Anesthesia & Clinical Research

Anesthesia & Clinical Research
Open Access

ISSN: 2155-6148

Roberto Scaini

Publications
  • Research Article
    Neurologic Dysfunction after Aortic Dissection Surgery: Different Cerebral Hypothermic Antegrade Perfusion Techniques
    Author(s): Carlo Bassano, Paolo Nardi, Dionisio Ferdinando Colella, Emanuele Bovio, Marta Pugliese, Marco Russo, Paolo Prati, Alessandra Tartaglione, Roberto Scaini, Antonio Scafuri and Giovanni Ruvolo Carlo Bassano, Paolo Nardi, Dionisio Ferdinando Colella, Emanuele Bovio, Marta Pugliese, Marco Russo, Paolo Prati, Alessandra Tartaglione, Roberto Scaini, Antonio Scafuri and Giovanni Ruvolo

    Introduction: Neurologic dysfunction remains one of the most disabling complications of emergency aortic arch surgery. Many cerebral protection techniques are described, but their comparison has always been hampered by the wide spectrum of preoperative conditions, pathologic anatomies, complications, and surgical procedures. The aim of our study was to evaluate the incidence of early permanent neurologic injury and in-hospital mortality after emergency aortic arch surgery splitted by different antegrade cerebral perfusion techniques combined with hypothermic circulatory arrest (HCA). Methods: Between January 2005 and December 2015, 249 patients underwent emergent surgery for acute, type A aortic dissection. Of these, 112 (45%) (Mean age 63.8 ± 12.8 years, 82 males) received cerebral protection through antegrade perfusion of the supra-aor.. View More»
    DOI: 10.4172/2155-6148.1000813

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