Abstract
Objective:
There are many debates for cannulation sites during aortic surgeries. The
cannulation technique which is providing antegrade flow is associated with
better survival and neurological outcomes than retrograde flow. For this
purpose, innominate and axillary artery cannulation have been increasingly used
for cardiopulmonary bypass recently. We aimed to present our experience with
innominate artery cannulation for cardiopulmonary bypass and antegrade
selective cerebral perfusion during proximal aortic aneurysm repair.
Methods: A
total of eighteen patients with proximal aortic aneurysm underwent surgical
repair were included into the study. Pre-operative patient’s charecteristis,
surgical details and postoperative outcomes were investigated.
Results:
The mean age was 58.8±10.2 and majority of the patients were male (72%). Bicuspit
leafletes was found in 9 patients (50%). Two patients died in postoperative
period. No stroke or new neurological deficit was seen after procedure.
Conclusions:
This study is emphasize that cannulation of innominate artery can be used in
safe and effective during aortic surgery.
References
- 1. Ren Z, Wang Z, Hu R, et al. Which cannulation (axillary cannulation or femoral cannulation) is better for acute type A aortic dissection repair? A meta-analysis of clinical studies. Eur J Cardiothorac Surg. 2015; 47: 408–15.
- 2. Patris V, Toufektzian L, Field M, et al. Is axillary superior to femoral artery cannulation for acute type A aortic dissection surgery? Interact Cardiovasc Thorac Surg. 2015; 21: 515–20.
- 3. Wong DR, Coselli JS, Palmero L, et al. Axillary artery cannulation in surgery for acute or subacute ascending aortic dissections. Ann Thorac Surg. 2010; 90: 731–7.
- 4. Uchino G, Yunoki K, Sakoda N, et al. Innominate artery cannulation for arterial perfusion during aortic arch surgery. J Card Surg. 2017; 32: 110–3.
- 5. Martino A, Re FD, Blasi S, et al. Surgical treatment of annuloaortic ectasia-replace or repair ? Aorta (Stamford). 2017; 5: 139-47.
- 6. Preventza O, Garcia A, Tuluca A, et al. Innominate artery cannulation for proximal aortic surgery: outcomes and neurological events in 263 patients. Eur J Cardiothorac Surg. 2015; 48: 937-42.
- 7. Kaul P. How I do it-sole innominate cannulation for acute type A aortic dissection. J Cardiothorac Surg. 2012; 7: 125.
- 8. Murakami T, Hosono M, Shibata T. Tips and avoid complications related to direct cannulation of the axillary artery. Asian Cardiovasc Thorac Ann. 2018; 26: 250–1.
- 9. Hu Z, Wang Z, Ren Z, et al. Similar cerebral protective effectiveness of antegrade and retrograde cerebral perfusion combined with deep hypothermia circulatory arrest in aortic arch surgery:a meta-analyzis and systemic review of 5060 patients. J Thorac Cardiovasc Surg. 2014; 148: 544–60.
- 10. Foley LS, Yamanaka K, Reece TB. Arterial cannulation and cerebral perfusion strategies for aortic arch operations. Semin Cardiothorac Vasc Anesth. 2016; 20: 298–302.
Abstract
References
- 1. Ren Z, Wang Z, Hu R, et al. Which cannulation (axillary cannulation or femoral cannulation) is better for acute type A aortic dissection repair? A meta-analysis of clinical studies. Eur J Cardiothorac Surg. 2015; 47: 408–15.
- 2. Patris V, Toufektzian L, Field M, et al. Is axillary superior to femoral artery cannulation for acute type A aortic dissection surgery? Interact Cardiovasc Thorac Surg. 2015; 21: 515–20.
- 3. Wong DR, Coselli JS, Palmero L, et al. Axillary artery cannulation in surgery for acute or subacute ascending aortic dissections. Ann Thorac Surg. 2010; 90: 731–7.
- 4. Uchino G, Yunoki K, Sakoda N, et al. Innominate artery cannulation for arterial perfusion during aortic arch surgery. J Card Surg. 2017; 32: 110–3.
- 5. Martino A, Re FD, Blasi S, et al. Surgical treatment of annuloaortic ectasia-replace or repair ? Aorta (Stamford). 2017; 5: 139-47.
- 6. Preventza O, Garcia A, Tuluca A, et al. Innominate artery cannulation for proximal aortic surgery: outcomes and neurological events in 263 patients. Eur J Cardiothorac Surg. 2015; 48: 937-42.
- 7. Kaul P. How I do it-sole innominate cannulation for acute type A aortic dissection. J Cardiothorac Surg. 2012; 7: 125.
- 8. Murakami T, Hosono M, Shibata T. Tips and avoid complications related to direct cannulation of the axillary artery. Asian Cardiovasc Thorac Ann. 2018; 26: 250–1.
- 9. Hu Z, Wang Z, Ren Z, et al. Similar cerebral protective effectiveness of antegrade and retrograde cerebral perfusion combined with deep hypothermia circulatory arrest in aortic arch surgery:a meta-analyzis and systemic review of 5060 patients. J Thorac Cardiovasc Surg. 2014; 148: 544–60.
- 10. Foley LS, Yamanaka K, Reece TB. Arterial cannulation and cerebral perfusion strategies for aortic arch operations. Semin Cardiothorac Vasc Anesth. 2016; 20: 298–302.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | December 13, 2018 |
| Submission Date | October 25, 2018 |
| Published in Issue | Year 2018 Volume: 45 Issue: 4 |