Cerebral protection during aortic arch surgery.
نویسنده
چکیده
منابع مشابه
Cerbral Protection Strategies for Aortic Arch Surgery
Surgical therapy for aortic arch disease involves partial or complete replacement of the aortic arch with reimplantation of the great vessels while the cerebral blood flow is temporarily altered. Patients undergoing this mandatory period of circulatory arrest during arch replacement are at an increased risk for adverse neurologic outcomes, and strategies for cerebral protection must be implemen...
متن کاملHow to Perfuse: Concepts of Cerebral Protection during Arch Replacement
Arch surgery remains undoubtedly among the most technically and strategically challenging endeavors in cardiovascular surgery. Surgical interventions of thoracic aneurysms involving the aortic arch require complete circulatory arrest in deep hypothermia (DHCA) or elaborate cerebral perfusion strategies with varying degrees of hypothermia to achieve satisfactory protection of the brain from isch...
متن کاملA reappraisal of retrograde cerebral perfusion.
Brain protection during aortic arch surgery by perfusing cold oxygenated blood into the superior vena cava was first reported by Lemole et al. In 1990 Ueda and associates first described the routine use of continuous retrograde cerebral perfusion (RCP) in thoracic aortic surgery for the purpose of cerebral protection during the interval of obligatory interruption of anterograde cerebral flow. T...
متن کاملDeep Hypothermic Circulatory Arrest vs. Antegrade Cerebral Perfusion in Cerebral Protection during the Surgical Treatment of Chronic Dissection of the Ascending and Arch Aorta.
Circulatory arrest during aortic surgery presents a risk of neurological complications. The present study aimed to investigate the effectiveness of deep hypothermic circulatory arrest (DHCA) vs. antegrade cerebral perfusion (ACP) in cerebral protection during the surgical treatment of chronic dissection of the ascending and arch aorta and to assess the quality-of-life (QoL) in the long-term pos...
متن کاملWhich Method of Cerebral Protection Do You Prefer to Use for Aortic Arch Surgery?
Starting with the inaugural issue, we would like the AORTA journal to feature a special section, “Poll the Editorial Board,” in which readers ask questions and the journal provides a poll of answers from the Editorial Board. In this way, we hope to assess the thought and practice patterns of the Editorial Board. The question for the first issue was: Which method of cerebral protection do you fa...
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عنوان ژورنال:
- The Journal of thoracic and cardiovascular surgery
دوره 121 3 شماره
صفحات -
تاریخ انتشار 2001