Antegrade selective cerebral perfusion in patients with "bovine aortic arch": is it easier?
نویسندگان
چکیده
Email: Federico Bizzarri* [email protected]; Consalvo Mattia [email protected]; Matteo Di Nardo [email protected]; Emanuele Di Marzio [email protected]; Massimo Ricci [email protected]; Flaminia Coluzzi [email protected]; Giacomo Frati [email protected]; Paolo Pagliaro [email protected]; Luigi Muzzi [email protected]; Vincenzo Petrozza [email protected] * Corresponding author
منابع مشابه
Cerebral Events are not Predicted by Near-Infrared Spectroscopy during Anesthesia for Aortic Arch Surgery with Bilateral Antegrade Selective Cerebral Perfusion and Hypothermic Circulatory Arrest
Background: Near-infrared spectroscopy (NIRS) for brain monitoring has an uncertain value. We prospectively assessed the association of decreased NIRS tissue oxygenation index (TOI) with cerebral events in adults undergoing aortic arch repair with hypothermic circulatory arrest and bilateral antegrade selective cerebral perfusion. Methods: 76 consecutive patients (mostly aortic arch dissections...
متن کاملTotal arch replacement with separated graft technique and selective antegrade cerebral perfusion.
It is essential to select the optimum method of cerebral protection and operative technique for arch repair to improve the surgical outcome of arch aneurysm or dissection. Selective antegrade cerebral perfusion (SACP) is our current method of choice if required cerebral protection time exceeds 30 minutes. Moderate hypothermic two-arch vessel perfusion (innominate artery or right axillary artery...
متن کاملAortic arch surgery using moderate hypothermia and unilateral selective antegrade cerebral perfusion.
BACKGROUND Cerebral protection and circulatory management remains a controversial issue in aortic arch surgery. The present study reported surgical outcomes of arch repair using moderate hypothermic circulatory arrest (MHCA) and unilateral selective antegrade perfusion (uSACP). METHODS From January 2004 and December 2012, 500 patients underwent hemiarch repair (HARCH) and 124 underwent total ...
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 کاملA novel technique of antegrade cerebral perfusion in the newborn with critical aortic stenosis.
Various methods of cerebral protection have been used during such aortic arch operations as the Norwood Procedure and operations on the interrupted aortic arch in neonates and infants. Deep hypothermia with circulatory arrest is the most common technique, but has a limited safe period for circulatory arrest. Antegrade cerebral perfusion has been introduced to prolong this safe period. We review...
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عنوان ژورنال:
- Journal of Cardiothoracic Surgery
دوره 3 شماره
صفحات -
تاریخ انتشار 2008