ArticleJTCVS techniques2026
Hybrid cerebral perfusion in aortic arch surgery: Bridging antegrade and retrograde techniques.
Article in JTCVS techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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8 authors.
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Abstract
Objective: To evaluate the safety and effectiveness of hybrid cerebral perfusion in open total/partial arch replacement. Methods: A retrospective analysis was performed of all adult patients (n = 366) undergoing open total/partial arch replacement from January 1993 through December 2024. Cerebral perfusion strategies included hybrid (retrograde followed by antegrade; n = 223, 60.9%), antegrade-only (n = 100, 27.4%), retrograde-only (n = 17, 5.0%), and deep hypothermic circulatory arrest alone without cerebral perfusion (n = 26, 7.1%). For comparison, patients were grouped as antegrade-only versus hybrid. Results: Over 30 years, total/partial arch replacement volume increased significantly (1993-2002: n = 16, 4.4%; 2003-2012: n = 90, 24.6%; 2013-2024: n = 260, 71.0%, Conclusions: Hybrid cerebral perfusion in total/partial arch replacement demonstrates a strong safety profile with excellent early outcomes, including in complex or redo cases.
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