Effect of Edaravone on Cerebral Protection during Aortic Arch Surgery

Cerebral protection during aortic arch surgery.

Insufficient unilateral cerebral perfusion during emergent aortic arch surgery.

A rare case of insufficient right-sided unilateral cerebral perfusion during emergent aortic arch replacement in a patient with an acute aortic dissection is reported. On the basis of intraoperative monitoring using near-infrared spectroscopy, the insufficient perfusion of the contralateral hemisphere was detected and the bilateral perfusion was performed, which led to normalization of cerebral...

Cerbral Protection Strategies for Aortic Arch Surgery

Surgical therapy for aortic arch disease involves partial or complete replacement of the aortic arch with reimplantation of the great vessels while the cerebral blood flow is temporarily altered. Patients undergoing this mandatory period of circulatory arrest during arch replacement are at an increased risk for adverse neurologic outcomes, and strategies for cerebral protection must be implemen...

A current view of cerebral protection in aortic arch repair.

The major objective in arch surgery is to supply the basic metabolic eeds of the brain during the anastomosis. Many advances have een introduced into aortic arch surgery since Griepp et al1 used he DHCA technique. Svensson et al2 reported the safe DHCA eriod as 40 minutes. However, Ergin et al3 reported this duration s 30 minutes. The safe DHCA period also was reported to be 30 inutes under 15 ...

Which Method of Cerebral Protection Do You Prefer to Use for Aortic Arch Surgery?

Starting with the inaugural issue, we would like the AORTA journal to feature a special section, “Poll the Editorial Board,” in which readers ask questions and the journal provides a poll of answers from the Editorial Board. In this way, we hope to assess the thought and practice patterns of the Editorial Board. The question for the first issue was: Which method of cerebral protection do you fa...