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Mild-to-moderate hypothermia in aortic arch surgery using circulatory arrest: a change of paradigm?
Author(s) -
Paul P. Urbanski,
Aristidis Lenos,
Petros Bougioukakis,
Ioannis Neophytou,
Michael Zacher,
Anno Diegeler
Publication year - 2011
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1016/j.ejcts.2011.03.060
Subject(s) - cerebral perfusion pressure , medicine , circulatory system , hypothermia , anesthesia , perfusion , aortic arch , aorta , cardiology , surgery
Antegrade cerebral perfusion makes deep hypothermia non-essential for neuroprotection; therefore, there is a growing tendency to increase the body temperature during circulatory arrest with selective brain perfusion. However, very little is known about the clinical efficacy of mild-to-moderate hypothermia for ischemic organ protection during circulatory arrest. The aim of this study was to evaluate the safety and efficiency of mild-to-moderate hypothermia for lower-body protection during aortic arch surgery with circulatory arrest and antegrade cerebral perfusion.

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