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 …

[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 …

Cerebral perfusion

DK Harrington, F Fragomeni, RS Bonser - The Annals of thoracic surgery, 2007 - Elsevier
Aortic arch surgery necessitates interrupted brain perfusion and carries a risk of brain injury.
Various brain protective techniques have been advocated to reduce risk including …

Cerebral perfusion and neuromonitoring during complex aortic arch surgery: a narrative review

A Montisci, G Maj, C Cavozza, A Audo… - Journal of Clinical …, 2023 - mdpi.com
Complex ascending and aortic arch surgery requires the implementation of different cerebral
protection strategies to avoid or limit the probability of intraoperative brain damage during …

[HTML][HTML] Hypothermic circulatory arrest with selective antegrade cerebral perfusion in ascending aortic and aortic arch surgery: a risk factor analysis for adverse …

N Khaladj, M Shrestha, S Meck, S Peterss… - The Journal of thoracic …, 2008 - Elsevier
OBJECTIVE: This study was undertaken to identify preoperative and intraoperative risk
factors influencing outcome after operations requiring hypothermic circulatory arrest with …

[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 …

What is the best method for brain protection in surgery of the aortic arch? Retrograde cerebral perfusion

Y Ueda - Cardiology Clinics, 2010 - cardiology.theclinics.com
Significant advances in aortic arch surgery have been made over the past several decades;
however, aortic arch surgery is still challenging for surgeons. Surgery on the aortic arch …

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] Cerebral protection strategies in aortic arch surgery: a network meta-analysis

I Hameed, M Rahouma, FM Khan, M Wingo… - The Journal of Thoracic …, 2020 - Elsevier
Objective Cerebral protection for aortic arch surgery has been widely studied, but
comparisons of all the available strategies have rarely been performed. We performed direct …