Subject Area
Orthopedic Surgery
Article Type
Original Study
Abstract
Objective This study aims to compare the deep hypothermic circulatory arrest (DHCA) and antegrade cerebral perfusion (ACP) with moderate hypothermia for cerebral protection during aortic arch surgery. Background Aortic arch surgery is a complicated technical operation due to the risk of cerebral insults and the need for cerebral protection. Materials and methods Forty patients performed aortic arch surgery with cerebral protection either by, DHCA (18°C) in 20 patients and ACP (22 °C) in the others. Data were collected including; preoperative risks factors, intraoperative finding and postoperative neurological examination and brain computed tomography (CT)when indicated. Results Neurological insults were higher in ACP group (30%) than in DHCA group (10%) without statistical significance. Cardiopulmonary bypass (CPB) time was lower in DHCA group (133.05 ± 28.04) than in ACP group (177.65 ± 53.3), and significantly p-value is (< 0.01). Conclusion Techniques for cerebral protection (DHCA or ACP)during aortic arch surgery have no statistical significant difference, and each technique has its own advantages and disadvantages.
Recommended Citation
Abdelrehim, Ayman R.; Sandogji, Hasan; Soliman, Rafik F.; Farkooh, Saed; and Mubarak, Yasser
(2021)
"Is deep hypothermic circulatory arrest inferior to antegrade cerebral perfusion for brain protection?,"
Menoufia Medical Journal: Vol. 34:
Iss.
3, Article 66.
DOI: https://doi.org/10.4103/mmj.mmj_29_21
Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)
