Right axillary and femoral artery perfusion with mild hypothermia for aortic arch replacement
نویسندگان
چکیده
منابع مشابه
Right axillary and femoral artery perfusion with mild hypothermia for aortic arch replacement
OBJECTIVES Aortic arch replacement is associated with increased mortality and morbidity especially in acute type-A aortic dissection. Although hypothermic circulatory arrest with selective antegrade cerebral perfusion has been widely used because of its excellent cerebral protection, its optimal perfusion characteristics are unknown. The present study investigates clinical results obtained afte...
متن کاملClinical Results of Ascending Aorta and Aortic Arch Replacement under Moderate Hypothermia with Right Brachial and Femoral Artery Perfusion
BACKGROUND Selective antegrade perfusion via axillary artery cannulation along with circulatory arrest under deep hypothermia has became a recent trend for performing surgery on the ascending aorta and aortic arch and when direct aortic cannulation is not feasible. The authors of this study tried using moderate hypothermia with right brachial and femoral artery perfusion to complement the pitfa...
متن کاملTotal arch replacement using antegrade selective cerebral perfusion with right axillary artery perfusion.
OBJECTIVE Right axillary artery (AxA) perfusion, which can prevent cerebral embolism caused by retrograde perfusion via the femoral artery (FA), was used for selective cerebral perfusion (SCP) as well as cardiopulmonary bypass (CPB) in aortic arch repair. We review the outcome of aortic arch surgery using SCP with right AxA perfusion to clarify its efficacy. METHOD Between 1998 and 2002, 120 ...
متن کاملWhole-body perfusion under moderate-degree hypothermia during aortic arch repair.
INTRODUCTION There continue to be some controversies concerning aortic arch reconstruction, especially the cerebral protection methods. We report our operative and postoperative outcomes for cases of aortic arch replacement using whole-body perfusion during aortic reconstruction under 28 degrees C moderate hypothermia. MATERIALS AND METHODS A total of 12 patients were operated on between Marc...
متن کاملEvolving arch surgery using integrated antegrade selective cerebral perfusion: impact of axillary artery perfusion.
OBJECTIVE The study objective was to determine the impact of integrated antegrade selective cerebral perfusion with right axillary artery perfusion during arch surgery. METHODS All surgeries were performed through a median sternotomy. Direct cannulation of the right axillary artery in the axilla was used for cardiopulmonary bypass and antegrade selective cerebral perfusion under hypothermia. ...
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ژورنال
عنوان ژورنال: Journal of Cardiothoracic Surgery
سال: 2014
ISSN: 1749-8090
DOI: 10.1186/1749-8090-9-94