Bessho Ryuzo
Department of Cardiovascular Surgery, Nippon Medical School Chiba Hokusoh Hospital.
J Nippon Med Sch. 2023 Mar 11;90(1):11-19. doi: 10.1272/jnms.JNMS.2023_90-103. Epub 2022 May 30.
Neuroprotection is important in open aortic arch surgery because of the dependence of brain tissues on cerebral perfusion. Therefore, several techniques have been developed to reduce cerebral ischemia and improve outcomes in open aortic arch surgery. In this review, I describe various neuroprotective strategies, such as profound and deep hypothermic circulatory arrest, selective antegrade cerebral perfusion, retrograde cerebral perfusion, and lower body circulatory arrest; compare their advantages and disadvantages, and discuss their evolution and current status by reviewing relevant literature.
由于脑组织对脑灌注的依赖，神经保护在开放性主动脉弓手术中很重要。因此，已经开发了几种技术来减少脑缺血并改善开放性主动脉弓手术的预后。在这篇综述中，我描述了各种神经保护策略，如深度和超深低温循环停搏、选择性顺行脑灌注、逆行脑灌注和下半身循环停搏；比较它们的优缺点，并通过回顾相关文献讨论它们的发展和现状。
