cardiotomskСибирский журнал клинической и экспериментальной медициныSiberian Journal of Clinical and Experimental Medicine2713-29272713-265XTSU publishing10.29001/2073-8552-2024-39-2-14-20cardiotomsk-2304Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESCовременный статус проблемы нейропротекции в хирургии дуги аортыCurrent status of neuroprotection in aortic arch surgeryhttps://orcid.org/0000-0002-0217-7737КозловБ. Н.KozlovB. N.

Козлов Борис Николаевич, д-р мед. наук, заведующий отделением сердечно-сосудистой хирургии

634012, Томск, ул. Киевская, 111а

Boris N. Kozlov, Dr. Sci. (Med.), Head of Department of Cardiovascular Surgery

111a, Kievskaya str., Tomsk, 634012

bnkozlov@yandex.ruПономаренкоИ. В.PonomarenkoI. V.

Пономаренко Игорь Валерьевич, канд. мед. наук, младший научный сотрудник, отделение сердечно-сосудистой хирургии

634012, Томск, ул. Киевская, 111а

Igor V. Ponomarenko, Cand. Sci. (Med.), Junior Research Scientist, Department of Cardiovascular Surgery

111a, Kievskaya str., Tomsk, 634012

piv@cardio-tomsk.ruhttps://orcid.org/0000-0003-2201-350XПанфиловД. С.PanfilovD. S.

Панфилов Дмитрий Сергеевич, д-р мед. наук, старший научный сотрудник, отделение сердечно-сосудистой хирургии

634012, Томск, ул. Киевская, 111а

Dmitri S. Panfilov, Dr. Sci. (Med.), Senior Research Scientist, Cardiology Research Institute

111a, Kievskaya str., Tomsk, 634012

pand2006@yandex.ruНаучно-исследовательский институт кардиологии, Томский национальный исследовательский медицинский центр Российской академии наук (НИИ кардиологии Томского НИМЦ)РоссияCardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of SciencesRussian Federation2024090720243921420Copyright © Козлов Б.Н., Пономаренко И.В., Панфилов Д.С., 20242024Козлов Б.Н., Пономаренко И.В., Панфилов Д.С.Kozlov B.N., Ponomarenko I.V., Panfilov D.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sibjcem.ru/jour/article/view/2304

В настоящее время отсутствует единый взгляд относительно оптимального метода защиты головного мозга и целесообразности поддержания кровообращения в супрааортальных сосудах во время циркуляторного ареста при операциях на дуге аорты. Достижение такого экспертного консенсуса представляется весьма важным условием для дальнейшего развития хирургии дуги аорты без риска для пациента. Представлен обзор доступных стратегий органопротекции и сравнение результатов одно- и многоцентровых исследований.

There is no consensus regarding an optimal method of cerebral protection during aortic arch surgery. Achieving such an expert consensus seems to be an important condition for the further development of aortic arch surgery without risk for the patient. An overview of the current strategies for organ protection and a comparison of the results of single- and multicenter studies are presented.

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The authors declare that there are no conflicts of interest present.