Safety of Unilateral Antegrade Cerebral Perfusion at 22°C Systemic Hypothermia

Sanioglu, Soner; Sokullu, Onur; Özay, Batuhan; Güllü, Ahmet Ümit; Sarğın, Murat; Albeyoğlu, Şebnem; Ozgen, Ayca; Bilgen, Fuat

doi:10.1532/hsf98.20071201

Cited by 8 publications

(9 citation statements)

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“…This may be due to an arrest at any stage of development of vessels followed by regression, retention or reappearance, thus leading to variations in the arterial origin and course of major upper limb vessels. Such anomalous branching pattern may represent persisting branches of the capillary plexus of the developing limb buds and their unusual course may be a cause for concern to the vascular radiologists and surgeons, and may lead to complications in surgeries involving the axilla and pectoral regeions [17][18][19] .…”

Section: Discussionmentioning

confidence: 99%

“…Knowledge of branching pattern of axillary artery is necessary during antegrade cerebral perfusion in aortic surgery 19 , while treating the axillary artery thrombosis 20 , using the medial arm skin flap 21 , reconstructing the axillary artery after trauma, treating axillary artery hematoma and brachial plexus palsy, considering the branches of the axillary artery for the use of microvascular graft to replace the damaged arteries, creating the axillary-coronary bypass shunt in high risk patients, catheterizing or cannulating the axillary artery for several procedures, during surgical intervention of fractured upper end of humerus, and shoulder dislocations. Therefore, both the normal and abnormal anatomies of the axillary artery should be well known for accurate diagnostic interpretation and surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

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Variations in branching pattern of the axillary artery: a study in 40 human cadavers

Astik

Dave

2012

J. vasc. bras.

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BACKGROUND: Variations in the branching pattern of the axillary artery are a rule rather than an exception. The knowledge of these variations is of anatomical, radiological, and surgical interest to explain unexpected clinical signs and symptoms. OBJECTIVE: The large percentage of variations in branching pattern of axillary artery is making it worthwhile to take any anomaly into consideration. The type and frequency of these vascular variations should be well understood and documented, as increasing performance of coronary artery bypass surgery and other cardiovascular surgical procedures. The objective of this study is to observe variations in axillary artery branches in human cadavers. METHODS: We dissected 80 limbs of 40 human adult embalmed cadavers of Asian origin and we have studied the branching patterns of the axillary artery. RESULTS: We found variations in branching pattern of axillary artery in 62.5% of the limbs. Anatomical variations included: origin of lateral thoracic artery from the subscapular artery; absent thoracoacromial trunk and all its branches arose directly from the second part of the axillary artery; division of thoracoacromial trunk into deltoacromial and clavipectoral trunks, which were divided into all branches of thoracoacromial trunk; origin of subscapular, anterior circumflex humeral, posterior circumflex humeral and profunda brachii arteries from a common trunk from the third part of the axillary artery; and origin of posterior circumflex humeral artery from brachial artery in addition to third part of the axillary artery. CONCLUSIONS: The study was carried out to show important variations in the branching pattern of axillary artery, in order to orient the surgeons performing angiography, coronary bypass, and flaps in reconstructive surgeries.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Variations in branching pattern of the axillary artery: a study in 40 human cadavers

Astik

Dave

2012

J. vasc. bras.

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“…3,[5][6][7][8][9] Two ACP approaches are commonly used: unilateral ACP, performed with arterial cannulation of the brachiocephalic artery or some of its branches, and bilateral ACP, performed by cannulating both the brachiocephalic and left common carotid arteries. 6,7,10,11 An adjunct to the latter is cannulation and perfusion of the left subclavian artery. 3 Neurologic deficits associated with each of these methods vary, but some clinical reports suggest that bilateral ACP is better than unilateral ACP with lower associated hospital mortality.…”

Section: Resultsmentioning

confidence: 99%

Adequacy of brain and spinal blood supply with antegrade cerebral perfusion in a rat model

Al-Ali

Chen

Papali’i-Curtin

et al. 2011

The Journal of Thoracic and Cardiovascular Surgery

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Approaches to antegrade cerebral perfusion using the brachiocephalic and left common carotid arteries together gave good perfusion of both the brain and the spinal cord. Brachiocephalic perfusion alone gave good cerebral perfusion but showed some significant limitation in spinal cord perfusion with one vascular marker. Complete spinal cord perfusion with all markers under conditions of antegrade cerebral perfusion required some contribution from both the carotid system and the subclavian system together. Selected perfusion of either system alone was very inadequate for spinal cord perfusion.

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“…Orthopedic surgeons attempting delayed reduction of a dislocation must have a thorough knowledge of the branching pattern anomalies, especially when the artery is adherent to the articular capsule. 1 The AA tree is necessary during antegrade cerebral perfusion in aortic surgery, 22 in usage of medial arm skin flap, 23 for treatment of axillary artery thrombosis, 24 for reconstruction of the AA after trauma, and in treatment of axillary artery hematoma and brachial plexus palsy.…”

Section: Discussionmentioning

confidence: 99%

Upper limb arterial pattern: clinical correlation and embryological perspective

Sophia

Singh

et al. 2021

J. vasc. bras.

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Background Variations in the upper limb arterial pattern are commonplace and necessitate complete familiarity for successful surgical and interventional procedures. Variance in the vascular tree may involve any part of the axis artery of the upper limb, including the axillary artery and brachial artery or its branches, in the form of radial and ulnar arteries, which eventually supply the hand via anastomosing arches. Objectives To study the peculiarities of the arterial pattern of the upper limb and to correlate them with embryological development. Methods The entire arterial branching of forty-two upper limbs of formalin fixed adult human cadavers was examined during routine dissection for educational purposes, conducted over a 3-year period in the Department of Anatomy, Lady Hardinge Medical College, New Delhi. Results The study found: 1) One case in which a common trunk arose from the third part of the axillary artery, which immediately splayed into four branches (2.4%); 2) High division of the brachial artery into ulnar and radial arteries, in 3 cases (7.1%); 3) Pentafurcation of the brachial artery into ulnar, interosseus, radial, and radial recurrent arteries and a muscular twig to the brachioradialis in 1/42 cases (2.4%); 4) Incomplete Superficial Palmar arch in 3/42 cases (7.1%); and 5) Presence of a median artery in 2/42 case(4.8%) Conclusions This study observed and described the varied arterial patterns of the upper limb and identified the various anomalous patterns, supplementing the surgeon’s armamentarium in various surgical procedures, thereby helping to prevent complications or failures of reconstructive surgeries, bypass angiography, and many similar procedures.

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Safety of Unilateral Antegrade Cerebral Perfusion at 22°C Systemic Hypothermia

Cited by 8 publications

References 0 publications

Variations in branching pattern of the axillary artery: a study in 40 human cadavers

Variations in branching pattern of the axillary artery: a study in 40 human cadavers

Adequacy of brain and spinal blood supply with antegrade cerebral perfusion in a rat model

Upper limb arterial pattern: clinical correlation and embryological perspective

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