Axillary Artery Perfusion in Arteriosclerotic Thoracic Aortic Aneurysm.
10.4326/jjcvs.31.266
- VernacularTitle:えきか動脈送血を用いた真性胸部大動脈りゅう手術 術後脳合併症予防の観点から
- Author:
Tetsuro Uchida
;
Takashi Minowa
;
Jun Hosaka
;
Masataka Koshika
;
Kiyoshige Inui
;
Takao Watanabe
;
Yasuhisa Shimazaki
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2002;31(4):266-268
- CountryJapan
- Language:Japanese
-
Abstract:
Between 1996 to 2000, 12 patients with arteriosclerotic thoracic aortic aneurysm underwent surgery with cardiopulmonary bypass using the right axillary artery as an arterial inflow. All patients received total arch replacement with selective cerebral perfusion and deep hypothermic circulatory arrest. One patient with occlusion of the left carotid artery died of postoperative stroke. There were no postoperative complications or deaths related to axillary artery perfusion except for cerebrovascular accidents. Perfusion through the axillary artery, providing antegrade aortic flow, is a safe and effective procedure to avoid stroke owing to retrograde arterial perfusion. We believe that the axillary artery could be an alternative to conventional femoral artery cannulation in the setting of aortic arch operations.
