J. Akasaka , T. Saito , K. Kumagai , Y. Hayatsu , Y. Saiki , K. Tabayashi
{"title":"复合修复主动脉弓动脉瘤过程中经改良的直接主动脉弓去支分流术脑灌注保护技术","authors":"J. Akasaka , T. Saito , K. Kumagai , Y. Hayatsu , Y. Saiki , K. Tabayashi","doi":"10.1016/j.ejvsextra.2012.10.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>We report a 74-year-old man with highly advanced arteriosclerosis and aortic arch aneurysm and who had a past medical history of cerebral infarction.</p></div><div><h3>Case report</h3><p>Recurrence of cerebral infarction during operation if cerebral blood flow decreased during debranching of the cerebral arteries was a concern. A direct reconstruction to the arch vessels was carried out with a temporary shunt blood circuit using a 12-Fr balloon perfusion catheter to prevent cerebral ischaemia, and thoracic endovascular aneurysm repair was performed.</p></div><div><h3>Discussion</h3><p>This method is safe and useful for elderly persons with advanced arteriosclerosis.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"25 1","pages":"Pages e3-e5"},"PeriodicalIF":0.0000,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.10.002","citationCount":"0","resultStr":"{\"title\":\"A Modified Technique of Direct Aortic Arch Debranching Using a Shunt for Cerebral Perfusion Protection During Hybrid Repair of an Aortic Arch Aneurysm\",\"authors\":\"J. Akasaka , T. Saito , K. Kumagai , Y. Hayatsu , Y. Saiki , K. Tabayashi\",\"doi\":\"10.1016/j.ejvsextra.2012.10.002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>We report a 74-year-old man with highly advanced arteriosclerosis and aortic arch aneurysm and who had a past medical history of cerebral infarction.</p></div><div><h3>Case report</h3><p>Recurrence of cerebral infarction during operation if cerebral blood flow decreased during debranching of the cerebral arteries was a concern. A direct reconstruction to the arch vessels was carried out with a temporary shunt blood circuit using a 12-Fr balloon perfusion catheter to prevent cerebral ischaemia, and thoracic endovascular aneurysm repair was performed.</p></div><div><h3>Discussion</h3><p>This method is safe and useful for elderly persons with advanced arteriosclerosis.</p></div>\",\"PeriodicalId\":100397,\"journal\":{\"name\":\"EJVES Extra\",\"volume\":\"25 1\",\"pages\":\"Pages e3-e5\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2013-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.10.002\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"EJVES Extra\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1533316712000349\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"EJVES Extra","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1533316712000349","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
A Modified Technique of Direct Aortic Arch Debranching Using a Shunt for Cerebral Perfusion Protection During Hybrid Repair of an Aortic Arch Aneurysm
Introduction
We report a 74-year-old man with highly advanced arteriosclerosis and aortic arch aneurysm and who had a past medical history of cerebral infarction.
Case report
Recurrence of cerebral infarction during operation if cerebral blood flow decreased during debranching of the cerebral arteries was a concern. A direct reconstruction to the arch vessels was carried out with a temporary shunt blood circuit using a 12-Fr balloon perfusion catheter to prevent cerebral ischaemia, and thoracic endovascular aneurysm repair was performed.
Discussion
This method is safe and useful for elderly persons with advanced arteriosclerosis.
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