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J Thorac Cardiovasc Surg 2008;135:715
© 2008 The American Association for Thoracic Surgery

Letter to the Editor

The safety of moderate hypothermic circulatory arrest with selective cerebral perfusion

Teruhisa Kazui, MD, PhD, Abul Hasan Muhammad Bashar, MBBS, PhD

First Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu City, Japan

The first 20% of the full text of this article appears below.

To The Editor:

We read with great interest the recent article by Kamiya and colleagues1Go on the safety of moderate hypothermic circulatory arrest with selective cerebral perfusion (SCP). In a retrospective analysis, the authors divided 377 patients undergoing aortic arch repair with SCP and hypothermic circulatory arrest into 2 groups: group 1 comprised 125 patients with deep lower body circulatory arrest at 20°C to 24.9°C, and group 2 comprised 252 patients with moderate lower body circulatory arrest at 25°C to 28°C. The 2 groups were compared with regard to mortality and neurologic outcomes. A propensity score matching analysis was also undertaken to compensate for the differences in patient characteristics between the 2 groups. The authors found no significant differences between the 2 groups in terms of mortality or morbidity and concluded that moderately hypothermic lower . . . [Full Text of this Article]


Related Article

Reply to the Editor
Hiroyuki Kamiya, Klaus Kallenbach, Axel Haverich, and Matthias Karck
J. Thorac. Cardiovasc. Surg. 2008 135: 715-716. [Extract] [Full Text] [PDF]





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