ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
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
Viewed : 18689
Downloaded : 2590