A current insight into cerebral protection in aortic arch repair

Bilgin Emrecan, Levent Yılık, Ali Gürbüz

İzmir Atatürk Eğitim ve Araştırma Hastanesi Kalp ve Damar Cerrahisi Kliniği, İzmir

One of the most challenging issues concerning aortic arch surgery is to determine the most appropriate method for cerebral protection. These techniques include antegrade cerebral perfusion, deep hypothermic circulatory arrest, and retrograde cerebral perfusion. However, controversy remains as to which method is the best for cerebral protection. With the use of hypothermia, aortic arch operations have become safer and reached an improved level initially with retrograde and finally with antegrade cerebral perfusion methods. In this review, cerebral protection methods in aortic arch surgery were evaluated together with the advantages and disadvantages of each method.

Keywords : Aorta, thoracic/surgery; brain/blood supply; cerebrovascular circulation; perfusion/methods

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