Table 3. Summary of operative strategies in patients undergoing aortic arch surgery with DHCA alone or MHCA+SACP.
| First author | Circulatory arrest temperature |
Perfusion strategy |
||||
|---|---|---|---|---|---|---|
| DHCA (°C) | MHCA+SACP (°C) | Approach | Cannulation site | Perfusate temperature (°C) | Flow rate (mL/kg/min) | |
| Kazui | 15Rctl | 25Rctl | Bilateral | Innominate + L. carotid | NR | 500-600 mL/min |
| Tan | 15.1±3.1NP | 25NP | Bilateral | Innominate + L. carotid | 25 | 10 |
| Di Eusanio | 16.1 ±2.8NP | 23.2±2.6NP | Bilateral | Innominate + L. carotid | NR | 10 |
| Muller | 20±2Rect | 22±2Rect | Unilateral | R. subclavian† | NR | 400-700 mL/min |
| Harrington | 15NP | 25NP | Bilateral | Innominate + L. carotid | 15 | 8-12 |
| Sundt | 16-18NP; 23Bldr | 25Core | Unilateral | R. axillary | 13 | 10-15 |
| Halkos | 18Core | 23.2±4.2Core | Unilateral | R. axillary | 18 | 10 |
| Wiedemann | 18Esoph | 25Esoph | Unilateral/bilateral | uACP: R. subclavian/innominate | 25 | 10 |
| bACP: subclavian/innominate + L. carotid | ||||||
| Misfeld‡ | 22±2NP | uACP: 24±3NP | Unilateral/bilateral§ | uACP: R. carotid | 24 | 10-15 |
| bACP: 25±4NP | bACP: Innominate + L. carotid | |||||
†5 complex patients cannulated with brachiocephalic artery; ‡Misfeld et al. reported a mean of 22±2 °C as deep hypothermia; §bACP reserved for complex cases; Rctl, rectal temperature; NP, nasopharyngeal temperature; Bldr, bladder temperature; Core, core temperature, Esoph, esophageal temperature; uACP, unilateral antegrade cerebral perfusion; bACP, bilateral antegrade cerebral perfusion; NR, not reported