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- W1998393945 abstract "t o a c A h p n l t i e n h m o p Brain protection in adult aortic surgery has been a very controversial issue among cardiothoracic surgeons for more than 40 years—almost since the inception of open heart surgery. Until today, 3 main strategies for cerebral protection of patients undergoing extensive aortic surgery have been developed and studied: (1) straight deep hypothermic circulatory arrest (DHCA), (2) retrograde cerebral perfusion (RCP), and (3) antegrade cerebral perfusion (ACP).1 Straight DHCA used to be the preferred and favored technique in the past; however, the recent trend among cardiothoracic surgeons is to avoid using straight DHCA and to apply additional perfusion adjuncts, such as RCP or ACP. In this article, we describe the advantages and disadvantages of each perfusion method on the basis of recent published studies and explore the scientific evidence pertinent to selection of brain protection strategy. This evidence shows that, despite the recent popularity of RCP and, especially, ACP, it is hard to demonstrate conclusive evidence of clinical benefit from application of these ancillary perfusion techniques, above and beyond straight DHCA." @default.
- W1998393945 created "2016-06-24" @default.
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- W1998393945 date "2010-01-01" @default.
- W1998393945 modified "2023-09-26" @default.
- W1998393945 title "Does straight deep hypothermic circulatory arrest suffice for brain preservation in aortic surgery?" @default.
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- W1998393945 doi "https://doi.org/10.1053/j.semtcvs.2011.01.011" @default.
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