Direct Innominate Artery Cannulation as a Sole Systemic and Cerebral Perfusion Technique in Aortic Surgery
| Autor: | Mathew Doyle, Alireza Kashani, Matthew Horton |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty 030204 cardiovascular system & hematology Aortography Arterial cannulation Catheterization law.invention Blood Vessel Prosthesis Implantation 03 medical and health sciences 0302 clinical medicine law Internal medicine medicine.artery medicine Cardiopulmonary bypass Humans Hospital Mortality 030212 general & internal medicine Cerebral perfusion pressure Brachiocephalic Trunk Aged Aged 80 and over Aorta Aortic Aneurysm Thoracic business.industry Middle Aged Aortic surgery Perfusion Aortic Dissection medicine.anatomical_structure Cerebrovascular Circulation Descending aorta Circulatory system Cardiology Female New South Wales Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Heart, Lung and Circulation. 28:e67-e70 |
| ISSN: | 1443-9506 |
| DOI: | 10.1016/j.hlc.2018.08.001 |
| Popis: | Arterial cannulation is often challenging in thoracic aortic surgery due to the location of the surgery and need for cerebral protection during periods of circulatory arrest. Cannulation sites including the ascending and descending aorta, axillary, carotid and femoral arteries have limitations and are associated with complications due to their proximity to surrounding structures. Therefore, the innominate artery can be used by either direct cannulation or indirect cannulation via a graft as an alternative site. We present a technique of sole direct innominate artery cannulation that is able to provide both systemic and selective antegrade cerebral perfusion during aortic surgery. |
| Databáze: | OpenAIRE |
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