Proximal Aortic Perfusion with Passive Cerebral Flow: A Method to Prevent Cerebral Embolism in the Arch and Descending Aortic Operation
Proximal Aortic Perfusion with Passive Cerebral Flow: A Method to Prevent Cerebral Embolism in the Arch and Descending Aortic Operation
复制标题
近端主动脉灌注被动脑流：预防弓形和降主动脉手术中脑栓塞的方法
DOI：
10.1111/j.1540-8191.1999.tb00978.x
复制
发表时间：
1999
影响因子：
1.6
通讯作者：
S. Westaby
中科院分区：
文献类型：
--
作者：
T. Katsumata;S. Westaby
主动脉弓和降主动脉手术宜采用顺行灌注。我们描述了一种左侧入路，使用升主动脉插管，暂时重新安置在远端主动脉内，以维持下躯干的低温心肺转流。这种改良在弓修复期间提供连续的顺行全身灌注和被动逆行脑血流。它最大限度地降低了碎片栓塞头臂动脉和夹层主动脉灌注不良的风险。
Abstract Antegrade aortic perfusion is preferable in arch and descending aortic operations. We describe a left lateral approach using an ascending aortic cannula, temporarily relocated within the distal aorta to maintain hypothermic cardiopulmonary bypass of the lower torso. This modification provides continual antegrade systemic perfusion and passive retrograde cerebral flow during arch repair. It minimizes the risk of embolization into the brachiocephalic arteries of debris and malperfusion of the dissected aorta.