Document Detail

Direct versus side-graft cannulation of the right axillary artery for antegrade cerebral perfusion.
MedLine Citation:
PMID:  17041687     Owner:  NLM     Status:  MEDLINE    
Antegrade selective cerebral perfusion through the right axillary artery has proved to be a safe and effective method for cerebral protection in aortic surgery. In this study, we prospectively evaluated the techniques of direct right axillary artery cannulation (Group 1) and right axillary artery side-graft cannulation (Group 2), investigated cannulation-related complications, and determined the hemodynamic advantages and disadvantages of both cannulation techniques. Sixty-eight patients underwent surgery from April 2001 through August 2004 with the diagnoses of ascending and aortic arch aneurysms (10 patients), type A aortic dissection (56 patients), and aortic pseudoaneurysm (2 patients). There were 22 patients in Group 1 (33.4%) and 46 patients in Group 2 (67.6%). The antegrade selective cerebral perfusion flow was 500 to 700 mL/min in Group 1, whereas in Group 2 the flow was adjusted in accordance with the mean right radial arterial pressure, which was 50 mmHg. There was no significant difference between the groups in antegrade selective cerebral perfusion times, but the transient neurologic dysfunction rate (4 of 22 patients in Group 1 vs 1 of 42 in Group 2) was significantly lower in Group 2 (P =0.035). In Group 1, axillary artery dissection occurred in 2 patients (9%), and postoperative arm ischemia occurred in 1 patient (4.5%). These complications were not seen in Group 2 (P =0.031). The side-graft cannulation technique may be more acceptable because of its lower local-complication rate and because it provides pressure-controlled cerebral perfusion.
Levent Yilik; Bilgin Emrecan; Mert Kestelli; Ibrahim Ozsoyler; Banu Lafci; Necmettin Yakut; Cengiz Ozbek; Ali Gurbuz
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  33     ISSN:  0730-2347     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2006  
Date Detail:
Created Date:  2006-10-16     Completed Date:  2006-11-07     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  310-5     Citation Subset:  IM    
Department of Cardiovascular Surgery, Izmir Ataturk Training and Research Hospital, Izmir 35360, Turkey.
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MeSH Terms
Aortic Aneurysm / surgery*
Axillary Artery*
Cardiac Surgical Procedures / adverse effects
Catheterization / methods*
Cerebrovascular Circulation / physiology*
Middle Aged
Prospective Studies
Stroke / prevention & control

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

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