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Cerebral oximetry for cardiac surgery: a preoperative comparison of device characteristics and pitfalls in interpretation

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  • Cardiopulmonary Bypass
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A Correction to this article was published on 17 July 2018

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Abstract

Regional cerebral oximetry using near-infrared spectroscopy devices is commonly used for detecting cerebral ischemia during cardiopulmonary bypass, and aim to avoid poor cerebral perfusion which may result in perioperative neurological impairment. Today, several devices that can detect cerebral ischemia are commercially available. Although these devices operate on the same measurement principles, their algorithms for detecting and calculating cerebral ischemia are different and no criteria for directly comparing values measured by such different devices exist. From January 2017 to August 2017, 80 adult cardiovascular surgery patients were enrolled in the prospective study. In each patient, preoperative regional cerebral oxygen saturation values were measured by two different devices and their correlations with various preoperative factors were evaluated. Regional cerebral oxygen saturation levels were significantly higher for values of FORE-SIGHT ELITE (CAS Medical Systems, Branford, CT, USA) (F value) than those of the INVOS 5100C (Medtronic, Minneapolis, MN, USA) (I value). Scalp–cortex distance, hemoglobin concentration, and the presence or absence of hemodialysis showed significant correlations with ratios of measured values specific to each device (F/I). An appropriate device should be selected according to preoperative patient characteristics, and factors influencing regional cerebral oxygen saturation values should be considered to ensure the correct interpretation of measured values. This research was conducted with the approval of the ethics committee of our university (approval number: B16–96).

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Change history

  • 17 July 2018

    In the original publication, the length unit of the SCD in Table 1 and Fig. 2 has been incorrectly published as cm. The correct length unit is mm.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami, Sagamihara, Kanagawa, 252-0375, Japan

    Kensuke Kobayashi, Tadashi Kitamura, Shinzo Torii, Toshiaki Mishima, Hirotoki Ohkubo, Yuki Tanaka, Akihiro Sasahara, Takuma Fukunishi, Yuki Ohtomo, Rihito Horikoshi, Yuta Murai & Kagami Miyaji

  2. Department of Medical Engineering, Kitasato University Hospital, Sagamihara, Japan

    Satoshi Kohira

Authors
  1. Kensuke Kobayashi
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  2. Tadashi Kitamura
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  3. Satoshi Kohira
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  4. Shinzo Torii
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  5. Toshiaki Mishima
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  8. Akihiro Sasahara
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  9. Takuma Fukunishi
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  11. Rihito Horikoshi
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  12. Yuta Murai
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  13. Kagami Miyaji
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Correspondence to Kensuke Kobayashi.

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Kobayashi, K., Kitamura, T., Kohira, S. et al. Cerebral oximetry for cardiac surgery: a preoperative comparison of device characteristics and pitfalls in interpretation. J Artif Organs 21, 412–418 (2018). https://doi.org/10.1007/s10047-018-1052-3

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  • DOI: https://doi.org/10.1007/s10047-018-1052-3

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