Tags Archives: antegrade cerebral perfusion

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Does cannulation site affect outcomes of antegrade cerebral perfusion in aortic arch surgery? A meta-analysis of axillary versus innominate access

Abstract Background The optimal arterial cannulation strategy for establishing antegrade cerebral perfusion during aortic arch surgery remains a subject of ongoing debate. Our meta-analysis compares outcomes between axillary artery (AxA)..

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Cerebral oximetry in antegrade versus retrograde cerebral perfusion in aortic surgery

Abstract Background The optimal cerebral protection strategy during complex aortic surgery remains controversial, and various brain monitoring modalities are used to provide different information to improve cerebral protection. This study..

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Variation in Techniques of Selective Antegrade Cerebral Perfusion in Neonates Undergoing Aortic Arch Reconstruction: A Comprehensive Review

Abstract Background Despite the widespread adoption of selective antegrade cerebral perfusion (SACP) for neonatal aortic arch reconstruction, significant variability in techniques persists across institutions, thus reflecting limited supporting data and..

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Unilateral Versus Bilateral Antegrade Cerebral Perfusion in Aortic Arch Surgery: Systematic Review and Meta-Analysis of Randomised Controlled Trials and Propensity-Matched…

Abstract Background Selective antegrade cerebral perfusion, via unilateral antegrade cerebral perfusion (uACP) or bilateral antegrade cerebral perfusion (bACP) approaches, is used in aortic arch surgery to protect the brain during..

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Antegrade Cerebral Perfusion in Aortic Surgery: Techniques, Evidence, and Future Perspectives.

1. Introduction Aortic arch surgery presents significant neurologic risks due to the potential for cerebral ischemia during circulatory arrest. Traditional methods such as deep hypothermic circulatory arrest (DHCA) provided limited..

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Normothermic Circulatory Arrest with Antegrade Cerebral Perfusion for Type A Aortic Dissection

Abstract Background Deep hypothermic circulatory arrest is the standard approach for the surgical repair of acute type A aortic dissection. This study aimed to evaluate the feasibility and outcomes of..

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Optimal antegrade cerebral perfusion flow in patients undergoing surgery for acute type A aortic dissection: A retrospective single-center analysis

Abstract Background Systemic hypothermia with bilateral antegrade selective cerebral perfusion (ASCP) is the preferred cerebral protective strategy for type A aortic dissection surgery. The optimal ASCP flow rate remains uncertain..

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Safety of prolonged bilateral antegrade cerebral perfusion in aortic arch surgery with moderate hypothermia Get access Arrow

Abstract OBJECTIVES This study investigates the impact of bilateral antegrade cerebral perfusion (ACP) time on outcomes in aortic arch surgery. METHODS In total, 961 patients underwent either hemiarch (n = 385) or..

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Clinical outcome of a branch-first approach with a novel continuous whole-brain perfusion strategy for total arch surgery

Abstract Background Cerebral protection strategies have been investigated since the introduction of aortic arch surgery and have been modified over the centuries. However, the cerebral protective effects of unilateral and..

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Cannula Placement for Cerebral Protection Without Circulatory Arrest in Patients Undergoing Hemiarch Aortic Aneurysm Repair

Abstract Background Aortic aneurysms involving the proximal aortic arch, which require hemiarch-type repair, typically require circulatory arrest with antegrade cerebral perfusion. Left carotid antegrade cerebral perfusion (LCP) via distal arch..

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Perioperative cerebral perfusion in aortic arch surgery: a potential link with neurological outcome

Abstract OBJECTIVES The aim of this study was to examine whether perioperative changes in cerebral blood flow (CBF) relate to postoperative neurological deficits in patients undergoing aortic arch surgery involving..

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Aortic arch replacement with simultaneous antegrade cerebral and systemic perfusion using a single centrifugal pump driven ‘split arterial line’ extracorporeal…

Abstract The ability to provide antegrade cerebral and systemic perfusion simultaneously may negate the requirement for any prolonged period of circulatory arrest during complex aortic arch reconstruction procedures, depending on..

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Validation of a new model of selective antegrade cerebral perfusion with circulatory arrest in rats

Abstract Background Selective antegrade cerebral perfusion (SACP) is adopted as an alternative to deep hypothermic circulatory arrest (DHCA) during aortic arch surgery. However, there is still no preclinical evidence to..

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Unilateral Versus Bilateral Antegrade Cerebral Protection During Aortic Surgery: An Updated Meta-Analysis

Abstract Background: In the context of complex aortic surgery, despite the wide consensus about the use of moderate hypothermia in association with antegrade selective cerebral perfusion (ASCP), its bilateral administration is..

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Prolonged Periods of Antegrade Cerebral Perfusion Are Safe During Elective Arch Surgery

Abstract Background Cerebral circulatory arrest times >40 minutes during  have previously been shown to be associated with increased morbidity and mortality. The purpose of this study was to redefine what would..

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Does supply meet demand? A comparison of perfusion strategies on cerebral metabolism in a neonatal swine model

Abstract Objective We aimed to determine the effects of selective antegrade  compared with other perfusion strategies on indices of cerebral blood flow, oxygenation, cellular stress, and mitochondrial function. Methods One-week-old piglets..

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Malperfusion During Hypothermic Antegrade Cerebral Perfusion: Cerebral Perfusion Index—An Early Indicator Compared to Cerebral Oximetry

HYPOTHERMIC CIRCULATORY arrest combined with selective cerebral perfusion commonly is employed to permit surgical repair of the ascending and transverse aorta. A variety of perfusion techniques are employed, including retrograde..

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Unilateral or Bilateral Cerebral Perfusion in Hemiarch Replacement: A Prospective Randomized Study

Abstract Background We designed a prospective randomized clinical study to compare unilateral and bilateral antegrade cerebral perfusion (ACP) under moderate hypethermia in open distal aortic hemiarch replacement in ascending aortic..

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