Retrograde cerebral perfusion as a component protection of the brain during reconstructive operations on the aortic arch

Aim of the study was to evaluate the effectiveness of retrograde cerebral perfusion (RCP) compared with the technique of deep hypothermic circulatory arrest (DHCA) in reconstructive operations on the aortic arch. Studied during the perioperative period, the frequency of complications and mortality in patients, where for the protection of the brain used RCP (89 patients) and in patients who have used DHCA (24 patients). In the RCP group studied the oxygen supply of the brain and the dynamics of markers of cerebral damage phases of research. It was revealed that the inclusion of a protection scheme of retrograde cerebral perfusion indicated a lower incidence of neurological complications (RCP group - 7,9%, the DHCA group - 37,5%; j2, p 2, p