A simplified delivery frozen elephant trunk technique to reduce circulatory arrest time in hybrid aortic arch surgery

Senage Thomas; Bonnet Nicolas; Guimbretiere Guillaume; David Charles-Henri; Roussel Jean-Christian; Braunberger Eric

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A simplified delivery frozen elephant trunk technique to reduce circulatory arrest time in hybrid aortic arch surgery

机译：一种简化的递送冷冻大象躯干技术，以减少杂交主动脉拱手术中的循环滞留时间

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摘要

A simplified delivery technique for the frozen elephant trunk procedure allows the distal suture to be performed on a perfused and loaded aorta in moderate hypothermia-or even normothermia-reducing circulatory arrest time to just a few minutes. Two surgical sealing tourniquets are placed around the aortic arch, usually between the brachiocephalic trunk (BCT) and the left common carotid artery and the aorta is cross-clamped and cardioplegia started. Once in mild hypothermia, the BCT is disconnected and circulatory arrest is initiated while cerebral perfusion is maintained. This modified technique can be used in all pathologies, including dissections.

机译：冷冻象鼻手术的一种简化交付技术允许在中度低温甚至常温下对灌注和加载的主动脉进行远端缝合，从而将停循环时间减少到几分钟。在主动脉弓周围放置两个外科密封止血带，通常位于头臂干（BCT）和左颈总动脉之间，主动脉交叉夹紧，并开始心脏停搏。一旦进入亚低温，BCT断开，循环停止，同时维持脑灌注。这种改良技术可用于所有病理学，包括解剖。

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来源
《Journal of cardiac surgery.》 |2021年第9期|共3页
作者
Senage Thomas; Bonnet Nicolas; Guimbretiere Guillaume; David Charles-Henri; Roussel Jean-Christian; Braunberger Eric;
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作者单位

CHU Nantes Inst Thorax Nantes France;

Ctr Cardiol Nord St Denis France;

CHU Nantes Inst Thorax Nantes France;

CHU Nantes Inst Thorax Nantes France;

CHU Nantes Inst Thorax Nantes France;

CHU Felix Guyon St Denis La Reunion France;

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原文格式 PDF
正文语种 eng
中图分类心脏血管和淋巴系外科学;
关键词
aortic aneurysm; aortic arch replacement; circulatory arrest; frozen elephant trunk; normothermia; type A aortic dissection;

机译：主动脉瘤;主动脉弓更换;循环骤停;冷冻大象躯干;常温;型主动脉解剖;

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专利

1. Acute Type A Aortic Dissection—Replacement of Ascending Aorta, Aortic Arch and Antegrade Stenting of the Descending Thoracic Aorta Using the Thoraflextrade;Hybrid Plexus Device (Terumo Aortic)—“Frozen Elephant Trunk”: The Plymouth Way! [J] . Marios Patronis, Jonathan Unsworth-White, James Kuo 胸外科期刊（英文） . 2020,第003期
2. "Collared Anastomosis" Technique Used in Arch Replacement Combined with Frozen Elephant Trunk Implantation Procedure for Giant Arch and Thoracic Aorta Dilatation [J] . Chang-Wei Ren, Chao-Liang Liu, Yong-Qiang Lai, 中华医学杂志（英文版） . 2015,第014期
3. Association between cardiopulmonary bypass time and 90-day post-operative mortality in patients undergoing arch replacement with the frozen elephant trunk: a retrospective cohort study [J] . Jun Zheng, Shang-Dong Xu, You-Cong Zhang, 中华医学杂志（英文版） . 2019,第019期
4. Endovascular aortic repair as second-stage surgery after hybrid open arch repair by the frozen elephant trunk technique for extended thoracic aneurysm [J] . UchidaN., KodamaH., KatayamaK., Annals of thoracic and cardiovascular surgery: official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia . 2013,第3期

机译：冷冻大象躯干技术混合开弓修复胸大动脉瘤后进行血管内主动脉修复作为第二阶段手术
5. Moderate Hypothermic Circulatory Arrest (>= 28 degrees C) with Selective Antegrade Cerebral Perfusion for Total Arch Replacement with Frozen Elephant Trunk Technique [J] . Ahmad Ali El-Sayed, Risteski Petar, Ay Mahmut, The Thoracic and cardiovascular surgeon . 2019,第5期

机译：适度的低温循环停滞（> = 28℃），用冷冻大象躯干技术选择性安老化脑灌注
6. Acute Type A Aortic Dissection Successfully Managed with One-stage Surgery of Total Aortic Arch Replacement with Supra-aortic Transposition Plus Frozen Elephant Trunk Technique [J] . Meng-Lin Lee, Shen Sun, Yi-Ching Chen, International Journal of Gerontology . 2014,第3期

机译：急性A型主动脉夹层成功完成了一次主动脉全瓣弓置换术并采用冷冻主动脉置换术的一期手术
7. Reducing cost and ensuring on-time delivery of hybrid-WSI massively parallel computing modules [C] . Habiger C.M., Lea R.M., Institute of Electric and Electronic Engineer Annual IEEE international conference on wafer scale integration . 1994

机译：降低成本并确保Hybrid-WSI的随时交付大规模并行计算模块
8. Comparison of Prognosis Between Hybrid Debranching Surgery and Total Open Arch Replacement With Frozen Elephant Trunk for Type A Acute Aortic Syndrome Patients [O] . Jinzhang Li, Lei Li, Maozhou Wang, 2021

机译：杂交脱枝手术与急性主动脉综合征患者的冷冻大象树干预后的比较
9. Endovascular Aortic Repair as Second-Stage Surgery after Hybrid Open Arch Repair by the Frozen Elephant Trunk Technique for Extended Thoracic Aneurysm [O] . Naomichi Uchida, Hiroshi Kodama, Keijiro Katayama, 2013

机译：血管间主动脉修复作为二级手术，后杂交开放拱修复由延长胸腔动脉瘤的冷冻大象树干技术

A simplified delivery frozen elephant trunk technique to reduce circulatory arrest time in hybrid aortic arch surgery

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