升主动脉弓部手术中脑保护的最佳方法是什么？逆行脑灌注。
What is the best method for brain protection in surgery of the aortic arch? Retrograde cerebral perfusion.
机构信息
Division of Cardiac Surgery, Department of Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan.
出版信息
Cardiol Clin. 2010 May;28(2):371-9. doi: 10.1016/j.ccl.2010.01.006.
The technical simplicity of retrograde cerebral perfusion (RCP) together with a highly favorable effect upon stroke rates and survival after aortic arch surgery justifies continued clinical use of RCP in patients requiring hypothermic circulatory arrest (HCA), in particular patients with dissecting or atheromatous arch branches. In clinical practice, using RCP can provide effective brain protection in HCA for about 40 to 60 minutes, although there is a time limitation.
逆行性脑灌注（RCP）技术简单，对主动脉弓手术后的中风发生率和存活率有显著的积极影响，这证明了在需要低温循环停止（HCA）的患者中，继续临床使用 RCP 是合理的，特别是在有夹层或粥样硬化弓分支的患者中。在临床实践中，RCP 可以在 HCA 中提供约 40 到 60 分钟的有效脑保护，尽管存在时间限制。
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