— Gaudiani VA, Castro LC, Vial CM, Shuttleworth P, Fisher A: The Heart Surgery Forum Vol 9, Issue 6, October 2006
Successful aortic arch operations provide comprehensive cerebral protection (CCP) and effective surgical correction. CCP must prevent cerebral embolism (CE) at the onset and conclusion of the pump run and it must minimize intraoperative cerebral ischemia. We hae developed a technique that achieves these ends and simplifies most aortic arch operations. Our approach utilizes 3 concepts: (1) separate arterial cannulation of the cerebral (innominate or carotid) and sytemic (distal arch or femoral) circulation, (2) separate heat exchangers for each circulation, (3) clamp separation of the two circulations.