Starting Selective Cerebral Perfusion from the Beginning of Cardiopulmonary Bypass to Prevent Cerebral Embolization During Total Arch Replacement
نویسندگان
چکیده
ing cerebral embolization due to detached atherosclerotic material from the ascending and arch aortic intima, caused by the “sandblasting” effect of the high-velocity jet from an aortic cannula. Although the number of cases having pedunculated atheroma, mural thrombus in ascending aorta, or aortic arch is low, I believe this method helps to treat such cases. In addition, the safety of starting SCP at normothermia and influence of extended SCP time need further clarification. This research reviews our experiences with preceding SCP.
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 ...
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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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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...
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