Optimal brain protection in aortic arch surgery.
Antegrade cerebral perfusion
Aortic arch surgery
Cerebral protection
Deep hypothermic circulatory arrest
Retrograde cerebral perfusion
Journal
Indian journal of thoracic and cardiovascular surgery
ISSN: 0970-9134
Titre abrégé: Indian J Thorac Cardiovasc Surg
Pays: India
ID NLM: 8700105
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
received:
24
02
2021
revised:
03
05
2021
accepted:
05
05
2021
entrez:
25
4
2022
pubmed:
26
4
2022
medline:
26
4
2022
Statut:
ppublish
Résumé
There is considerable debate with regard to the optimal cerebral protection strategy during aortic arch surgery. There are three contemporary techniques in use which include straight deep hypothermic circulatory arrest (DHCA), DHCA with retrograde cerebral perfusion (DHCA + RCP), and moderate hypothermic circulatory arrest with antegrade cerebral perfusion (MHCA + ACP). Appropriate application of these methods ensures appropriate cerebral, myocardial, and visceral protection. Each of these techniques has benefits and drawbacks and ensuring coordinated circulation management strategy is critical to safe performance of aortic arch surgery. In this report, we will review various cannulation strategies, review logistics of hypothermia, and review the relevant literature to outline the strengths and weaknesses of these various cerebral protection strategies.
Identifiants
pubmed: 35463699
doi: 10.1007/s12055-021-01212-2
pii: 1212
pmc: PMC8980966
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
36-43Informations de copyright
© Indian Association of Cardiovascular-Thoracic Surgeons 2021.
Déclaration de conflit d'intérêts
Conflict of interestThe authors declare no competing interests.
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