New frontiers in aortic therapy: focus on deep hypothermic circulatory arrest.

Published

Journal Article (Review)

There is currently a paradigm shift in the conduct of adult aortic arch repair. Although deep hypothermic circulatory arrest has been the classic perfusion platform for adult aortic arch repair, recent developments have challenged this aortic arch paradigm. There has been a gradual clinical drift towards moderate, and even mild, hypothermic circulatory arrest combined with antegrade cerebral perfusion. This paradigm shift appears to be associated with equivalent clinical outcomes, and in certain settings, with improved outcomes. The advent of endovascular therapy has challenged even further the concept that circulatory arrest is required for adult aortic arch repair. These dramatic advances have resulted in the emergence of an international aortic arch surgery study group that aims to advance this dynamic field through consensus statements, meta-analysis, clinical database analysis, prospective registries, and randomized controlled trials.

Full Text

Duke Authors

Cited Authors

  • Gutsche, JT; Ghadimi, K; Patel, PA; Robinson, AR; Lane, BJ; Szeto, WY; Augoustides, JGT

Published Date

  • August 2014

Published In

Volume / Issue

  • 28 / 4

Start / End Page

  • 1159 - 1163

PubMed ID

  • 25107725

Pubmed Central ID

  • 25107725

Electronic International Standard Serial Number (EISSN)

  • 1532-8422

Digital Object Identifier (DOI)

  • 10.1053/j.jvca.2014.03.018

Language

  • eng

Conference Location

  • United States