Starting with the inaugural issue, we would like the AORTA journal to feature a special section, “Poll the Editorial Board,” in which readers ask questions and the journal provides a poll of answers from the Editorial Board. In this way, we hope to assess the thought and practice patterns of the Editorial Board.
The question for the first issue was:
Which method of cerebral protection do you favor during aortic arch surgery?
Straight deep hypothermic circulatory arrest (DHCA)
Selective antegrade cerebral perfusion
Retrograde cerebral perfusion
DHCA or cerebral perfusion, depending on case complexity
The poll was distributed among all current members of the Editorial Board, who were asked to submit their responses via an online survey tool. The list of Editorial Board members can be found at the AORTA journal website (http://aorta.scienceinternational.org). The members of the Editorial Board whose practices do not lie within the scope of this question were asked to disregard this poll. Here we present the results of this poll.
Results of the “Poll the Editorial Board”
|Favored Cerebral Protection Technique||No. of votes||Percentage|
|Selective antegrade cerebral perfusion||13||45%|
|Retrograde cerebral perfusion||2||7%|
|DHCA, or cerebral perfusion depending on case complexity||9||31%|
The majority of the respondents (45%) indicated their preference for selective antegrade cerebral perfusion. However, it is interesting to note that despite the highly popularized and publicized technique of selective antegrade cerebral perfusion, almost half of the respondents (48%) either still use straight DHCA as a stand-alone method for cerebral protection during most aortic arch operations (17%) or use it for some of the relatively simpler cases of arch interventions (31%). At the same time, retrograde cerebral perfusion is becoming increasingly less popular, with only 7% of respondents showing a preference for this technique.