Arch first technique under deep hypothermic circulatory arrest with retrograde cerebral perfusion.
Arch first technique under deep hypothermic circulatory arrest with retrograde cerebral perfusion.
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DOI：
10.1510/mmcts.2006.001974
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发表时间：
2007-01-01
期刊：
影响因子：
--
通讯作者：
Ueda, Yuichi
中科院分区：
文献类型：
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作者：
Usui, Akihiko;Ueda, Yuichi
自1998年起，我们采用四分支移植物的主动脉弓先行技术进行全主动脉弓置换术，以缩短深低温停循环时间和逆行脑灌注时间。本组85例，男58例，女27例，平均年龄68岁。其中真性动脉瘤61例，主动脉夹层21例，其他3例。脑卒中为6例（7%）的并发症。其他并发症包括9例因出血再次探查，2例因低排血量综合征，3例因肾功能不全。院内死亡3例（3.5%），晚期死亡4例。5年生存率为89.1%。主动脉弓优先技术的手术死亡率和发病率较低，存活率较高。牙弓先行技术是一种优良的全牙弓置换方法。
We have adopted the arch first technique with four-branched graft for total arch replacement since 1998 to reduce the period of deep hypothermic circulatory arrest and the retrograde cerebral perfusion time. This procedure was performed in 85 cases (58 males and 27 females), with an average age of 68years. There were 61 true aneurysms, 21 aortic dissections and 3 others. Stroke was a complication in 6 cases (7%). Other morbidities were re-exploration for bleeding in 9, low output syndrome in 2, and renal dysfunction in 3. There were 3 hospital deaths (3.5%), 4 late deaths. The five-year survival rate was 89.1%. The arch first technique results in low surgical mortality and morbidity and provides a higher survival rate. The arch first technique is an excellent method for total arch replacement.