• Cardiology clinics · May 2010

    Review

    What is the best method for brain protection in surgery of the aortic arch? Retrograde cerebral perfusion.

    • Yuichi Ueda.
    • Division of Cardiac Surgery, Department of Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan. yueda@med.nagoya-u.ac.jp
    • Cardiol Clin. 2010 May 1;28(2):371-9.

    AbstractThe technical simplicity of retrograde cerebral perfusion (RCP) together with a highly favorable effect upon stroke rates and survival after aortic arch surgery justifies continued clinical use of RCP in patients requiring hypothermic circulatory arrest (HCA), in particular patients with dissecting or atheromatous arch branches. In clinical practice, using RCP can provide effective brain protection in HCA for about 40 to 60 minutes, although there is a time limitation.Copyright 2010 Elsevier Inc. All rights reserved.

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