Joseph S. Coselli, MD, Scott A. LeMaire, MD, Dwayne F

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Presentation transcript:

Initial experience with the Nikkiso centrifugal pump during thoracoabdominal aortic aneurysm repair Joseph S. Coselli, MD, Scott A. LeMaire, MD, Dwayne F. Ledesma, MD, Satoshi Ohtsubo, MD, Eiki Tayama, MD, PhD, Yukihiko Nosé, MD, PhDJ Journal of Vascular Surgery Volume 27, Issue 2, Pages 378-383 (February 1998) DOI: 10.1016/S0741-5214(98)70372-6 Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Nikkiso centrifugal pumphead. Journal of Vascular Surgery 1998 27, 378-383DOI: (10.1016/S0741-5214(98)70372-6) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Atriodistal bypass circuit including Nikkiso centrifugal pumphead, inflow and outflow cannulas, and visceral/renal perfusion catheters. Journal of Vascular Surgery 1998 27, 378-383DOI: (10.1016/S0741-5214(98)70372-6) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Technique of distal perfusion during extent II thoracoabdominal aortic aneurysm repair. Atriodistal bypass is used during initial aortic clamping (A) and performance of proximal anastomosis. Selective visceral and renal perfusion with balloon cannulas is used during reattachment of critical intercostal arteries (B). During reattachment of visceral vessels (C), selective visceral and renal perfusion continues while intercostal arteries, now proximal to distal clamp, receive antegrade perfusion. Journal of Vascular Surgery 1998 27, 378-383DOI: (10.1016/S0741-5214(98)70372-6) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions