Tags Archives: hemiarch replacement

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High Flow, High-Pressure Retrograde Cerebral Perfusion at 28°C is Safe and Effective for Hemiarch Replacement of the Ascending Aorta

Abstract Background/Objective Traditional retrograde cerebral perfusion (RCP) parameters may be suboptimal for washout of debris during hemiarch replacement of the ascending aorta, so we have designed a protocol of increased..

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Aortic versus axillary artery cannulation for hemiarch replacement: single-centre real-world experience

Abstract Background Aortic arch disease is a major cause of acute dissections. Surgical replacement is the current curative treatment for aortic arch disease. While traditional aortic cannulation ensures lower body..

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Cannula Placement for Cerebral Protection Without Circulatory Arrest in Patients Undergoing Hemiarch Aortic Aneurysm Repair

Abstract Background Aortic aneurysms involving the proximal aortic arch, which require hemiarch-type repair, typically require circulatory arrest with antegrade cerebral perfusion. Left carotid antegrade cerebral perfusion (LCP) via distal arch..

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Retrograde Cerebral Perfusion May Decrease Stroke Risk During Elective Aortic Arch Surgery

Abstract Objective: Controversy remains regarding the optimal neuroprotection strategy for elective hemiarch replacement (HEMI). This study sought to compare outcomes in patients who underwent HEMI utilizing the 2 most common..

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Aortic Hemiarch Replacement

This video demonstrates an efficient method for aortic hemiarch replacement termed the seven-minute technique.  Elective aortic hemiarch replacement under hypothermic circulatory arrest is commonly performed for ascending aortic aneurysms with..

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Redissection and pseudos aneurysm of ascending aorta

Patient with previous aortic dissection and ascending aorta replacement with tubular graft came with redissection and pseudos aneurysm of ascending aorta undergone redo operation and replacement of ascending aorta and..

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Direct Innominate Artery Cannulation versus Side Graft for Selective Antegrade Cerebral Perfusion during Aortic Hemiarch Replacement

Abstract Background Selective antegrade cerebral perfusion (SACP) has become our preferred method for cerebral protection during open arch cases. While the initial approach involved sewing a graft to the innominate..

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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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