Antegrade cerebral perfusion by axillary artery and left carotid artery inflow at moderate hypothermia

被引:15
作者
Mazzola, A [1 ]
Gregorini, R [1 ]
Villani, C [1 ]
Di Eusanio, M [1 ]
机构
[1] G Mazzini Hosp, Dept Cardiac Surg, I-64000 Teramo, Italy
关键词
axillary artery; cerebral perfusion;
D O I
10.1016/S1010-7940(02)00059-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cerebral protection during hypothermic circulatory arrest was obtained by combining right carotid perfusion through the axillary artery with selective perfusion of the left common carotid artery in ten patients. We believe that the proposed technique offers several advantages. (1) The axillary artery is generally free from atherosclerosis. (2) It eliminates the risk of retrograde embolization. (3) It provides antegrade perfusion of the true lumen in aortic dissection. (4) Antegrade cerebral perfusion is never interrupted. (5) Bihemispheric perfusion is assured. (6) The risk of air embolysm during carotid cannulation is reduced. (C) 2002 Elsevier Science B.V. All rights reserved.
引用
收藏
页码:930 / 931
页数:2
相关论文
共 8 条
[1]   Arterial cannulation of the innominate artery [J].
Banbury, MK ;
Cosgrove, DM .
ANNALS OF THORACIC SURGERY, 2000, 69 (03) :957-957
[2]   Arterial inflow via an axillary artery graft for the severely atheromatous aorta - Discussion [J].
Buxton, BF ;
Baribeau, YR ;
Hammon, JW .
ANNALS OF THORACIC SURGERY, 1998, 66 (01) :37-37
[3]   Axilloaxillary cardiopulmonary bypass: A practical alternative to femorofemoral bypass [J].
Bichell, DP ;
Balaguer, JM ;
Aranki, SF ;
Couper, GS ;
Adams, DH ;
Rizzo, RJ ;
Collins, JJ ;
Cohn, LH .
ANNALS OF THORACIC SURGERY, 1997, 64 (03) :702-705
[4]   AXILLARY ARTERY FOR EXTRACORPOREAL-CIRCULATION [J].
BORST, HG .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1995, 110 (06) :1775-1775
[5]   Cerebral protection during aortic arch surgery [J].
Griepp, RB .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2001, 121 (03) :425-427
[6]   Neurologic outcome after ascending aorta-aortic arch operations: Effect of brain protection technique in high-risk patients [J].
Hagl, C ;
Ergin, MA ;
Galla, JD ;
Lansman, SL ;
McCullough, JN ;
Spielvogel, D ;
Sfeir, P ;
Bodian, CA ;
Griepp, RB .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2001, 121 (06) :1107-1120
[7]   Improved results of atherosclerotic arch aneurysm operations with a refined technique [J].
Kazui, T ;
Washiyama, N ;
Muhammad, BAH ;
Terada, H ;
Yamashita, K ;
Takinami, M .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2001, 121 (03) :491-499
[8]   AXILLARY ARTERY - AN ALTERNATIVE SITE OF ARTERIAL CANNULATION FOR PATIENTS WITH EXTENSIVE AORTIC AND PERIPHERAL VASCULAR-DISEASE [J].
SABIK, JF ;
LYTLE, BW ;
MCCARTHY, PM ;
COSGROVE, DM .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1995, 109 (05) :885-891