Abstract:Objective: Our aim was to perform antegrade selective cerebral perfusion with a different surgical technique using a new type of cannula.Methods: This cannula has been designed to be introduced in the supra-aortic vessels directly using a standard guidewire technique (Seldinger technique). The cannula can also be inserted from the ostia of a vessel if preferred. Furthermore, this device can be introduced before the institution of hypothermic circulatory arrest and opening the aortic arch.Results: We have perfo… Show more
“…Moreover, as previously pointed out, 4 there are relative contraindications for the use of this new cannula in the case of direct involvement and dissection of supra-aortic vessels either for acute and chronic aortic dissections or severe atherosclerotic arches. In summary, as for every new device introduced in the market, the new interesting tool well-described by Venturini and colleagues 5 will prove its effort over time with standardization of care.…”
“…Moreover, as previously pointed out, 4 there are relative contraindications for the use of this new cannula in the case of direct involvement and dissection of supra-aortic vessels either for acute and chronic aortic dissections or severe atherosclerotic arches. In summary, as for every new device introduced in the market, the new interesting tool well-described by Venturini and colleagues 5 will prove its effort over time with standardization of care.…”
“…Venturini and colleagues 1 nicely demonstrate what may prove to be a cleaner technique of providing antegrade cerebral blood flow during arch operations. The AV Flow cannula uses the Seldinger technique and a balloon-occludable tip, which provides nice inflow without need for a vessel-encircling tape.…”
Use of Seldinger technique for cerebral perfusion cannulae may incrementally facilitate some aspects of aortic arch operations, with noted limitations.
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