Commentary: Neurophysiologic monitoring during aortic arch surgery: Preventing rather than treating

[摘要] Aortic arch surgery, both in acute and elective settings, remains one of the most complex cardiac procedures. Despite the efforts that have been undertaken to reduce complications, high mortality and morbidity are still associated with this kind of surgery, as reported by the largest international registries.1,2 Particularly, neurologic injury has historically been the most-feared complication. Strategies for improving mortality and preventing neurologic events have developed over time. In a contemporary practice, hypothermic circulatory arrest with antegrade or retrograde cerebral perfusion, neurophysiologic intraoperative monitoring, and pharmacologic strategies have become ways to reduce the incidence of neurologic injury of aortic arch surgery.

[学科分类] 心脏病和心血管学