Moderate hypothermia during aortic arch surgery is associated with reduced risk of early mortality

Tsai, January Y.
Pan, Wei
LeMaire, Scott A.
Pisklak, Paul
Lee, Vei-Vei
Bracey, Arthur W.
Elayda, MacArthur A.
Preventza, Ourania
Price, Matt D.
Collard, Charles D.
Coselli, Joseph S.

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Publication date

September 2013

DOI

10.1016/j.jtcvs.2013.03.004

Publisher

The American Association for Thoracic Surgery. Published by Mosby, Inc.

ISSN

0022-5223

Citation count (estimate)

Abstract

ObjectiveSelective antegrade cerebral perfusion (ACP) during hypothermic circulatory arrest (HCA) provides cerebral protection during aortic arch surgery. However, the ideal temperature for HCA during ACP remains unknown. Clinical outcomes were compared in patients who underwent moderate (nasopharyngeal temperature, ≥20°C) versus deep (nasopharyngeal temperature, <20°C) HCA with ACP during aortic arch repair.MethodsBy using a prospectively maintained clinical database, we analyzed data from 221 consecutive patients who underwent aortic arch replacement with HCA and ACP between December 2006 and May 2009. Seventy-eight patients underwent deep hypothermia (mean lowest temperature, 16.8°C ± 1.7°C) and 143 patients underwent moderate hypothermi...

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Moderate hypothermia during aortic arch surgery is associated with reduced risk of early mortality

Abstract

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Moderate hypothermia during aortic arch surgery is associated with reduced risk of early mortality

Abstract

Extracted data

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