Tags Archives: aortic arch surgery

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Unilateral Versus Bilateral Antegrade Cerebral Perfusion in Aortic Arch Surgery: Systematic Review and Meta-Analysis of Randomised Controlled Trials and Propensity-Matched…

Abstract Background Selective antegrade cerebral perfusion, via unilateral antegrade cerebral perfusion (uACP) or bilateral antegrade cerebral perfusion (bACP) approaches, is used in aortic arch surgery to protect the brain during..

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Safety and limitations of line pressure-targeted cerebral perfusion strategy in aortic arch surgery

Abstract OBJECTIVES The optimal flow rate for selective antegrade cerebral perfusion during aortic arch surgery is unknown. While 10–15 ml/kg/min is generally recommended, our centre has adopted a line pressure-targeted, relatively..

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Safety of prolonged bilateral antegrade cerebral perfusion in aortic arch surgery with moderate hypothermia Get access Arrow

Abstract OBJECTIVES This study investigates the impact of bilateral antegrade cerebral perfusion (ACP) time on outcomes in aortic arch surgery. METHODS In total, 961 patients underwent either hemiarch (n = 385) or..

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Hematocrit and Renal Failure in Aortic Arch Surgery: A Society of Thoracic Surgeons Database Study

Abstract Background This study examined the association between cardiopulmonary bypass (CPB) hematocrit and postoperative acute renal failure (ARF) in patients undergoing aortic arch surgery with hypothermic circulatory arrest. Methods The..

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Optimization of Hypothermic Protocols for Neurocognitive Preservation in Aortic Arch Surgery: A Literature Review

Abstract Shifts from deep to moderate hypothermic circulatory arrest (HCA) in aortic arch surgery necessitate an examination of their differential impacts on neurocognitive functions, especially structured verbal memory, given its..

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Perfusion During Aortic Arch Surgery—Keep it Physiologic!

Abstract We read with great interest the case presentation by Kaskar et al in the current issue of the World Journal for Pediatric and Congenital Heart Surgery. The authors describe two cases..

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Early outcome of simplified total arch reconstruction under mild hypothermia (30–32 °C) with distal aortic perfusion

Abstract Objective We designed a simplified total arch reconstruction (s-TAR) technique which could be performed under mild hypothermia (30–32 °C) with distal aortic perfusion. This study aimed to compare its efficacy..

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The incidence, risk factors and outcomes of impaired cerebral autoregulation in aortic arch surgery: a single-center, retrospective cohort study

Abstract Background Impairment of cerebral autoregulation (CA) has been observed in patients undergoing cardiopulmonary bypass (CPB), but little is known about its risks and associations with outcomes. The cerebral oximetry..

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A comparison of bilateral and unilateral cerebral perfusion for total arch replacement surgery for non-marfan, type A aortic dissection

Abstract Objectives Acknowledging lacking of consensus exist in total aortic arch (TAA) surgery for acute type A aortic dissection (AAD), this study aimed to investigate the neurologic injury rate between..

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Intraoperative neurophysiologic monitoring during aortic arch surgery

Abstract Objective: To evaluate the ability of intraoperative neurophysiologic monitoring (IONM) during aortic arch reconstruction with hypothermic circulatory arrest (HCA) to predict early (<48 hours) adverse neurologic events (ANE; stroke or..

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Acute type A aortic dissection & arch branches

Patient with acute type A aortic dissection and intimal flap rising undergone ascending aorta replacement and all arch branches replacement with trifurcated tubular graft and descending thoracic aorta with deployment..

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Aortic arch surgery: what I would have done different? The Kobe/Takatsuki experience

Abstract Our current approach towards total arch replacement includes the following: (1) innominate vein mobilization, (2) no neck vessel taping, and no dissection of the vagal nerve, (3) meticulous selection..

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Risk score for arch reconstruction under circulatory arrest with hypothermia: The ARCH score

Abstract Objective Currently, there is no risk scores built to predict risk in thoracic aortic surgery. This study aims to develop and internally validate a risk prediction score for patients..

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Perfusion of brain and viscera using modified retrograde cerebral perfusion for aortic arch surgery

Abstract Anterograde or retrograde cerebral perfusion can protect the brain from ischemic injury during hypothermic circulatory arrest (HCA), but neither type of perfusion provides blood flow to the abdominal viscera...

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Ascending aorta and arch dissection

Patient with ascending aorta and arch dissection undergone direct arch cannulation and total circulation arrest with valve preservation ascending aorta replacement and innominate artery reimplantation. [playlist ids="29322"]   Dr.Sam Zeraatian..

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Aortic arch traumatic dissection isolated

Aortic arch traumatic dissection isolated in patient with MVA undergone arch exposure and proximal to distal bypass with tube graft with very little amount time of TCA and continuous antegrade..

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Aortic arch dissection with supracoronay tubular graft replacement and coronary bottom realignment

Aortic arch dissection with supracoronay tubular graft replacement and coronary bottom realignment step by step technique Dr.Sam Zeraatian Nejad Davani Attending professor of IUMS and Dean of transplantation Faculty Drius..

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What Is the Best Strategy for Brain Protection in Patients Undergoing Aortic Arch Surgery? A Single Center Experience of 636…

Abstract Background Cerebral protection during  can be performed using various surgical strategies. We retrospectively analyzed our results of different brain protection modalities during aortic arch surgery. Methods Between January 2003 and..

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Near-Infrared Spectroscopy Assessment of Tissue Oxygenation During Selective Cerebral Perfusion for Neonatal Aortic Arch Reconstruction

Abstract Objective: Optimal selective cerebral perfusion (SCP) management for neonatal aortic arch surgery has not been extensively studied. We induced mild hypothermia during SCP and used the tissue oxygenation monitor..

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Aortic arch uncrossing using a tracheal resection procedure

Learn with us. Publish with us. The Multimedia Manual of Cardio-Thoracic Surgery (MMCTS) is an online-only teaching manual published by The European Association for Cardio-Thoracic Surgery (EACTS). It is PubMed-indexed,..

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Directing a dispersion cannula tip toward the aortic root during thoracic aortic arch surgery does not adversely affect cardiac function

Abstract Introduction: Neurologic complications of open thoracic aortic surgery are devastating problems in patients with severely diseased aortas. This study aimed to clarify whether directing the aortic cannula tip toward..

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Does moderate hypothermia really carry less bleeding risk than deep hypothermia for circulatory arrest? A propensity-matched comparison in hemiarch replacement

Abstract Background Moderate (MHCA) versus deep (DHCA) hypothermia for circulatory arrest in  has been purported to reduce  and bleeding complications, although there are limited data supporting this claim. This study aimed to..

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