A useful cannulation strategy to facilitate re-warming during total arch replacement

作者：Balkanay Ozan Onur^*; Goksedef Deniz; Omeroglu Suat Nail; Ipek Gokhan

来源：Turkish Journal of Thoracic and Cardiovascular Surgery, 2016, 24(3): 603-605.

DOI：10.5606/tgkdc.dergisi.2016.12073

• Anastomosis
• aortic arch
• circulatory arrest
• deep hypothermia induced
• surgery

"Distal-first" surgical technique with antegrade cerebral perfusion and early re-warming is a secure and comfortable method for aortic arch replacement. By using this technique, we can minimize total circulatory arrest and hypothermic periods. Cerebral morbidities can be reduced by antegrade cerebral perfusion which is achieved via both axillary cannulation and balloon-catheters. Distal organ, cerebral, and renal morbidities can be minimized by early femoral arterial perfusion and early re-warming that is re-started immediately after distal anastomosis is performed.

• 出版日期2016-7