Svensson Lars G
Heart & Vascular Institute, Cleveland Clinic, Cleveland, OH, USA.
Ann Cardiothorac Surg. 2018 May;7(3):345-350. doi: 10.21037/acs.2018.05.01.
Protection of the central nervous system-either the brain or the spinal cord-during aortic surgery has been the subject of intense research over the past several decades. While it took some 30 years to prove that some of the techniques first practiced in animals are valuable, surgeons can now take courage from 50 years of research that has resulted in superb outcomes, particularly when compared with historical results. Complex total arch operations and descending aortic operations can now be performed with less than a 2% rate of stroke, spinal cord injury, or death. Thoracoabdominal aortic operations and endovascular procedures have also become considerably safer with excellent results reported. The following review will discuss some of the historical outcomes, innovations, iterations, current techniques, and outcomes.
在过去几十年里，主动脉手术期间对中枢神经系统（即大脑或脊髓）的保护一直是深入研究的课题。虽然花了大约30年才证明一些最初在动物身上实践的技术是有价值的，但现在外科医生可以从50年的研究成果中获得勇气，这些研究带来了卓越的结果，特别是与历史结果相比。复杂的全弓手术和降主动脉手术现在可以以低于2%的中风、脊髓损伤或死亡率进行。胸腹主动脉手术和血管内手术也变得更加安全，有出色的结果报道。以下综述将讨论一些历史结果、创新、改进、当前技术和结果。
