RT Book, Section
A1 Spielvogel, David
A1 Mathur, Manu N.
A1 Griepp, Randall B.
A2 Cohn, Lawrence H.
SR Print(0)
ID 55926191
T1 Chapter 52. Aneurysms of the Aortic Arch
T2 Cardiac Surgery in the Adult, 4e
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-163310-9
LK accesssurgery.mhmedical.com/content.aspx?aid=55926191
RD 2024/04/19
AB The  critical  consideration  in  approaching  aortic  arch  (AA)  surgery,  how  best  to  protect  the  brain  while  providing  surgical  access  to  the  cerebral  vessels,  remains  a  subject  of  controversy  and  research,  but  involves  two  key  aspects:  minimizing  cerebral  ischemia  and  preventing  cerebral  embolization  of  air  and  atheromatous  debris.  Thus,  this  chapter  focuses  on  the  laboratory  and  clinical  basis  for  cerebral  protection  methods;  including  methods  for  preventing  cerebral  ischemia,  such  as  hypothermic  circulatory  arrest  (HCA),  selective  antegrade  perfusion  (SCP),  and  retrograde  cerebral  perfusion  (RCP);  and  methods  to  minimize  embolic  damage,  such  as  using  axillary  artery  cannulation  plus  a  branched  graft  technique.