title: [The past, the present and the future of patient protection during thoracoabdominal aneurism surgery].
abstract: The conventional methods of spinal cord and viscera protection are far from being perfect and do not guarantee safety. 5.9% of patients with chronic thoracoabdominal aortic aneurism and 11.4% with dissecting aortic aneurism experience tetraparesis after reconstructive operations. Nowadays surgery of aorta should not be performed <<without perfusion>> even when surgical manual skills are perfect. The method of left atrial-femoral shunting should be used more often, whereas indications for the deep hypothermia with circulatory arrest should be stricter. The combination of left atrial-femoral shunting and selective cold crystalloid renal arterial perfusion is strongly believed in.
authors.forename: Iu V
authors.initials: IuV
authors.lastname: Belov
authors.forename: R N
authors.initials: RN
authors.lastname: Komarov
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D005544:Forecasting; D006801:Humans; D014656:Vascular Surgical Procedures / Q000639:trends*