Simplified Technique for Aortic Arch Replacement: First-Stage Right Subclavian-to-Left Carotid Artery Bypass

Global trends in research of acute type a aortic dissection: A bibliometric analysis from 2002 to 2022

“…Sun et al demonstrated that this procedure may be a new standard therapy for ATAAD [ 24 ]. According to accumulated evidence from clinical studies, hypothermic circulatory arrest [ 37 ] and anterograde cerebral perfusion [ 38 ] may play an important role in reducing complications, reducing mortality, and improving prognosis. Despite the fact that the utilization of total arch replacement (TAR) in conjunction with frozen elephant trunk (FET) represents the most efficacious therapeutic approach for ATAAD, there is still controversy regarding the optimal strategy for hypothermia, cerebral perfusion, and vital organ protection.…”

Frozen elephant trunk: What can the Salerno experience tell us?

“…Since the first successful arch repair in the 1950s, 1 the risks for cerebrospinal complications and mortality have been reduced but not eliminated. The introduction of hypothermic circulatory arrest 2 and antegrade cerebral perfusion 3 were critical to improving the outcome of the arch repair. Since many patients require a second‐stage procedure, the invention of the elephant trunk procedure was another milestone in simplifying future operations on the descending aorta 4 …”

A new cannula for antegrade selective cerebral perfusion

“…In the past, many different technical variants of how to perform ASCP have been described. 1 , 2 This technique was standardized during 1989-1991. 3 , 4 , 5 …”