TY  - CHAP
M1  - Book, Section
TI  - Chapter 52. Aneurysms of the Aortic Arch
A1  - Spielvogel, David
A1  - Mathur, Manu N.
A1  - Griepp, Randall B.
A2  - Cohn, Lawrence H.
Y1  - 2012
N1  - 
T2  - Cardiac Surgery in the Adult, 4e
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.  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/18
UR  - accesssurgery.mhmedical.com/content.aspx?aid=55926191
ER  -