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What are the optimal neuroprotective strategies during aortic arch surgery?
What are the optimal neuroprotective strategies during aortic arch surgery?
This review summarizes the historical context, physiological rationale, and clinical efficacy of neuroprotective strategies during aortic arch operations.
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Existing data support neuroprotection in aortic arch surgery; leaves open optimal strategy identification via prospective trials.
Aortic arch surgery is a technical challenge, and cerebral protection during distal anastomosis is a continued topic of controversy and discussion. The physiologic effects of hypothermic arrest and adjunctive cerebral perfusion have yet to be fully defined, and the optimal strategies are still undetermined. This review highlights the historical context, physiological rationale, and clinical efficacy of various neuroprotective strategies during arch operations.
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Mullan et al. (2018) studied this question.
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