Shumakov National Medical Research Center of Transplantology and Artificial Organs

D. M. Bondarenko, A. G. Sdvigova, G. A. Akopov, A. Ivanov, M. K. Lugovskii, А. F. Afanasiev, R. Bangarov
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Abstract

Dissecting aortic aneurysm is one of the most dangerous diseases of the aorta, often leading to severe complications or death. Currently, due to the increased level of diagnosis and the speed of care for patients with aortic diseases, there is now a need to improve approaches to the treatment of this condition. This paper presents the outcomes of a technique developed at our center, Shumakov National Medical Research Center of Transplantology and Artificial Organs, for selective antegrade cerebral perfusion (SACP) when performing prosthetic replacement of the aortic arch under circulatory arrest. Surgical treatment is performed on an emergency basis. During these surgeries, we focused on preventing neurological complications. Analysis of the efficacy and safety of our SACP technique shows that we obtained positive outcomes. In the analysis of 10 cases of aortic arch replacement, there was no evidence indicating the presence of any neurological complication. This technique allows for more adequate monitoring of perfusion during reconstructive interventions on the ascending aorta and aortic arch than the classical perfusion technique.
舒马科夫国家移植和人工器官医学研究中心
夹层主动脉瘤是主动脉最危险的疾病之一,常导致严重并发症甚至死亡。目前,由于对主动脉疾病患者的诊断水平和护理速度的提高,现在需要改进治疗这种疾病的方法。本文介绍了我们中心舒马科夫国家移植和人工器官医学研究中心开发的一种技术的结果,用于在循环停止时进行主动脉弓假体置换术时选择性顺行脑灌注(SACP)。在紧急情况下进行手术治疗。在这些手术中,我们的重点是预防神经系统并发症。我们的SACP技术的有效性和安全性分析表明我们获得了积极的结果。在对10例主动脉弓置换术的分析中,没有证据表明存在任何神经系统并发症。与传统的灌注技术相比,该技术可以在升主动脉和主动脉弓重建干预期间更充分地监测灌注。
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