Advances in thoracic aortic surgery: Arch replacement with axillary cannulation and thoracic stent grafts

Dagenais, François; Dumont, Éric; Mathieu, Patrick; Voisine, Pierre

doi:10.1016/s0828-282x(07)71015-2

Cited by 2 publications

(1 citation statement)

References 34 publications

(26 reference statements)

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“…In a heavy atherosclerotic burden, RCP is an effective option to decrease aortic manipulation, since it plays a role at minimizing particulate embolization to the brain 38 . However, ACP remains a vital option, especially if combined with DHCA, 39 but specific cannula introduction techniques should be considered 40 …”

Section: Discussionmentioning

confidence: 99%

Review of cerebral perfusion strategies for aortic surgery with application for minimally invasive approaches

et al. 2020

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Aortic arch and hemiarch surgery necessitate the temporary interruption of blood perfusion to the brain. Despite its complexity, hemiarch and ascending aortic surgery can be performed via a minimally invasive approach. Due to the higher risk of neurological injury during a circulatory arrest, several techniques were developed to further protect the brain during this surgery. We searched the Embase, Medline, and Cochrane databases and identified articles reporting outcomes of antegrade and retrograde cerebral perfusion strategies. Herein, we outline surgical approaches, intra-operative technical considerations, and clinical outcomes of hemiarch and ascending aortic surgery. Hemiarch and ascending aortic surgery is associated with a higher risk of mortality and morbidity. Attention to the optimal approach and cerebral protection strategy has been shown to significantly affect outcomes and mitigate risk.

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Section: Discussionmentioning

confidence: 99%

Review of cerebral perfusion strategies for aortic surgery with application for minimally invasive approaches

et al. 2020

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Mega-aorta with aberrant right subclavian artery: use of a novel hybrid technique

Kalavrouziotis¹,

Dagenais²

2011

European Journal of Cardio-Thoracic Surgery

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A novel approach to the management of aortic arch aneurysm with an aberrant right subclavian artery (ARSA) is described. Construction of a Dacron graft with side arms adapted to the patient's arch anatomy allows for antegrade cerebral perfusion during circulatory arrest and revascularisation of the arch vessels. A long elephant-trunk graft is lowered into the descending aorta using a snare introduced from the femoral artery. Descending aortic stenting can be performed concomitantly or later. Advantages include antegrade cerebral perfusion during arch repair, diminished extent of stenting due to the long elephant trunk, type II endoleak prevention by ARSA ligation and preservation of antegrade flow in the right vertebral artery.

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Advances in thoracic aortic surgery: Arch replacement with axillary cannulation and thoracic stent grafts

Cited by 2 publications

References 34 publications

Review of cerebral perfusion strategies for aortic surgery with application for minimally invasive approaches

Review of cerebral perfusion strategies for aortic surgery with application for minimally invasive approaches

Mega-aorta with aberrant right subclavian artery: use of a novel hybrid technique

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