Total arch replacement using antegrade selective cerebral perfusion with right axillary artery perfusion☆
نویسندگان
چکیده
منابع مشابه
Total 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 کاملTotal 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...
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. ...
متن کاملSurgical techniques of total arch replacement using selective antegrade cerebral perfusion.
This detailed illustrated article describes our preferred surgical technique of total arch replacement using selective antegrade cerebral perfusion (SACP). Our current approach includes: (I) meticulous selection of arterial cannulation site and type of arterial cannula; (II) SACP for neuro-protection; (III) whole body hypothermia with minimal tympanic temperatures between 20 and 23 °C and minim...
متن کاملTotal arch replacement using selective antegrade cerebral perfusion as the neuroprotection strategy.
BACKGROUND Optimal neuro-protection strategy in aortic arch surgery is a controversial issue. The present study reported surgical outcomes of total arch replacement using selective antegrade cerebral perfusion (SACP). METHODS From January 2002 to December 2012, 438 consecutive patients (mean age 69.1±13.4 years) underwent total arch replacement using SACP through a median sternotomy. Acute ao...
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ژورنال
عنوان ژورنال: European Journal of Cardio-Thoracic Surgery
سال: 2003
ISSN: 1010-7940
DOI: 10.1016/s1010-7940(03)00090-3