The study evaluated a modified perfusion strategy in the surgical treatment of type A acute aortic dissection (ATAAD), where systemic and cerebral perfusion was ensured through anastomosis of a 10 mm artificial vascular graft to the innominate artery. They analyzed 94 patients operated on between May 2024 and May 2025, all of whom underwent hypothermic circulation with combined perfusion. Mortality during hospitalization was 14.89%. The average time of cardiopulmonary bypass was 171.27 min and the average time of circulatory arrest was 25 minutes. Complications included stroke in 10.64% of patients, tracheostomy in 17.02%, and acute kidney injury in 23.40%. No upper extremity ischemia or vascular injuries were noted. The modified technique provides reliable protection of the brain, good surgical visibility and minimizes the risk of ischemic complications of the upper limb, thus representing a safe and effective method in the treatment of ATAAD.