Editorial commentWhich is more appropriate as a cerebral protection method — unilateral or bilateral perfusion?
Open Access
- 1 June 2006
- journal article
- Published by Oxford University Press (OUP) in European Journal of Cardio-Thoracic Surgery
- Vol. 29 (6) , 1039-1040
Abstract
I read the article by Panos et al. [1] with great interest. They describe their experience with the unilateral cerebral perfusion through the right axillary artery (RAxA). In a series comprising 25 patients with acute type-A aortic dissection, the authors performed the RAxA cannulation for both cardiopulmonary bypass and antegrade cerebral perfusion under moderate hypothermia. The average duration of cerebral perfusion was just under 40 min. The authors achieved commendable results both in terms of mortality and neurological deficits based on which, they emphasize that unilateral cerebral perfusion through the RAxA provides adequate cerebral protection to allow safe distal aortic arch repair.Keywords
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