Commentary: If the news is good, it  is better that we know … if the news is bad, it is better than we know fast

The risk of stroke in aortic arch (AA) surgery remains a serious concern, despite modern surgical techniques and strategies for cerebral protection. Brain perfusion during AA surgery faces embolic and global ischemic threats, from manipulation and crossclamping of the aorta to malperfusion due to incomplete protective perfusion during the circulatory arrest phase of the operation. Intraoperative diagnosis of stroke can be a challenge, and there are no current standard guidelines for intraoperative neuromonitoring (IONM).
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Commentary Source Type: research