caa a22 4500 397496354 CHVBK 20180308164522.0 cr unu---uuuuu 161202e199512 xx s 000 0 eng 10.1016/S1010-7940(05)80128-9 doi (NATIONALLICENCE)oxford-10.1016/S1010-7940(05)80128-9 Medium-term results after surgery for aortic arch aneurysm with hypothermic cerebral perfusion [Elektronische Daten] We have used two techniques of hypothermic cerebral perfusion (CP) forthe surgical treatment of aortic arch aneurysm in the last 10 years.Between March 1985 and December 1993, 83 patients underwent surgery foraortic arch aneurysm. Fifty-one cases had aortic dissection (AD) in thetransverse arch and/or its branches, and 32 cases showed true aneurysm (TA)of the aortic arch. In those 83 patients, 37 cases received antegrade CPand 46 cases underwent retrograde CP. Surgical results were compared amongthe groups by Kaplan-Meier actuarial method and Cox- Mantel statisticalanalysis. The early mortality after surgery for aortic arch aneurysm was11.8% in the AD group and 21.9% in the TA group. The early mortality was21.6% with antegrade CP and 10.9% with retrograde CP. The 6-year actuarialsurvival rate was 71.7% in the TA group and 67.1% in the AD group. In theAD group, the 3-year survival rate was 93.9% with retrograde CP and 61.1%with antegrade CP (P < 0.005). In the TA group, the 3-year survival ratewas similar for antegrade CP (73.3%) and retrograde CP (69.2%). Theseresults suggest that current surgical results of aortic arch aneurysm withhypothermic CP are acceptable and the retrograde CP technique might berecommended, especially for surgery of aortic arch aneurysm with AD. © Springer-Verlag European Journal of Cardio-Thoracic Surgery Elsevier Science B.V. 9/12(1995-12), 697-700 1010-7940 9:12<697 1995 9 ejcts https://doi.org/10.1016/S1010-7940(05)80128-9 text/html Onlinezugriff via DOI 1 abstract jats NATIONALLICENCE 856 40 https://doi.org/10.1016/S1010-7940(05)80128-9 text/html Onlinezugriff via DOI NATIONALLICENCE 773 0- European Journal of Cardio-Thoracic Surgery Elsevier Science B.V 9/12(1995-12), 697-700 1010-7940 9:12<697 1995 9 ejcts Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford