Why the study?
Does antegrade selective cerebral perfusion and moderate hypothermia improve mortality and neurological outcomes in elderly patients undergoing elective aortic arch surgery?
Does antegrade selective cerebral perfusion and moderate hypothermia improve mortality and neurological outcomes in elderly patients undergoing elective aortic arch surgery?
In elderly patients undergoing elective aortic arch surgery, SACP with moderate HCA yields excellent mortality and neurological outcomes, though prolonged HCA and femoral cannulation increase risk.
Caution on prolonged HCA or femoral cannulation in elderly arch repair; extends observational data but leaves optimal perfusion strategies open.
Summarizing, elective aortic arch surgery in elderly patients using SACP and moderate HCA provides excellent results regarding mortality and postoperative neurological outcome. Prolonged HCA time and femoral cannulation were the only predictors of serious adverse events (mortality, neurological injury).
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Pacini et al. (2012) studied this question.