https://www.annalsthoracicsurgery.org/article/S0003-4975(99)00135-6/pdf

Retrograde cerebral perfusion versus selective cerebral perfusion as evaluated by cerebral oxygen saturation during aortic arch reconstruction.

Operations on the thoracic aorta using hypothermic circulatory arrest are still associated with significant morbidity and mortality due to neurological complications. During the last decades, different cerebral protection techniques have been introduced into clinical practice to reduce the incidence of such complications. Furthermore clinical as well as basic researches have been performed to improve the outcome after these operations. Currently different cerebral perfusion methods are in clinical use and the superiority of one or the other method is a matter of controversial discussion. This review has been undertaken to evaluate the theoretical impact of these different methods of cerebral protection. Based on the experience of the authors the pros and cons are discussed with clinical and experimental reports from the literature.

/pdf/hypothermic-circulatory-arrest-during-ascending-and-aortic-12ijsayirp.pdf

Hypothermic circulatory arrest during ascending and aortic arch surgery: the theoretical impact of different cerebral perfusion techniques and other methods of cerebral protection

Predictive factors for mortality and cerebral complications in arteriosclerotic aneurysm of the aortic arch.

https://www.annalsthoracicsurgery.org/article/0003-4975(96)00076-8/pdf

Neuronal damage after hypothermic circulatory arrest and retrograde cerebral perfusion in the pig.

Deep Hypothermia With Retrograde Cerebral Perfusion Versus Moderate Hypothermia With Antegrade Cerebral Perfusion for Arch Surgery.

A 31P-magnetic resonance study of antegrade and retrograde cerebral perfusion during aortic arch surgery in pigs

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A 31P-magnetic resonance study of antegrade and retrograde cerebral perfusion during aortic arch surgery in pigs