Cerebral protection during surgery for aortic arch aneurysms.

  title={Cerebral protection during surgery for aortic arch aneurysms.},
  author={Hajime Otani and Hiroji Imamura},
  journal={Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia},
  volume={7 1},
Surgical repair of aneurysms or dissections involving the transverse aortic arch and the distal aortic arch carries a considerable risk of cerebral complications. Currently, deep hypothermic circulatory arrest (DHCA), moderate hypothermic circulatory arrest or DHCA with selective cerebral perfusion (SCP) and DHCA with retrograde cerebral perfusion (RCP) are used as means to protect the central nervous system. DHCA alone is simple, but the safe time of DHCA is limited. RCP is an alternative… CONTINUE READING