Antegrade cerebral perfusion by axillary artery and left carotid artery inflow at moderate hypothermia

Mazzola, Alessandro; Gregorini, Renato; Villani, Carmine; Di Eusanio, Mauro
May 2002
European Journal of Cardio-Thoracic Surgery;May2002, Vol. 21 Issue 5, p930
Academic Journal
Cerebral protection during hypothermic circulatory arrest was obtained by combining right carotid perfusion through the axillary artery with selective perfusion of the left common carotid artery in ten patients. We believe that the proposed technique offers several advantages. (1) The axillary artery is generally free from atherosclerosis. (2) It eliminates the risk of retrograde embolization. (3) It provides antegrade perfusion of the true lumen in aortic dissection. (4) Antegrade cerebral perfusion is never interrupted. (5) Bihemispheric perfusion is assured. (6) The risk of air embolysm during carotid cannulation is reduced.


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