A simple method to establish antegrade cerebral perfusion during hemiarch reconstruction.
ACP, antegrade cerebral perfusion
CPB, cardiopulmonary bypass
HCA, hypothermic circulatory arrest
IA, innominate artery
antegrade cerebral perfusion
aortic surgery
circulatory arrest
innominate artery
Journal
JTCVS techniques
ISSN: 2666-2507
Titre abrégé: JTCVS Tech
Pays: United States
ID NLM: 101768546
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
received:
09
02
2020
revised:
09
02
2020
accepted:
13
03
2020
entrez:
28
7
2021
pubmed:
9
4
2020
medline:
9
4
2020
Statut:
epublish
Résumé
We describe a novel and safe technique using a 12F-14F pediatric arterial cannula to establish unilateral, selective, antegrade cerebral perfusion (ACP) during open hemiarch reconstruction. Between January 2015 and September 2018, 42 patients underwent elective aortic aneurysm repair requiring an open distal anastomosis and at least a hemiarch replacement via hypothermic circulatory arrest by 2 surgeons. All distal reconstructions were performed at moderate hypothermia (22°C-26°C) with direct cannulation of the innominate artery (IA) using a pediatric arterial cannula to allow ACP at 10-15 mL/kg/min. Data were collected by retrospective chart review. Thirty-one of the 42 patients (74%) were male. The mean patient age was 65 ± 13 years, and the mean body surface area was 2.1 ± 0.3 m Direct IA cannulation with a pediatric arterial cannula is a safe and efficient method to allow ACP in aortic surgery requiring hypothermic circulatory arrest and may circumvent the potential complications of axillary cannulation.
Identifiants
pubmed: 34317734
doi: 10.1016/j.xjtc.2020.03.012
pii: S2666-2507(20)30160-7
pmc: PMC8298922
doi:
Types de publication
Journal Article
Langues
eng
Pagination
10-15Informations de copyright
© 2020 The Authors.
Références
Ann Thorac Surg. 2003 Mar;75(3):931-4
pubmed: 12645719
Eur J Cardiothorac Surg. 2005 Apr;27(4):634-7
pubmed: 15784364
J Thorac Cardiovasc Surg. 2016 Apr;151(4):1073-8
pubmed: 26725716
Ann Thorac Surg. 2008 Sep;86(3):1030-2
pubmed: 18721617
Ann Thorac Surg. 2007 Feb;83(2):S799-804; discussion S824-31
pubmed: 17257930
Eur J Cardiothorac Surg. 2015 Dec;48(6):937-42; discussion 942
pubmed: 25646398
Eur J Cardiothorac Surg. 2004 Oct;26(4):831-3
pubmed: 15450586
J Thorac Cardiovasc Surg. 1995 May;109(5):885-90; discussion 890-1
pubmed: 7739248
Ann Thorac Surg. 2004 Jul;78(1):103-8; discussion 103-8
pubmed: 15223412
Ann Thorac Surg. 2004 Oct;78(4):1274-84; discussion 1274-84
pubmed: 15464485
J Thorac Cardiovasc Surg. 2014 Dec;148(6):2920-4
pubmed: 25172323
J Card Surg. 2018 Dec;33(12):818-825
pubmed: 30548686
Ann Thorac Surg. 1999 Jun;67(6):1874-8; discussion 1891-4
pubmed: 10391330
Circulation. 2011 Jul 26;124(4):434-43
pubmed: 21747050
Circulation. 2010 Apr 6;121(13):e266-369
pubmed: 20233780
J Thorac Cardiovasc Surg. 2018 May;155(5):1953-1960.e4
pubmed: 29338863
Ann Thorac Surg. 2015 May;99(5):1511-7
pubmed: 25825200
J Card Surg. 2013 Sep;28(5):550-3
pubmed: 23931724
J Cardiovasc Surg (Torino). 2004 Feb;45(1):15-9
pubmed: 15041930
Ann Thorac Surg. 2013 Apr;95(4):1491-505
pubmed: 23291103
Can J Cardiol. 2016 Jan;32(1):117-23
pubmed: 26549866
Ann Thorac Surg. 2004 Apr;77(4):1315-20
pubmed: 15063259
J Surg Res. 2018 Dec;232:234-239
pubmed: 30463723
Eur Heart J. 2014 Nov 1;35(41):2873-926
pubmed: 25173340