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Belov Yu.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Charchian É.R.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Vinokurov I.A.

FGBU "Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo" RAMN, Moskva

Problem of cerebral protection during operations on aortic arch

Authors:

Belov Yu.V., Charchian É.R., Vinokurov I.A.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2013;6(1): 40‑42

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Table of contents

PROBLEM OF CEREBRAL PROTECTION DURING OPERATIONS ON AORTIC ARCH
PROBLEM OF CEREBRAL PROTECTION DURING OPERATIONS ON AORTIC ARCH

To cite this article:

Belov YuV, Charchian ÉR, Vinokurov IA. Problem of cerebral protection during operations on aortic arch. Russian Journal of Cardiology and Cardiovascular Surgery. 2013;6(1):40‑42. (In Russ.)

Подписка 2025-2 (Russian Journal of Cardiology and Cardiovascular Surgery)
 
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20-year experience of surgical treatment in 214 patients with aortic arch lesions is presented. Comparative data concerning cerebral protection are presented. It is estimated, that antegrade cerebral perfusion under moderate hypothermia with statistically significance decreases the amount of re-sternotomies. Meanwhile difference in frequency of neurologic complications and mortality didn't show any statistical significance. It is drawn a conclusion that antegrade cerebral perfusion is a method of choice for cerebral protection during these operations.

Keywords:

operations on aortic arch
cerebral protection
hypothermia
circulatory arrest
cerebral perfusion

Authors:

Belov Yu.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Charchian É.R.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Vinokurov I.A.

FGBU "Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo" RAMN, Moskva

List of references:

  1. Belov Yu.V., Komarov R.N. Rukovodstvo po khirurgii torakoabdominal'nykh anevrizm aorty. M: MIA 2009; 464.
  2. Belov Yu.V., Khamitov F.F. Anevrizmy niskhodyashchego grudnogo i bryushnogo otdelov aorty: otbor bol'nykh na operatsiyu. Kardiologiya 2001; 6: 95-98.
  3. Belov Yu.V., Alekseev I.A., Charchyan E.R. Sposoby formirovaniya germetichnogo anastomoza v khirurgii aorty. Kardiol i serdechno-sosud khir 2009; 6: 38-41.
  4. Bunyatyan A.A., Trekova N.A., Meshcheryakov A.V. i dr. Rukovodstvo po kardioanesteziologii. M: MIA 2005; 688.
  5. Aomi S., Nitnama H., Nozi S. Surgery of the ascending aorta and/or aortic arch using deep hypothermic circulatory arrest with rethrograde cerebral perfusion and open technique. In: Cardio-aortic and aortic surgery. Eds. S. Kawada, T. Ueda, Shimizu. Tokyo: Spinger-Verlag 2001; 99-404.
  6. Cooley D.A., Mahaffey D.E., DeBakey M.E. Total excision of the aortic arch for aneurysm. Surg Gynecol Obstet 1955; 101: 667.
  7. Crawford E.S. Symposium: prevention of complications of abdominal aortic reconstruction. Introduction. Surgery 1983; 93:1: Pt 1: 91-96.
  8. Ehrlich M.P., Fang W.C., Grabenwoger M. et al. Impact of retrograde cerebral perfusion on aortic arch aneurysm repair. J Thorac Cardiovasc Surg 1999; 118: 6: 1026-1032.

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