Comparison of dynamic brain metabolism during antegrade cerebral perfusion versus deep hypothermic circulatory arrest using proton magnetic resonance spectroscopy.

Hanley, Frank L; Ito, Hiroki; Gu, Meng; Hurd, Ralph; Riemer, R Kirk; Spielman, Daniel · J Thorac Cardiovasc Surg · 2020

review · Level V

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Abstract

Brain metabolism during deep hypothermic arrest is active and abnormal, resulting in a buildup of lactate and loss of energy substrates. Antegrade cerebral perfusion prevents these abnormalities.

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