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Selective Antegrade Cerebral Perfusion and Mild (28°C-30°C) Systemic Hypothermic Circulatory Arrest for Aortic Arch Replacement: Results from 1002 Patients
Current data suggest that ACP and mild systemic hypothermic circulatory arrest can be safely applied to complex aortic arch surgery even in a subgroup of patients with up to 90 minutes of ACP. Unilateral ACP offers at least equal brain and visceral organ protection as bilateral ACP and might be advantageous in that it reduces the incidence of embolism arising from surgical manipulation on the arch vessels.
Understanding and Managing the Complex Balance Between Bleeding and Thrombosis Following Cardiopulmonary Bypass in Paediatric Cardiac Surgical Patients
The objective of this review is to summarise the evidence regarding bleeding management in paediatric surgical patients and identify strategies that might facilitate appropriate bleeding management while minimising the risk of thrombosis.