Prevention from Atheroembolization during Thoracic Endovascular Aortic Repair in Patients with Severe Atherosclerosis in the Aorta
Prevention from Atheroembolization during Thoracic Endovascular Aortic Repair in Patients with Severe Atherosclerosis in the Aorta
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DOI：
10.3400/avd.cr.18-00091
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发表时间：
2019-01-01
影响因子：
0.8
通讯作者：
Hasegawa, Kosei
中科院分区：
文献类型：
--
作者：
Yamauchi, Takashi;Kubota, Suguru;Hasegawa, Kosei
术后缺血性并发症，特别是胸主动脉腔内修复术后动脉粥样硬化栓塞导致的脑梗死，可能是灾难性的。在此，我们提出了一种预防脑梗死的策略，使用股动脉的临时脑动脉灌注，在胸主动脉严重动脉粥样硬化改变的情况下，使用包括滚子泵和过滤器的体外回路。
Postoperative ischemic complications, especially cerebral infarction due to atheroembolization following thoracic endovascular aortic repair, can be catastrophic. Herein, we present a maneuver of prevention of cerebral infarction using temporary cerebral arterial perfusion from the femoral artery, with the extracorporeal circuit including roller pump and filter in case of severe atherosclerotic change in thoracic aorta.