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General Thoracic and Cardiovascular Surgery
Published in: General Thoracic and Cardiovascular Surgery 1/2019

01-01-2019 | SPECIAL EDITION

Brain protection in aortic arch aneurysm: antegrade or retrograde?

Authors: Amer Harky, Matthew Fok, Mohamad Bashir, Anthony L. Estrera

Published in: General Thoracic and Cardiovascular Surgery | Issue 1/2019

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Abstract

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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Metadata
Title
Brain protection in aortic arch aneurysm: antegrade or retrograde?
Authors
Amer Harky
Matthew Fok
Mohamad Bashir
Anthony L. Estrera
Publication date
01-01-2019
Publisher
Springer Japan
Published in
General Thoracic and Cardiovascular Surgery / Issue 1/2019
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-017-0879-5

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