Document Detail


Central arterial cannulation and the arch first method for aortic arch aneurysm repair.
MedLine Citation:
PMID:  17228278     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: We investigated whether the axillary artery or ascending aorta cannulation combined with the arch first method decreases the risk of stroke during total arch replacement. PATIENTS AND METHODS: From January 2002 to January 2006, 35 total arch replacements were performed with the arch first method and central arterial cannulation. The mean age was 66+/-10 years. The cannulation sites were the axillary artery in 19 and the ascending aorta in 16. The arch first method (a short period of deep hypothermic circulatory arrest with retrograde cerebral perfusion and then subsequent antegrade cerebral perfusion) was used in all patients. RESULTS: The mean retrograde cerebral perfusion time was 29+/-7 min. The incidence of the permanent neurological dysfunction related to the surgical procedures was 2.9% (1/35). Hospital mortality was 5.7% of patients (2/35). There was no difference in the operative outcome between the 2 arterial inflow sites. CONCLUSION: At the time of total arch replacement, the use of central arterial cannulation and the arch first method are effective methods for preventing permanent brain injury. Cannulation of the ascending aortic using Dispersion cannula perfusing toward the aortic valve is considered to be a safe and favorable method for central arterial cannulation.
Authors:
Noritsugu Morishige; Yoshio Hayashida; Nobuhisa Ito; Kazuma Takeuchi; Koji Akasu; Hidehiko Iwahashi; Tadashi Tashiro
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia     Volume:  12     ISSN:  1341-1098     ISO Abbreviation:  Ann Thorac Cardiovasc Surg     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2007-01-17     Completed Date:  2007-03-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  404-11     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, School of Medicine, Fukuoka University, Fukuoka, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, Dissecting / surgery
Aortic Aneurysm, Thoracic / surgery*
Blood Vessel Prosthesis Implantation / methods*
Cardiopulmonary Bypass / adverse effects*,  methods
Catheterization / adverse effects,  methods
Cerebrovascular Circulation
Female
Heart Arrest, Induced
Humans
Male
Middle Aged
Perfusion / methods*
Risk Factors
Stroke / prevention & control*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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