| 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 |
Related Documents
:
|
2651808 - Vascular anomalies causing tracheoesophageal compression. review of experience in child... 7640408 - Variations in the anatomical organization of the human aortic arch. a study in a portug... 15227098 - Aortic arch replacement with profound hypothermia and temporary circulatory arrest. 1672048 - Experience with surgical treatment of takayasu's disease. 1863048 - The management of popliteal aneurysm: the importance of early surgical repair. 3613618 - Early mechanical failures of the hancock pericardial xenograft. |
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. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| 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
Previous Document: Limitations of retrograde continuous tepid blood cardioplegia for myocardial remodeling.
Next Document: Simplified elephant trunk technique promotes thrombo-occlusion of the false lumen in acute type A ao...