What is the best method for brain protection in surgery of the aortic arch? Straight DHCA.
Straight deep hypothermic circulatory arrest (DHCA) is a technique available for brain preservation during deep hypothermic arrest in aortic arch replacement. In this article, the author discusses the practice of straight DHCA in his institute and the advantage of this technique over other brain preservation techniques.
Elefteriades
John A
JA
Section of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, Yale-New Haven Hospital, PO Box 208039, New Haven, CT 06520-8039, USA. john.elefteriades@yale.edu
D000818:Animals; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D002560:Cerebrovascular Circulation / Q000502:physiology*; D050792:Circulatory Arrest, Deep Hypothermia Induced / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D010477:Perfusion / Q000379:methods*; D020521:Stroke / Q000209:etiology / Q000517:prevention & control*; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000379:methods*