Brain protection in aortic arch aneurysm: antegrade or retrograde?

被引:0
作者
Amer Harky
Matthew Fok
Mohamad Bashir
Anthony L. Estrera
机构
[1] St Bartholomew’s Hospital,Department of Cardiac Surgery, Barts Heart Centre
[2] Liverpool Heart and Chest Hospital,Department of Aortic Services
[3] McGovern Medical School,Department of Cardiothoracic and Vascular Surgery
来源
General Thoracic and Cardiovascular Surgery | 2019年 / 67卷
关键词
Aorta; Aneurysm; Cerebral perfusion; Brain protection; Aortic arch; Circulatory arrest; Thoracic aortic surgery;
D O I
暂无
中图分类号
学科分类号
摘要
During open aortic arch repair, there is an interruption of cerebral perfusion and to prevent neurological sequelae, the hypothermic circulatory arrest has been established to provide sufficient brain protection coupled with adjuncts including retrograde and antegrade cerebral perfusion. To date, brain protection during open aortic arch repair is a contested topic as to which provides superior brain protection with little evidence existing to suggest supremacy of one modality over the other. This article reviews current literature reflecting on key and emerging studies in brain protection and their associated outcomes in patients undergoing open aortic arch surgery.
引用
收藏
页码:102 / 110
页数:8
相关论文
共 229 条
  • [1] Cooley DA(1955)Total excision of the aortic arch for aneurysm Surg Gynecol Obstet 101 667-672
  • [2] Mahaffey DE(1975)Prosthetic replacement of the aortic arch J Thorac Cardiovasc Surg 70 1051-1063
  • [3] De Bakey ME(2013)Cerebral protection in hemi-aortic arch surgery Ann Cardiothorac Surg 2 239-244
  • [4] Griepp RB(2012)Contemporary Results for proximal aortic replacement in North America J Am Coll Cardiol 60 1156-1162
  • [5] Stinson EB(1991)The physiology of hypothermic circulatory arrest Semin Thorac Cardiovasc Surg 3 188-193
  • [6] Hollingsworth JF(2009)Deep hypothermic circulatory arrest in patients with high cognitive needs: full preservation of cognitive abilities Ann Thorac Surg 87 117-123
  • [7] Buehler D(2003)Deep hypothermic circulatory arrest and antegrade selective cerebral perfusion during ascending aorta-hemiarch replacement: a retrospective comparative study J Thorac Cardiovasc Surg 125 849-854
  • [8] Bashir M(2002)Combination of alpha-stat strategy and hemodilution exacerbates neurologic injury in a survival piglet model with deep hypothermic circulatory arrest Ann Thorac Surg 73 180-189
  • [9] Shaw M(2014)Straight deep hypothermic circulatory arrest for cerebral protection during aortic arch surgery: safe and effective J Thorac Cardiovasc Surg 148 888-898
  • [10] Desmond M(2007)Straight deep hypothermic arrest: experience in 394 patients supports its effectiveness as a sole means of brain preservation Ann Thorac Surg 84 759-766