Ozan Onur BALKANAY, Gökhan İPEK, Deniz GÖKSEDEF, Suat Nail ÖMEROĞLU

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

Antegrad serebral perfüzyon ve erken yeniden ısınma ile "önce distal" cerrahi tekniği, arkus aort replasmanı için güvenli ve konforlu bir yöntemdir. Bu tekniği kullanarak, total sirkulatuvar arrest ve hipotermik dönemler en aza indirgenebilir. Serebral morbiditeler, hem aksiller kanülasyon ile hem de balon kateterler aracılığıyla sağlanan antegrad serebral perfüzyon ile azaltılabilir. Distal organ, beyin ve böbrek morbiditeleri, distal anastomozun hemen sonrasında erken başlatılan femoral arter perfüzyonu ve erken yeniden ısınma ile en aza indirgenebilir

Total arkus replasmanında yeniden ısınmayı kolaylaştıran yararlı bir kanülasyon stratejisi

"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

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Preventza O, Garcia A, Cooley DA, Tuluca A, Simpson KH, Bakaeen FG, et al. Reoperations on the total aortic arch in 119 patients: short- and mid-term outcomes, focusing on composite adverse outcomes and survival analysis. J Thorac Cardiovasc Surg 2014;148:2967-72.
Emrecan B, Yılık L, Gürbüz A. Aortik ark tamirinde beyin korumasına güncel bir bakış. Turk Gogus Kalp Dama 2007;2:176-80.
Shiiya N. Aortic arch replacement for degenerative aneurysms: advances during the last decade. Gen Thorac Cardiovsc Surg 2013;61:191-6.
Kazui T, Washiyama N, Muhammad BAH, Terada H, Yamashita K, Takinami M, et al. Total arch replacement using aortic arch branched grafts with the aid of antegrade selective cerebral perfusion. Ann Thorac Surg 2000;70:3-9.