Neuroprotective Strategies in Repair and Replacement of the Aortic Arch

Abstract Aortic arch surgery is a technical challenge, and cerebral protection during distal anastomosis is a continued topic of controversy and discussion. The physiologic effects of hypothermic arrest and adjunctive cerebral perfusion have yet to be fully defined, and the optimal strategies are st...

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Bibliographic Details
Published in:The International journal of angiology 2018-06, Vol.27 (2), p.098-109
Main Authors: Manetta, Frank, Mullan, Clancy W., Catalano, Michael A.
Format: Article
Language:English
Subjects:
Review
Review Article
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Summary:Abstract Aortic arch surgery is a technical challenge, and cerebral protection during distal anastomosis is a continued topic of controversy and discussion. The physiologic effects of hypothermic arrest and adjunctive cerebral perfusion have yet to be fully defined, and the optimal strategies are still undetermined. This review highlights the historical context, physiological rationale, and clinical efficacy of various neuroprotective strategies during arch operations.
ISSN:1061-1711
1615-5939
DOI:10.1055/s-0038-1649512