Cerebral Protection

Journal

The Journal of Thoracic and Cardiovascular Surgery

June 3, 2025 | Martin ANOTHER
Video

Safe Cerebral Protection: Introduction to Isolated Cerebral Perfusion and Repair of Type A Dissection With Body Normothermia

April 24, 2024 | Vincent GaudianiGold ContributorBronze Commentor…

This introductory video describes the Gaudiani technique of cerebral perfusion at hypothermia, while the body is kept normothermic, for major aortic cases. The key issue that this technique addresses is...

JANS Article

Expanding Endovascular Therapy in Trauma

December 15, 2023 | Aristotle ProtopapasGold Commentor

A condensed, granular and yet comprehensive discussion on a small retrospective series on mostly non-iatrogenic trauma of the subclavian and axillary arteries treated mostly by stenting. Professor Veller’s viewpoint is...

JANS Article

Editor’s Choice – Trends in Management and Outcomes of Type B Aortic Dissection: A Report From the International Registry of Aortic Dissection

December 11, 2023 | Aristotle ProtopapasGold Commentor

Interesting registry review form an international voluntary registry. The retrospective historical data can be juxtaposed favourably to the recently presented ( also excellent results) in JANS on acute dissection in...

JANS Article

New-Onset Postoperative Atrial Fibrillation Impact on 5-Year Clinical Outcomes and Costs

May 27, 2021 | Aristotle ProtopapasGold Commentor

This month’s update on the economical and general aspects of the ROOBY-FS trial. The conclusion (on no impact of de novo post-CABG AF on the incidence of stroke nor the...

JANS Article

Early Rhythm-Control Therapy in Patients With Atrial Fibrillation

October 1, 2020 | Aristotle ProtopapasGold Commentor

Death from cardiovascular causes, stroke, or hospitalization with worsening of heart failure or acute coronary syndrome was reduced (P=0.005) by early pharmacogical or inteventional ablation for fast response-atrial fibrillation in...

JANS Article

Surgery for Type A Aortic Dissection in Patients with Cerebral Malperfusion: Results From the International Registry of Acute Aortic Dissections

November 15, 2019 | Wei-Guo Ma

The International Registry of Acute Aortic Dissection investigators analyzed the impact of cerebral malperfusion (CM) on the surgical outcomes of acute type A dissection in 2402 patients. The incidence of...

JANS Article

Effect of Targeting Mean Arterial Pressure During Cardiopulmonary Bypass by Monitoring Cerebral Autoregulation on Postsurgical Delirium Among Older Patients

September 19, 2019 | Mark FergusonBronze Contributor

In this randomized trial, the authors studied the use of cerebral autoregulation monitoring to target mean arterial pressure during CPB. The outcome of interest was postopertive delirium. The incidence of...

Video

How We Do It: Epiaortic Scanning

July 8, 2019 | Giuseppe Rescigno…

Epiaortic scanning is a simple and low-cost technique that could improve results in terms of postoperative neurological complications. This video is a step-by-step tutorial that could allow every surgeon to...

JANS Article

Differential Outcomes of Open and Clamp-On Distal Anastomosis Techniques in Acute Type A Aortic Dissection

June 11, 2019 | Aristotle ProtopapasGold Commentor

Food for thought from a retrospective non-randomized study on the Scandinavian experience with acute aortic dissection. The reader may find outcomes that will surpise them.

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JANS Article

In Global News: Roadside Thoracotomy, Recalled Atrioseptostomy Catheters, and Lung Cancer in Nonsmokers

May 3, 2019 | Claire Vernon

Patient Care and General Interest A roadside thoracotomy was performed in the UK to control severe bleeding for a man who was stabbed, and the procedure was captured on video....

Video

Two-Stage Repair of a DeBakey Type I Aortic Dissection Using the Elephant Trunk Technique

June 26, 2018 | Oleg Orlov…

A 65-year-old man, who had a previous type A aortic dissection in 2011, developed a pseudoaneurysm at the proximal and distal aortic anastomoses of this prior ascending aortic repair. At...

Video

Common Carotid Artery Cannulation: A Potential Alternative Site for Establishing CPB in Special Situations

March 19, 2018 | Muhammad Al- Manzo…

For establishing regular cardiopulmonary bypass, the ascending aorta is obviously the standard site of arterial cannulation, ensuring adequate blood supply to the whole body. However, when the aortic arch has...

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