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Updated: Feb 9, 2026

Strategies for Study of Neuroprotection from Cold-preconditioning
Published on: September 2, 2010
Neuroprotective Strategies in Repair and Replacement of the Aortic Arch
Frank Manetta1, Clancy W Mullan1, Michael A Catalano1
1Department of Cardiovascular and Thoracic Surgery, Barbara and Donald Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York.
Abstract:
Aortic arch surgery is a technical challenge, and cerebral protection during distal anastomosis is a continued topic of controversy and discussion. The physiologic effects of hypothermic arrest and adjunctive cerebral perfusion have yet to be fully defined, and the optimal strategies are still undetermined. This review highlights the historical context, physiological rationale, and clinical efficacy of various neuroprotective strategies during arch operations.
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