Work in progress report - Vascular thoracic Aortic cannulation for type A dissection: guidance by transesophageal echocardiography

Work in progress report - Vascular thoracic Aortic cannulation for type A dissection: guidance by transesophageal echocardiography
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进展报告 - A 型夹层的胸主动脉插管:经食管超声心动图指导

DOI:
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发表时间:
2003
期刊:
影响因子:
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通讯作者:
R. Cartier
R. Cartier
中科院分区:
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文献类型:
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作者:
N. Noiseux;P. Couture;Peter Sheridan;R. Cartier

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我们描述了一种主动脉弓插管的替代技术,可用于斯坦福大学A型主动脉夹层的修复。为了最大限度地减少心肺转流过程中与逆行血流相关的并发症和灌注不良的风险,我们避免了股动脉插管,并通过在无夹层区域的主动脉弓直接插管使用顺行血流。经食管超声心动图用于围手术期引导主动脉弓远端真腔插管。q 2003 Elsevier Science B.V.保留所有权利。
We describe an alternative technique for aortic arch cannulation that can be used during the repair of Stanford type A aortic dissection. In order to minimize the risk of complications and malperfusion associated with retrograde flow during cardiopulmonary bypass, we avoided femoral artery cannulation and used antegrade flow via a direct cannulation of the aortic arch in an area free of dissection. Transesophageal echocardiography is used peri-operatively to guide the cannulation of the true lumen in the distal aortic arch. q 2003 Elsevier Science B.V. All rights reserved.