Document Detail


The application of a modified technique of SCP under DHCA during total aortic arch replacement combined with stented elephant trunk implantation.
MedLine Citation:
PMID:  17201078     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We reviewed the perfusion experiences of 60 cases with a modified technique of selected cerebral perfusion (SCP) under deep hypothermic circulatory arrest (DHCA) during ascending aorta and total aortic arch replacement combined with transaortic stented graft implantation into the descending aorta for acute and chronic type A aortic dissection. Right auxiliary artery cannulation was routinely used for cardiopulmonary bypass (CPB) and SCP in this procedure. Generally, this technique requires two main pumps for two arterial lines before we applied the modified technique; one for CPB and the other for SCP. In order to simplify the circuit of the extracorporeal circuit (ECC) to operate easily, the arterial line was separated into two branches with a Y-connector on the operating table, one for axillary artery perfusion and the other for graft perfusion connected to the ECC set-up. This method is easy for the perfusionist to install and convenient for the surgeon. This is a safe and simple to use modified technique for SCP under DHCA during ascending aorta and total aortic arch replacement combined with transaortic stented graft implantation into the descending aorta.
Authors:
Bingyang Ji; Lizhong Sun; Jinping Liu; Mingzheng Liu; Guimin Sun; Guyan Wang; Zhigang Liu; Zhengyi Feng; Cun Long
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Perfusion     Volume:  21     ISSN:  0267-6591     ISO Abbreviation:  Perfusion     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2007-01-04     Completed Date:  2007-03-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8700166     Medline TA:  Perfusion     Country:  England    
Other Details:
Languages:  eng     Pagination:  255-8     Citation Subset:  IM    
Affiliation:
Department of Cardiopulmonary Bypass, Cardiovascular Institute and Fuwai Hospital, Beijing, China. bingyangji@psu.edu
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical
Aneurysm, Dissecting / surgery*
Aorta, Thoracic / surgery*
Aortic Aneurysm, Thoracic / surgery*
Axillary Artery
Carotid Artery, Common / surgery
Comorbidity
Equipment Design
Female
Heart Arrest, Induced*
Humans
Hypothermia, Induced
Male
Perfusion / methods*
Postoperative Complications / mortality
Prosthesis Implantation / methods*
Stents*

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


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