Levent YILIK, Bilgin EMRECAN, Ali GÜRBÜZ

Aortik ark tamirinde beyin korumasına güncel bir bakış

Aortik ark cerrahisinin en önemli konularından biri en uygun beyin koruma yönteminin belirlenmesidir. Beyin koruması için önerilen teknikler antegrad serebral perfüzyon, derin hipotermik sirkülatuvar arrest ve retrograd serebral perfüzyondur. Ancak, hangi yöntemin en iyi olduğu halen tartışmalıdır. Hipoterminin kullanılması ile aortik ark cerrahisi daha güvenli yapılır hale gelmiş ve zaman içinde retrograd serebral perfüzyon ve en son olarak da antegrad serebral perfüzyon ile ileri bir düzeye ulaşmıştır. Bu yazıda, aortik ark cerrahisinde beyin koruma yöntemleri tek tek ele alınarak, bu yöntemlerin avantaj ve dezavantajları gözden geçirildi.

A current insight into cerebral protection in aortic arch repair

One of the most challenging issues concerning aortic arch surgery is to determine the most appropriate method for cerebral protection. These techniques include antegrade cerebral perfusion, deep hypothermic circulatory arrest, and retrograde cerebral perfusion. However, controversy remains as to which method is the best for cerebral protection. With the use of hypothermia, aortic arch operations have become safer and reached an improved level initially with retrograde and finally with antegrade cerebral perfusion methods. In this review, cerebral protection methods in aortic arch surgery were evaluated together with the advantages and disadvantages of each method.

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