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Cerebral protection: sites of arterial cannulation and brain perfusion routes Dias RR; Silva IA; Fiorelli AI; Stolf NARev Bras Cir Cardiovasc 2007[Apr]; 22 (2): 235-40Brain perfusion for adequate cerebral protection has changed over the years. The limitations of the time during total circulatory arrest with deep hypotermia, the inefficient cerebral metabolism during retrograde perfusion and special care to prevent cerebral embolism during antegrade perfusion have resulted in the development of different methods of cerebral protection during the evolution of aortic arch operations. Antegrade cerebral perfusion associated with moderate hypothermia is today, considered the best option for cerebral protection.|*Cardiopulmonary Bypass[MESH]|*Hypothermia, Induced/methods[MESH]|Aorta, Thoracic/*surgery[MESH]|Aortic Diseases/surgery[MESH]|Axillary Artery/surgery[MESH]|Brain Diseases/*prevention & control[MESH]|Brain/*blood supply/metabolism[MESH]|Femoral Artery/surgery[MESH]|Heart Arrest, Induced[MESH]|Humans[MESH]|Perfusion/*methods[MESH]|Postoperative Complications/diagnosis/prevention & control[MESH]|Subclavian Artery/surgery[MESH] |
