Antegrade Selective Cerebral Perfusion - How to Proceed?

Abstract

Aortic surgery still carries a high risk of brain damage that dominates postoperative morbiditiy and mortality. The concept and advantages of antegrade selective cerebral perfusion, which allows for numerous variations in its implementation, have been clearly seen for more than a decade now, but the preferred way of positioning remains unanswered. Ideal perfusion during ascending aorta/arch surgery should allow the easy implementation of selective antegrade cerebral perfusion while avoiding atheroembolization or false lumen perfusion during dissections.

Key words

Selective cerebral perfusion - cannulation site - neuroprotection - aortic surgery

References

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