A Modified Technique of Direct Aortic Arch Debranching Using a Shunt for Cerebral Perfusion Protection During Hybrid Repair of an Aortic Arch Aneurysm
| Autor: | K. Tabayashi, Kiichiro Kumagai, Takeshi Saito, Yukihiro Hayatsu, J. Akasaka, Yoshikatsu Saiki |
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| Rok vydání: | 2013 |
| Předmět: |
Aortic arch
medicine.medical_specialty medicine.medical_treatment Cerebral arteries Thoracic aortic aneurysm Endovascular aneurysm repair Internal medicine medicine.artery medicine High-risk patient cardiovascular diseases Cerebral perfusion pressure Medicine(all) business.industry Cerebral infarction Hybrid therapy Arteriosclerosis medicine.disease Surgery Cerebral blood flow Cardiology cardiovascular system business Cardiology and Cardiovascular Medicine |
| Zdroj: | EJVES Extra. 25(1):e3-e5 |
| ISSN: | 1533-3167 |
| DOI: | 10.1016/j.ejvsextra.2012.10.002 |
| Popis: | Introduction We report a 74-year-old man with highly advanced arteriosclerosis and aortic arch aneurysm and who had a past medical history of cerebral infarction. Case report Recurrence of cerebral infarction during operation if cerebral blood flow decreased during debranching of the cerebral arteries was a concern. A direct reconstruction to the arch vessels was carried out with a temporary shunt blood circuit using a 12-Fr balloon perfusion catheter to prevent cerebral ischaemia, and thoracic endovascular aneurysm repair was performed. Discussion This method is safe and useful for elderly persons with advanced arteriosclerosis. |
| Databáze: | OpenAIRE |
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