after pulmonary endarterectomy using moderate hypothermia and periodic circulatory arrest |
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