Cannulation of Innominate Artery During Proximal Aortic Aneurysm Repair
Abstract
Objective: There are many debates for cannulation sites during aortic surgeries. The cannulation technique which is providing antegrade flow is associated with better survival and neurological outcomes than retrograde flow. For this purpose, innominate and axillary artery cannulation have been increasingly used for cardiopulmonary bypass recently. We aimed to present our experience with innominate artery cannulation for cardiopulmonary bypass and antegrade selective cerebral perfusion during proximal aortic aneurysm repair.
Methods: A total of eighteen patients with proximal aortic aneurysm underwent surgical repair were included into the study. Pre-operative patient’s charecteristis, surgical details and postoperative outcomes were investigated.
Results: The mean age was 58.8±10.2 and majority of the patients were male (72%). Bicuspit leafletes was found in 9 patients (50%). Two patients died in postoperative period. No stroke or new neurological deficit was seen after procedure.
Conclusions: This study is emphasize that cannulation of innominate artery can be used in safe and effective during aortic surgery.
Keywords
References
- 1. Ren Z, Wang Z, Hu R, et al. Which cannulation (axillary cannulation or femoral cannulation) is better for acute type A aortic dissection repair? A meta-analysis of clinical studies. Eur J Cardiothorac Surg. 2015; 47: 408–15.
- 2. Patris V, Toufektzian L, Field M, et al. Is axillary superior to femoral artery cannulation for acute type A aortic dissection surgery? Interact Cardiovasc Thorac Surg. 2015; 21: 515–20.
- 3. Wong DR, Coselli JS, Palmero L, et al. Axillary artery cannulation in surgery for acute or subacute ascending aortic dissections. Ann Thorac Surg. 2010; 90: 731–7.
- 4. Uchino G, Yunoki K, Sakoda N, et al. Innominate artery cannulation for arterial perfusion during aortic arch surgery. J Card Surg. 2017; 32: 110–3.
- 5. Martino A, Re FD, Blasi S, et al. Surgical treatment of annuloaortic ectasia-replace or repair ? Aorta (Stamford). 2017; 5: 139-47.
- 6. Preventza O, Garcia A, Tuluca A, et al. Innominate artery cannulation for proximal aortic surgery: outcomes and neurological events in 263 patients. Eur J Cardiothorac Surg. 2015; 48: 937-42.
- 7. Kaul P. How I do it-sole innominate cannulation for acute type A aortic dissection. J Cardiothorac Surg. 2012; 7: 125.
- 8. Murakami T, Hosono M, Shibata T. Tips and avoid complications related to direct cannulation of the axillary artery. Asian Cardiovasc Thorac Ann. 2018; 26: 250–1.
Details
Primary Language
Turkish
Subjects
Health Care Administration
Journal Section
Research Article
Authors
Ahmet Dolapoglu
*
0000-0001-9161-2632
Türkiye
Eyup Avcı
This is me
0000-0002-7790-8450
Türkiye
Onursal Bugra
This is me
0000-0002-4227-9420
Türkiye
Publication Date
December 13, 2018
Submission Date
October 25, 2018
Acceptance Date
October 25, 2018
Published in Issue
Year 2018 Volume: 45 Number: 4