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首页> 外文期刊>Journal of cardiac surgery. >Unilateral brachial artery antegrade selective cerebral perfusion following carotid endarterectomy for carotid, coronary, and aortic aneurysmal surgery.
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Unilateral brachial artery antegrade selective cerebral perfusion following carotid endarterectomy for carotid, coronary, and aortic aneurysmal surgery.

机译:颈动脉内膜切除术后单侧肱动脉顺行选择性脑灌注,用于颈动脉,冠状动脉和主动脉瘤手术。

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摘要

In the presence of multiple concomitant occlusive and aneurysmal diseases, selection of the brain protection method is a primary concern. A case with a disease triad of stenotic lesions in internal carotid arteries, coronary artery atherosclerosis, and an ascending-arcus aorta aneurysm is presented. We simultaneously performed right carotid endarterectomy, coronary artery bypass grafting, and graft replacement of the ascending-arcus aorta. Brain protection was achieved with continuous right brachial artery antegrade selective cerebral perfusion under moderate hypothermia, following carotid endarterectomy. The operative technique is detailed and antegrade selective cerebral perfusion following the carotid endarterectomy for aneurysmal surgery is discussed.
机译:在存在多种并发的闭塞性和动脉瘤性疾病的情况下,脑保护方法的选择是首要考虑的问题。提出了一个颈内动脉狭窄病变疾病三联征,冠状动脉粥样硬化和升主动脉瘤的病例。我们同时进行了右颈动脉内膜切除术,冠状动脉搭桥术和升主动脉的移植物置换。在颈动脉内膜切除术后,在中等体温下连续右臂肱动脉顺行选择性脑灌注来实现脑保护。详细的手术技术,并讨论了用于动脉瘤手术的颈动脉内膜切除术后顺行选择性脑灌注。

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