Neuroprotective Strategies in Repair and Replacement of the Aortic Arch

被引:17
作者
Manetta, Frank [1 ]
Mullan, Clancy W. [1 ]
Catalano, Michael A. [1 ]
机构
[1] Hofstra Northwell, Barbara & Donald Zucker Sch Med, Dept Cardiovasc & Thorac Surg, Manhasset, NY USA
关键词
aorta; aortic aneurysm; cerebral perfusion; circulatory arrest; hypothermia;
D O I
10.1055/s-0038-1649512
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
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.
引用
收藏
页码:98 / 109
页数:12
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