What is the Best Method for Brain Protection in Surgery of the Aortic Arch? Retrograde Cerebral Perfusion

被引：31
作者：
Ueda, Yuichi [1 ]
机构：
[1] Nagoya Univ, Div Cardiac Surg, Dept Surg, Grad Sch Med,Showa Ku, Nagoya, Aichi 4668550, Japan
来源：
CARDIOLOGY CLINICS | 2010年 / 28卷 / 02期
关键词：
Aortic arch surgery; Brain protection; Retrograde cerebral perfusion; Hypothermic circulatory arrest; Aortic arch replacement; HYPOTHERMIC CIRCULATORY ARREST; INTERMITTENT PRESSURE AUGMENTATION; PROVIDES ADEQUATE NEUROPROTECTION; THORACIC AORTA; SURGICAL-TREATMENT; ASCENDING AORTA; PORCINE MODEL; OPERATIONS; ANEURYSM; REPLACEMENT;
D O I：
10.1016/j.ccl.2010.01.006
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
The technical simplicity of retrograde cerebral perfusion (RCP) together with a highly favorable effect upon stroke rates and survival after aortic arch surgery justifies continued clinical use of RCP in patients requiring hypothermic circulatory arrest (HCA), in particular patients with dissecting or atheromatous arch branches. In clinical practice, using RCP can provide effective brain protection in HCA for about 40 to 60 minutes, although there is a time limitation.
引用
收藏
页码：371 / +
页数：10
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