INNOMINATE ARTERY CANNULATION PROVIDES SIMILAR NEUROPROTECTION TO AXILLARY CANNULATION IN AORTIC ARCH SURGERY AND MAY REDUCE OPERATIVE TIMES

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Axillary artery cannulation for aortic and complex cardiac surgery.

BACKGROUND Cannulation of the axillary artery for cardiopulmonary bypass (CPB) avoids manipulation of an atherosclerotic, aneurysmal, or dissected ascending aorta. Advantages include: low risk of atheroemboli, low risk of malperfusion in dissections, and facilitates selective antegrade cerebral perfusion (SACP) during hypothermic circulatory arrest (HCA). METHODS A single surgeon's seven year...

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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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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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ژورنال

عنوان ژورنال: Canadian Journal of Cardiology

سال: 2014

ISSN: 0828-282X

DOI: 10.1016/j.cjca.2014.07.456