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6 and 62.4 before SCP to 37.7 and 39.9 after SCP (p less then 0.05) and then increased to 70.1 and 90.4 after full body flow resumed. No stroke was reported postoperatively. Conclusion SCP under mild hypothermia can aid in efficient maintenance of brain perfusion during neonatal arch reconstruction. The clinical outcome of this strategy was favorable for up to 20 min, but the safety duration of lower body ischemia warrants further analysis.Telemedicine has gained popularity during the recent COVID-19 pandemic. Regular and timely physici