Improved results of atherosclerotic arch aneurysm operations with a refined technique

Abstract

Integrated cerebral protective effect of antegrade selective cerebral perfusion and total arch replacement with an aortic arch branched graft could substantially reduce in-hospital mortality and postoperative neurologic dysfunction in patients with atherosclerotic arch aneurysms.

Axillary artery cannulation in ascending aortic pathologies

“…The avoidance of deep hypothermia may be one of the reasons why HCA was not a significant risk factor for mortality and morbidity. As Kazui et al [22] have reported, antegrade cerebral perfusion ensures a safe operation at temperatures of 22 °C.…”

Cardiovascular Surgical Technique Under Cardiopulmonary Bypass and Cerebrospinal Protection

“…51.1). The shortcoming is the necessity of arch-vessel manipulations, such as cannulation or clamping, which might result in cerebral embolization [24,25,29]. However, these should be overcome by sufficient cautions, that is, safe and gentle cannulation into the less atherosclerotic portions of the arch vessels [26,[29][30][31].…”

Multivariate analysis of predictors of late stroke after total aortic arch repair

“…Although operative mortality has decreased, operative morbidity is still a matter of concern [1][2][3][4][5]. Stroke is the most severe complication of aortic arch repair [6][7][8].…”

“…The number of aortic surgeries has recently increased, with improvement of outcome due to the development of operative techniques, adjuncts, and postoperative care [1][2][3][4][5]. Although the mortality rate of aortic arch repair has recently decreased, the occurrence of stroke, the most severe complication of this type of surgery, is still a matter of concern [6][7][8].…”