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Indian Journal of Thoracic and Cardiovascular Surgery
Published in: Indian Journal of Thoracic and Cardiovascular Surgery 1/2022

01-04-2022 | Circulatory Arrest | Review Article

Optimal brain protection in aortic arch surgery

Authors: Parth Mukund Patel, Edward Po-Chung Chen

Published in: Indian Journal of Thoracic and Cardiovascular Surgery | Special Issue 1/2022

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Abstract

There is considerable debate with regard to the optimal cerebral protection strategy during aortic arch surgery. There are three contemporary techniques in use which include straight deep hypothermic circulatory arrest (DHCA), DHCA with retrograde cerebral perfusion (DHCA + RCP), and moderate hypothermic circulatory arrest with antegrade cerebral perfusion (MHCA + ACP). Appropriate application of these methods ensures appropriate cerebral, myocardial, and visceral protection. Each of these techniques has benefits and drawbacks and ensuring coordinated circulation management strategy is critical to safe performance of aortic arch surgery. In this report, we will review various cannulation strategies, review logistics of hypothermia, and review the relevant literature to outline the strengths and weaknesses of these various cerebral protection strategies.
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Metadata
Title
Optimal brain protection in aortic arch surgery
Authors
Parth Mukund Patel
Edward Po-Chung Chen
Publication date
01-04-2022
Publisher
Springer Singapore
Published in
Indian Journal of Thoracic and Cardiovascular Surgery / Issue Special Issue 1/2022
Print ISSN: 0970-9134
Electronic ISSN: 0973-7723
DOI
https://doi.org/10.1007/s12055-021-01212-2

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