The Journal of Thoracic and Cardiovascular Surgery
Volume 138, Issue 5 , Pages 1081-1089 , November 2009

Selective antegrade cerebral perfusion via right axillary artery cannulation reduces morbidity and mortality after proximal aortic surgery

  • Michael E. Halkos, MD

      Affiliations

    • Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Ga
    • ,
  • Faraz Kerendi, MD

      Affiliations

    • Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Ga
    • ,
  • Richard Myung, MD

      Affiliations

    • Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Ga
    • ,
  • Patrick Kilgo, MSc

      Affiliations

    • Rollins School of Public Health, Emory University School of Medicine, Atlanta, Ga
    • ,
  • John D. Puskas, MD

      Affiliations

    • Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Ga
    • ,
  • Edward P. Chen, MD

      Affiliations

    • Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Ga
    • Corresponding Author InformationAddress for reprints: Edward P. Chen, MD, Assistant Professor, Division of Cardiothoracic Surgery, The Emory Clinic, 1365 Clifton Rd, Suite A2236, Atlanta, GA 30322.

Received 2 May 2008 ,Revised 21 May 2009 ,Accepted 20 July 2009.

References 

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  10. Khaladj N, Shrestha M, Meck S, Peterss S, Kamiya H, Kallenbach K, et al. Hypothermic circulatory arrest with selective antegrade cerebral perfusion in ascending aortic and aortic arch surgery: a risk factor analysis for adverse outcome in 501 patients. J Thorac Cardiovasc Surg. 2008;135:908–914
  11. Westaby S, Katsumata T, Vaccari G. Arch and descending aortic aneurysms: influence of perfusion technique on neurologic outcome. Eur J Cardiothorac Surg. 1999;15:180–185
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  18. Hagl C, Khaladj N, Karck M, Kallenbach K, Leyh R, Winterhalter M, et al. Hypothermic circulatory arrest during ascending and aortic arch surgery: the theoretical impact of different cerebral perfusion techniques and other methods of cerebral protection. Eur J Cardiothorac Surg. 2003;24:371–378
  19. Kamiya H, Hagl C, Kropivnitskaya I, Bothig D, Kallenbach K, Khaladj N, et al. The safety of moderate hypothermic lower body circulatory arrest with selective cerebral perfusion: a propensity score analysis. J Thorac Cardiovasc Surg. 2007;133:501–509
  20. Appoo JJ, Augoustides JG, Pochettino A, Savino JS, McGarvey ML, Cowie DC, et al. Perioperative outcome in adults undergoing elective deep hypothermic circulatory arrest with retrograde cerebral perfusion in proximal aortic arch repair: evaluation of protocol-based care. J Cardiothorac Vasc Anesth. 2006;20:3–7
  21. Harrington DK, Walker AS, Kaukuntla H, Bracewell RM, Clutton-Brock TH, Faroqui M, et al. Selective antegrade cerebral perfusion attenuates brain metabolic deficit in aortic arch surgery: a prospective randomized trial. Circulation. 2004;110(11 Suppl I):II231-6
  22. Reich DL, Uysal S, Sliwinski M, Kahn RA, Konstadt SN, McCullough J, et al. Neuropsychologic outcome after deep hypothermic circulatory arrest in adults. J Thorac Cardiovasc Surg. 1999;117:156–163

 Presented at the Annual Meeting of the American Association of Thoracic Surgeons, May 10 to 14, 2008, San Diego, Calif.

PII: S0022-5223(09)00988-X

doi: 10.1016/j.jtcvs.2009.07.045

The Journal of Thoracic and Cardiovascular Surgery
Volume 138, Issue 5 , Pages 1081-1089 , November 2009

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