Axillary artery cannulation reduces early embolic stroke and mortality after open arch repair with circulatory arrest
نویسندگان
چکیده
منابع مشابه
Transcutaneous axillary artery cannulation.
The axillary artery may be an alternative cannulation site for patients with diffused atherosclerosis, aortic dissection, and aneurysm. There are different techniques for axillary artery cannulation that can be performed easily with a transcutaneous approach. Small incision necessity, less dissection, and good wound healing are other advantages of this technique.
متن کاملSelective cerebral perfusion with aortic cannulation and short-term hypothermic circulatory arrest in aortic arch reconstruction.
BACKGROUND The deep hypothermic circulatory arrest (DHCA) technique has been used in aortic arch and isthmus hypoplasia for many years. However, with the demonstration of the deleterious effects of prolonged DHCA, selective cerebral perfusion (SCP) has started to be used in aortic arch repair. For SCP, perfusion via the innominate artery route is generally preferred (either direct innominate ar...
متن کاملAxillary artery cannulation
Percutaneous cannulation of the axillary artery is a safe and appropriate means of intervention for invasive blood pressure monitoring, particularly in the absence of radial or other peripheral pulses. On five separate occasions the author was called upon to place an indwelling cannula for continuous blood pressure monitoring for patients in whom no distal peripheral pulses were palpable. In ea...
متن کامل[Axillary artery cannulation with a Dacron graft for surgery of the aortic arch and ascending aorta].
Cannulation of the axillary artery is one possible means of establishing cardiopulmonary bypass during surgery of the ascending aorta and aortic arch. Use of a Dacron graft for cannulation has a number of advantages. In this article, we report our experience with this technique in seven consecutive patients in whom we performed an ascending aorta replacement. The associated procedures involved ...
متن کاملCannulation strategy for aortic arch reconstruction using deep hypothermic circulatory arrest.
BACKGROUND Aortic arch reconstruction in neonates is commonly performed using deep hypothermic circulatory arrest. However, concerns have arisen regarding potential adverse neurologic outcomes from this complex procedure, raising questions about the best arterial cannulation approach for cerebral perfusion and effective systemic hypothermia. In this study, we use computational fluid dynamics to...
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ژورنال
عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery
سال: 2020
ISSN: 0022-5223
DOI: 10.1016/j.jtcvs.2019.02.112