Outcomes After Total Aortic Arch Replacement With Right Axillary Artery Cannulation and a Presewn Multibranched Graft

2011 ◽  
Vol 92 (3) ◽  
pp. 889-897 ◽  
Author(s):  
Alexander Kulik ◽  
Catherine F. Castner ◽  
Nicholas T. Kouchoukos
Keyword(s):  
Aortic Arch ◽  
Axillary Artery ◽  
Aortic Arch Replacement ◽  
Artery Cannulation ◽  
Total Aortic Arch Replacement

Left Axillary Artery Cannulation Facilitates Reoperative Total Aortic Arch Replacement

2018 ◽  
Vol 13 (1) ◽  
pp. 70-73 ◽  
Author(s):  
Jonathan M. Hemli ◽  
Bo Gu ◽  
S. Jacob Scheinerman ◽  
Derek R. Brinster
Keyword(s):  
Cardiopulmonary Bypass ◽  
Aortic Arch ◽  
Axillary Artery ◽  
Aortic Arch Replacement ◽  
Artery Cannulation ◽  
Total Aortic Arch Replacement ◽  
Vessel Reconstruction ◽  
Arch Reconstruction ◽  
Left Axillary Artery ◽  
Extracorporeal Support

Total aortic arch replacement remains a technically formidable procedure, particularly in patients with previous proximal aortic dissection repair. Our case discussion highlights a useful strategy for extracorporeal support and circulation management to facilitate total arch reconstruction in the reoperative setting, based on cannulation of the left axillary artery. Our preference is to use a left axillary artery approach to initiate cardiopulmonary bypass and to ultimately revascularize the left arm via an extra-anatomic graft. Our technique, as described, affords the option to initiate cardiopulmonary bypass before sternal re-entry, it reduces the risk of embolic complications and possible stroke, and it directly facilitates simple extra-anatomic debranching of the left subclavian artery, resulting in easier arch and great vessel reconstruction within the chest.

Axillary artery cannulation: routine use in ascending aorta and aortic arch replacement

2004 ◽  
Vol 78 (1) ◽  
pp. 103-108 ◽  
Author(s):  
Justus T Strauch ◽  
David Spielvogel ◽  
Alexander Lauten ◽  
Steven L Lansman ◽  
Kirk McMurtry ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Axillary Artery ◽  
Ascending Aorta ◽  
Aortic Arch Replacement ◽  
Artery Cannulation

scholarly journals Modified Isolated Cerebral Perfusion Technique for Prevention of Stroke With Aortic Arch Replacement

2021 ◽  
Author(s):  
Yasumi Maze ◽  
Toshiya Tokui ◽  
Masahiko Murakami ◽  
Teruhisa Kawaguchi ◽  
Ryosai Inoue ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Subclavian Artery ◽  
Cerebral Perfusion ◽  
Left Subclavian Artery ◽  
Axillary Artery ◽  
Selective Cerebral Perfusion ◽  
Aortic Arch Replacement ◽  
Artery Cannulation ◽  
Postoperative Stroke ◽  
Artificial Graft

Abstract In aortic arch replacement, an isolated cerebral perfusion method has been reported in additional to axillary artery cannulation to prevent postoperative stroke. We have made changes to this method. In other words, we devised a method to reduce cerebral embolism by performing selective cerebral perfusion via an artificial graft anastomosed to the left common carotid artery and the left subclavian artery. This method was performed in 7 cases, and all patients were discharged alive without any neurological disorders. In the surgical procedure of the aortic arch, sufficient care must be taken in the manipulation around the brachiocephalic artery and the left subclavian artery. Our method can avoid reinsertion due to desorption of the cerebral perfusion cannula and can be expected to prevent postoperative stroke.

Total Aortic Arch Replacement: An Evolving Process

2020 ◽  
Vol 32 (4) ◽  
pp. 696-697
Author(s):  
Vishal N. Shah ◽  
Serge Sicouri ◽  
Konstadinos A. Plestis
Keyword(s):  
Aortic Arch ◽  
Aortic Arch Replacement ◽  
Total Aortic Arch Replacement

Total Aortic Arch Replacement and Frozen Elephant Trunk

2020 ◽  
Author(s):  
Jacky Y.K. Ho ◽  
Simon C.Y. Chow ◽  
Micky W.T. Kwok ◽  
Takuya Fujikawa ◽  
Randolph H.L. Wong
Keyword(s):  
Aortic Arch ◽  
Frozen Elephant Trunk ◽  
Elephant Trunk ◽  
Aortic Arch Replacement ◽  
Total Aortic Arch Replacement
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