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.
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页码：102 / 110
页数：8
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  • [51] Kilgo PD(2003)The incidence of transient neurologic dysfunction after aortic replacement with circulatory arrest Ann Thorac Surg 76 1198-2002
  • [52] Vassiliades TA(2004)Neurologic outcome after surgery of the aortic arch: comparison of deep hypothermic arrest, antegrade and retrograde cerebral perfusion J Thorac Cardiovasc Surg 20 72-76
  • [53] Vega JD(2001)Neurologic outcome after ascending aorta–aortic arch operations: effect of brain protection technique in high-risk patients J Thorac Cardiovasc Surg 121 1107-1121
  • [54] Thourani VH(2004)Cerebral autoregulation after hypothermic circulatory arrest in operations on the aortic arch Ann Thorac Surg 77 72-80
  • [55] Leshnower BG(2014)Similar cerebral protective effectiveness of antegrade and retrograde cerebral perfusion combined with deep hypothermia circulatory arrest in aortic arch surgery: a meta-analysis and systematic review of 5060 patients J Thorac Cardiovasc Surg 148 544-560
  • [56] Myung RJ(2016)Antegrade or retrograde cerebral perfusion in ascending aorta and hemiarch surgery? a propensity-matched analysis Ann Thorac Surg 101 146-152
  • [57] Thourani VH(2015)A study of brain protection during total arch replacement comparing antegrade cerebral perfusion versus hypothermic circulatory arrest, with or without retrograde cerebral perfusion: analysis based on the Japan Adult Cardiovascular Surgery Database J Thorac Cardiovasc Surg 149 S65-S73
  • [58] Gutsche JT(2007)Cerebral perfusion Ann Thorac Surg 83 S799-S804
  • [59] Feinman J(2012)Selective antegrade cerebral perfusion and mild (28°C–30°C) systemic hypothermic circulatory arrest for aortic arch replacement: results from 1002 patients J Thorac Cardiovasc Surg 144 1042-1049
  • [60] Silvay G(2011)Selective antegrade cerebral perfusion during aortic arch surgery confers survival and neuroprotective advantages J Thorac Cardiovasc Surg 141 948-52
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