Antegrade and retrograde cerebral perfusion may provide similar neurological outcomes while outperforming deep hypothermic circulatory arrest.  The choice of arterial cannulation site and chosen level of hypothermia are influencing factors for perioperative stroke.


 Deep hypothermic circulatory arrest is not recommended as the sole cerebral protection technique.  Arterial cannulation sites with antegrade perfusion (axillary, central or carotid artery) in combination with moderate hypothermia seem to be advantageous. 
THERM