Dissected axillary artery cannulation in redo-total arch replacement surgery

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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.

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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 ...

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Axillary 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...

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Total arch replacement using bilateral axillary antegrade selective cerebral perfusion.

OBJECTIVE The prevention of cerebral injury is an important consideration during the repair of an aortic arch aneurysm, and this is a major goal of cerebral protection techniques. We describe extended thoracic aortic aneurysms treated by use of our current surgical strategy. PATIENTS AND METHODS From January 2001 to June 2008, a total of 17 patients (12 men and 5 women; mean age 67.3 ± 7.3 yr...

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Axillary artery cannulation for aortic and complex cardiac surgery.

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 2013

ISSN: 0022-5223

DOI: 10.1016/j.jtcvs.2013.02.020