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Straight deep hypothermic circulatory arrest for cerebral protection during aortic arch surgery: Safe and effective  Bulat A. Ziganshin, MD, Bijoy G.

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Presentation on theme: "Straight deep hypothermic circulatory arrest for cerebral protection during aortic arch surgery: Safe and effective  Bulat A. Ziganshin, MD, Bijoy G."— Presentation transcript:

1 Straight deep hypothermic circulatory arrest for cerebral protection during aortic arch surgery: Safe and effective  Bulat A. Ziganshin, MD, Bijoy G. Rajbanshi, MD, Maryann Tranquilli, RN, Hai Fang, PhD, MPH, John A. Rizzo, PhD, John A. Elefteriades, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 148, Issue 3, Pages (September 2014) DOI: /j.jtcvs Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Distribution of deep hypothermic circulatory arrest (DHCA) time among 490 patients. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Techniques for aortic arch replacement. A, The 3-vessel Carrel patch technique. B, The 2-vessel Carrel patch technique, preferred at our institution. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 Relationship between postoperative stroke rates and deep hypothermic circulatory arrest (DHCA) duration during aortic arch surgery. The number of patients in each DHCA time category is indicted. Note that the column for “50 and over” was determined from only 2 strokes (in patients with extremely complex cases) among only 12 patients with DHCA of this duration. See text for details. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

5 Figure 4 Kaplan-Meier survival curve for patients receiving deep hypothermic circulatory arrest (DHCA). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

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