Proximal aortic perfusion with passive cerebral flow: a method to prevent cerebral embolism in the arch and descending aortic operation.

Katsumata T; Westaby S

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Proximal aortic perfusion with passive cerebral flow: a method to prevent cerebral embolism in the arch and descending aortic operation.

机译：具有被动脑流动的近端主动脉灌注：一种防止弓形栓塞在弓形中的方法和下降主动脉操作。

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摘要

Antegrade aortic perfusion is preferable in arch and descending aortic operations. We describe a left lateral approach using an ascending aortic cannula, temporarily relocated within the distal aorta to maintain hypothermic cardiopulmonary bypass of the lower torso. This modification provides continual antegrade systemic perfusion and passive retrograde cerebral flow during arch repair. It minimizes the risk of embolization into the brachiocephalic arteries of debris and malperfusion of the dissected aorta.

机译：曲拱和下降主动脉操作中优选促进主动脉灌注。我们描述了使用升序主动脉套管的左侧方法，暂时重新安置在远端主动脉内，以保持下躯干的低温心肺旁路。该修改在拱形修复期间提供持续的直接全身灌注和被动逆行脑流量。它最大限度地减少了栓塞到碎片的碎屑和孕射出的麻醉剂的风险。

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来源
《Journal of cardiac surgery.》 |1999年第3期|共3页
作者
Katsumata T; Westaby S;
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作者单位

Department of Cardiac Surgery Oxford Heart Centre The John Radcliffe Hospital Headington England. katsu@westaby-heart-oxford.org.uk;

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原文格式 PDF
正文语种 eng
中图分类外科学;
关键词
Aneurysm; Dissecting; Aortic Aneurysm; Cardiac Surgical Procedures; Intracranial Embolism prevention and control; 动脉瘤; 夹层; 主动脉瘤; 灌流; 手术后并发症;

机译：Aneurysm;Dissecting;Aortic Aneurysm;Cardiac Surgical Procedures;Intracranial Embolism prevention and control;动脉瘤;夹层;主动脉瘤;灌流;手术后并发症;

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1. Proximal aortic perfusion with passive cerebral flow: a method to prevent cerebral embolism in the arch and descending aortic operation. [J] . Katsumata T, Westaby S Journal of cardiac surgery. . 1999,第3期

机译：具有被动脑流动的近端主动脉灌注：一种防止弓形栓塞在弓形中的方法和下降主动脉操作。
2. Hypothermic circulatory arrest during ascending and aortic arch surgery: the theoretical impact of different cerebral perfusion techniques and other methods of cerebral protection. [J] . Hagl C, Khaladj N, Karck M, European journal of cardio-thoracic surgery: Official journal of the European Association for Cardio-thoracic Surgery . 2003,第3期

机译：升主动脉弓手术中的体温循环骤停：不同脑灌注技术和其他脑保护方法的理论影响。
3. Comparable Cerebral Blood Flow in Both Hemispheres During Regional Cerebral Perfusion in Infant Aortic Arch Surgery [J] . André Rüffer, Philip Tischer, Frank Münch, The Annals of Thoracic Surgery: Official Journal of the Society of Thoracic Surgeons and the Southern Thoracic Surgical Association . 2017,第1期

机译：婴儿主动脉弓手术中区域性脑灌注过程中两个半球的可比脑血流量
4. Selective cerebral perfusion with separate heat exchanger in total aortic arch replacement [C] . K. Nakagiri, M. Yoshida, N. Mukohara, Asian Society for Cardiovascular Surgery . 2009

机译：完全主动脉弓更换的单独换热器选择性脑灌注
5. Transcatheter aortic valve implantation: Does cerebral protection decrease cerebral ischemia? [D] . Haber, Benjamin. 2013

机译：经导管主动脉瓣植入术：脑保护可减少脑缺血吗？
6. Selective Cerebral Perfusion with the Open Proximal Technique during Descending Thoracic or Thoracoabdominal Aortic Repair: An Option of Choice to Reduce Neurologic Complications [O] . Katsuhiro Hosoyama, Shunsuke Kawamoto, Kiichiro Kumagai, 2018

机译：胸或胸腹主动脉修复术中采用近端开放性选择性脑灌注术：减少神经系统并发症的一种选择
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Proximal aortic perfusion with passive cerebral flow: a method to prevent cerebral embolism in the arch and descending aortic operation.

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