Retrograde cerebral perfusion as a method of neuroprotection during thoracic aortic surgery

Ann Thorac Surg. 2001 Nov;72(5):1774-82. doi: 10.1016/s0003-4975(01)02718-7.


Retrograde cerebral perfusion is commonly used as an adjunct to hypothermic circulatory arrest to enhance cerebral protection during thoracic aortic surgery. This review summarizes a large number of studies that demonstrate a spectrum of beneficial, neutral, and detrimental effects of retrograde cerebral perfusion in humans and experimental animal models. It remains unclear whether retrograde cerebral perfusion provides effective cerebral perfusion, metabolic support, washout of embolic material, and improved neurological and neuropsychological outcome.

Publication types

  • Review

MeSH terms

  • Animals
  • Aorta, Thoracic / surgery*
  • Brain / metabolism
  • Brain / pathology
  • Brain Diseases / prevention & control*
  • Cerebrovascular Circulation*
  • Humans
  • Hypothermia, Induced
  • Intraoperative Care*
  • Postoperative Complications / prevention & control*