caa a22 4500 397496907 CHVBK 20180308164523.0 cr unu---uuuuu 161202e199509 xx s 000 0 eng 10.1016/S1010-7940(95)80048-4 doi (NATIONALLICENCE)oxford-10.1016/S1010-7940(95)80048-4 Surgical treatment of aortic arch aneurysms using selective cerebral perfusion. Experience with 100 patients [Elektronische Daten] Hundred consecutive patients were operated on for aortic arch aneurysmsbetween January 1986 and October 1993. All operations were performed withthe aid of extracorporeal circulation, blood cardioplegia for myocardialprotection, and selective cerebral perfusion (SCP) for protection ofcerebral ischemia during aortic arch repair. Forty-four patients (44%) hadan emergency operation because of frank or impending rupture of aneurysmsor acute aortic dissection. Eighty-three patients (83%) underwent totalarch replacement, and 54 had concomitant procedures including aortic valveresuspension, aortic valve replacement (AVR), composite graft replacementand coronary artery bypass grafting (CABG). The overall early (30-day)mortality rate was 16%. Multivariate analysis revealed, as significant riskfactors, preoperative cardiopulmonary resuscitation, renal-mesentericischemia due to acute dissection, previous ascending aorta/arch operationand preoperative stroke. Of the 71 (71%) patients who were free of theserisk factors, only one (1.4%) died. One patient (1%), who waspreoperatively in shock state, had a distinct stroke. The present datasuggest that SCP is a useful method for aortic arch aneurysm operationrequiring complex repair of the aortic arch. European Journal of Cardio-Thoracic Surgery Elsevier Science B.V. 9/9(1995-09), 491-495 1010-7940 9:9<491 1995 9 ejcts https://doi.org/10.1016/S1010-7940(95)80048-4 text/html Onlinezugriff via DOI 1 abstract jats NATIONALLICENCE 856 40 https://doi.org/10.1016/S1010-7940(95)80048-4 text/html Onlinezugriff via DOI NATIONALLICENCE 773 0- European Journal of Cardio-Thoracic Surgery Elsevier Science B.V 9/9(1995-09), 491-495 1010-7940 9:9<491 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