Selective antegrade cerebral perfusion

Unilateral selective antegrade cerebral perfusion can be delivered by cannulation of the RAx or through an end-to-side prosthetic vascular graft sewn onto the RAx (not shown). The arch branch vessels are crossclamped during reconstruction of the aortic arch. Bilateral selective antegrade cerebral perfusion can be provided by direct cannulation of the IA and the LCA, or by perfusion of the RAx in combination with direct cannulation of the LCA. The LSA can be clamped or occluded by a Fogarty balloon catheter to achieve a bloodless operating field.

RAx: right axillary artery; IA: innominate artery; LCA: left carotid artery; LSA: left subclavian artery; XC: crossclamp.

Reproduced from: Zierer A, El-Sayed Ahmad A, Papadopoulos N, et al. Selective antegrade cerebral perfusion and mild (28°C-30°C) systemic hypothermic circulatory arrest for aortic arch replacement: results from 1002 patients. J Thorac Cardiovasc Surg 2012; 144:1042. Illustration used with the permission of Elsevier Inc. All rights reserved.

Graphic 108399 Version 2.0

خرید پکیج

Selective antegrade cerebral perfusion