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Innominate artery dissection during cerebral perfusion. The exception that proves the rule.
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  • Antonio Piperata,
  • Tomaso Bottio,
  • Martina Avesani,
  • Gino Gerosa
Antonio Piperata

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Tomaso Bottio
University of Padua Medical School,
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Martina Avesani
Universita degli Studi di Padova Dipartimento di Medicina
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Gino Gerosa
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Bilateral antegrade selective cerebral perfusion has the undisputed advantage of being more physiological and theoretically ensuring complete perfusion of the whole brain. However, it requires longer execution times and manipulation of the epiaortic vessels. On the other hand, unilateral selective cerebral perfusion (u-ASCP) avoids the vessels manipulation, placement of catheters into the ostia of the great vessels which clutters the operative field and incurs both atherosclerotic and air embolism risk. Neverthless, an ongoing debate about which technique yields the best clinical outcomes is still open.
15 Jan 2021Submitted to Journal of Cardiac Surgery
16 Jan 2021Assigned to Editor
16 Jan 2021Submission Checks Completed
16 Jan 2021Editorial Decision: Accept