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Cerebral perfusion strategy in a challenge cerebral vessels debranching

Ilaria Franzese1, Rocco Tabbì1, Tiziano Menon1

  • 1Division of Cardiac Surgery, University of Verona, Verona, Italy.

Perfusion
|September 16, 2020
PubMed

Keywords:
antegrade cerebral perfusionaortic arch surgerycerebral protectionhybrid aortic arch replacementsupra-aortic vessels debranching

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An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...