主动脉假性动脉瘤修补术胸骨复位前低温循环停止期间的双侧逆行脑灌注。

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Perfusion-Uk Pub Date : 2025-05-01 Epub Date: 2024-08-26 DOI:10.1177/02676591241278616

Vishal N Shah, Joshua R Chen, Jonathan Guba, David Ebbott, Konstadinos A Plestis

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引用次数: 0

摘要

胸骨再入路修补主动脉假性动脉瘤是一项独特的技术挑战，需要防止出血。在再插入之前启动外周心肺旁路和深低温循环停滞是手术成功的基石。辅助双侧前向脑灌注可延长安全停搏时间，降低神经系统发病率。在此，我们介绍了我们在两名患者身上采用的主动脉假性动脉瘤修补术的安全再入路技术。

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Bilateral antegrade cerebral perfusion during hypothermic circulatory arrest before sternal reentry for aortic pseudoaneurysm repair.

Sternal reentry for repair of aortic pseudoaneurysms poses a unique technical challenge to prevent exsanguination. Initiation of peripheral cardiopulmonary bypass and deep hypothermic circulatory arrest prior to reentry are the cornerstones of a successful surgical approach. Adjunctive bilateral antegrade cerebral perfusion increases safe arrest time and reduces neurologic morbidity. Herein, we describe our safe reentry technique for aortic pseudoaneurysm repair in two patients.

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来源期刊

Perfusion-Uk 医学-外周血管病

CiteScore

3.00

自引率

8.30%

发文量

203

审稿时长

6-12 weeks

期刊介绍： Perfusion is an ISI-ranked, peer-reviewed scholarly journal, which provides current information on all aspects of perfusion, oxygenation and biocompatibility and their use in modern cardiac surgery. The journal is at the forefront of international research and development and presents an appropriately multidisciplinary approach to perfusion science.