Key result
Intraoperative brain protection during aortic arch surgery fails to curb high rates of neurologic complications.
This review summarizes current risk factors and cerebral protection strategies to mitigate neurologic complications during aortic arch surgery.
Persistent neurologic risk in aortic arch surgery; review leaves open optimal cerebral protection strategies pending prospective trials.
Despite modern cardiac surgery achievements, the incidence of neurologic complications after aortic arch surgery is still high due to insufficient intraoperative brain protection. In this review, the authors describe the main risk factors for such consequences and elucidate the up-to-date cerebral protection strategies in reconstructive aortic arch surgery.
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Charchyan et al. (2025) studied this question. Intraoperative brain protection during aortic arch surgery remains insufficient, resulting in a persistently high incidence of neurologic complications despite modern surgical achievements.
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