How to Perfuse: Concepts of Cerebral Protection during Arch Replacement
Joint Authors
Habertheuer, Andreas
Kocher, Alfred
Laufer, Günther
Wiedemann, Dominik
Vallabhajosyula, Prashanth
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-12-02
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
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 ischemic insults, that is, unilateral/bilateral antegrade cerebral perfusion (ACP) and retrograde cerebral perfusion (RCP).
Despite sophisticated and increasingly individualized surgical approaches for complex aortic pathologies, there remains a lack of consensus regarding the optimal method of cerebral protection and circulatory management during the time of arch exclusion.
Many recent studies argue in favor of ACP with various degrees of hypothermic arrest during arch reconstruction and its advantages have been widely demonstrated.
In fact ACP with more moderate degrees of hypothermia represents a paradigm shift in the cardiac surgery community and is widely adopted as an emergent strategy; however, many centers continue to report good results using other perfusion strategies.
Amidst this important discussion we review currently available surgical strategies of cerebral protection management and compare the results of recent European multicenter and single-center data.
American Psychological Association (APA)
Habertheuer, Andreas& Wiedemann, Dominik& Kocher, Alfred& Laufer, Günther& Vallabhajosyula, Prashanth. 2015. How to Perfuse: Concepts of Cerebral Protection during Arch Replacement. BioMed Research International،Vol. 2015, no. 2015, pp.1-10.
https://search.emarefa.net/detail/BIM-1057474
Modern Language Association (MLA)
Habertheuer, Andreas…[et al.]. How to Perfuse: Concepts of Cerebral Protection during Arch Replacement. BioMed Research International No. 2015 (2015), pp.1-10.
https://search.emarefa.net/detail/BIM-1057474
American Medical Association (AMA)
Habertheuer, Andreas& Wiedemann, Dominik& Kocher, Alfred& Laufer, Günther& Vallabhajosyula, Prashanth. How to Perfuse: Concepts of Cerebral Protection during Arch Replacement. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-10.
https://search.emarefa.net/detail/BIM-1057474
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1057474