Optimal cerebral protection strategies in aortic surgery

X Lou, EP Chen - Seminars in thoracic and cardiovascular surgery, 2019 - Elsevier
Cerebral protection strategies in aortic surgery have undergone significant evolution over
the years, but its tenets remain rooted in maintenance of hypothermia and cerebral perfusion …

Brain protection in aortic arch surgery: an evolving field

JZ Qu, LW Kao, JE Smith, A Kuo, A Xue, MH Iyer… - … of Cardiothoracic and …, 2021 - Elsevier
Despite advances in cardiac surgery and anesthesia, the rates of brain injury remain high in
aortic arch surgery requiring circulatory arrest. The mechanisms of brain injury, including …

Unilateral versus bilateral antegrade cerebral protection during aortic surgery: an updated meta-analysis

E Angeloni, G Melina, SK Refice, A Roscitano… - The Annals of thoracic …, 2015 - Elsevier
Background In the context of complex aortic surgery, despite the wide consensus about the
use of moderate hypothermia in association with antegrade selective cerebral perfusion …

[HTML][HTML] Similar cerebral protective effectiveness of antegrade and retrograde cerebral perfusion combined with deep hypothermia circulatory arrest in aortic arch …

Z Hu, Z Wang, Z Ren, H Wu, M Zhang, H Zhang… - The Journal of thoracic …, 2014 - Elsevier
Objective Our objective was to determine if antegrade cerebral perfusion (ACP) and
retrograde cerebral perfusion (RCP) combined with deep hypothermia circulatory arrest in …

Hypothermia and cerebral protection strategies in aortic arch surgery: a comparative effectiveness analysis from the STS Adult Cardiac Surgery Database

BR Englum, X He, BC Gulack… - European journal of …, 2017 - academic.oup.com
OBJECTIVES Hypothermic circulatory arrest is essential to aortic arch surgery, although
consensus regarding optimal cerebral protection strategy remains lacking. We evaluated the …

[HTML][HTML] Degree of hypothermia in aortic arch surgery–optimal temperature for cerebral and spinal protection: deep hypothermia remains the gold standard in the …

BR Englum, ND Andersen, AM Husain… - Annals of …, 2013 - ncbi.nlm.nih.gov
© AME Publishing Company. All rights reserved. Ann Cardiothorac Surg 2013; 2 (2): 184-
193 www. annalscts. com following deep HCA (16). In light of these theoretic concerns along …

Perfusing the cold brain: optimal neuroprotection for aortic surgery

JC Halstead, C Etz, DM Meier, N Zhang… - The Annals of thoracic …, 2007 - Elsevier
BACKGROUND: Selective cerebral perfusion (SCP) may enhance the neuroprotective
benefits of hypothermia during aortic surgery. However, despite its widespread adoption …

[HTML][HTML] Best strategy for cerebral protection in arch surgery-antegrade selective cerebral perfusion and adequate hypothermia

M Misfeld, FW Mohr, CD Etz - Annals of cardiothoracic surgery, 2013 - ncbi.nlm.nih.gov
Aortic arch surgery remains a complex surgical operation that necessitates specific
neuroprotection strategies. Various approaches, such as hypothermic circulatory arrest …

Moderate hypothermia and unilateral selective antegrade cerebral perfusion: a contemporary cerebral protection strategy for aortic arch surgery

BG Leshnower, RJ Myung, PD Kilgo… - The Annals of thoracic …, 2010 - Elsevier
BACKGROUND: Cerebral protection techniques during aortic arch surgery include deep
hypothermic circulatory arrest, retrograde cerebral perfusion, and (or) antegrade cerebral …

[HTML][HTML] Effects of four major brain protection strategies during proximal aortic surgery: A systematic review and network meta-analysis

S Fan, H Li, D Wang, C Wu, Z Pan, Y Li, Y An… - International Journal of …, 2019 - Elsevier
Background Reliable brain protection during proximal aortic surgery remains a formidable
surgical challenge. Various cerebral protection techniques have been used in the clinic; …