Total Arch Replacement Under Flow Monitoring During Selective Cerebral Perfusion Using a Single Pump Hideyuki Shimizu, MD, PhD, Toru Matayoshi, CP, Masanori.

Slides:

Advertisements

Similar presentations

Assessment of Cerebral Blood Flow With Transcranial Doppler in Right Brachial Artery Perfusion Patients Ümit Karadeniz, MD, Özcan Erdemli, MD, Mehmet.

Advertisements

Joseph W. Turek, MD, PhD, Robert A. Hanfland, MD, Tina L

Improved Hemodynamics and Outcome After Modified Norwood Operation on the Beating Heart Joachim Photiadis, MD, Boulos Asfour, MD, PhD, Nicodème Sinzobahamvya,

“Double-Stick” Transsubclavian Transcatheter Aortic Valve Replacement With Use of a Balloon Expandable Valve: A Less Invasive Option for Alternative Access

Creating an Arc-Shaped Aorta: Use of the Subclavian Artery for Interrupted Aortic Arch Repair Melchior Burri, MD, Jelena Kasnar-Samprec, MD, PhD, Julie.

Regional Spinal Cord Cooling Using a Countercurrent Closed-Lumen Epidural Catheter Hideyuki Shimizu, MD, PhD, Atsuo Mori, MD, PhD, Tatsuya Yamada, MD,

A study of brain protection during total arch replacement comparing antegrade cerebral perfusion versus hypothermic circulatory arrest, with or without.

Cerebral Protection During Mitral Valve Repair in a Patient With Moyamoya Syndrome Kazuma Okamoto, MD, PhD, Shingo Arai, Noriyuki Hirabayashi, Masanori.

Henry J. Tannous, MD, Achintya N. Moulick, MD, Richard A. Jonas, MD

Repair of Coarctation in Right Circumflex Retroesophageal Arch

Does Cross-Clamping the Arch Increase the Risk of Descending Thoracic and Thoracoabdominal Aneurysm Repair? Leonard N. Girardi, MD, Karl H. Krieger,

Transcranial Doppler Study to Assess Intracranial Arterial Communication Before Aortic Arch Operation Shigeki Morita, MD, PhD, Masahiro Yasaka, MD, PhD,

An Epidural Cooling Catheter Protects the Spinal Cord Against Ischemic Injury in Pigs Atsuo Mori, MD, Toshihiko Ueda, MD, Takashi Hachiya, MD, Nobuyuki.

Total Arch Replacement Under Normothermic Beating Heart Surgery

Shangyi Ji, MD, Jianan Yang, MD, Xiaoqing Ye, MD, Xiaolei Wang, MD

Lindsay C.H. John, MD, FRCS The Annals of Thoracic Surgery

Thoracic Endovascular Aortic Repair Including Total Debranching on Femoral Artery for Arch Rupture Yu Inaba, MD, Tsutomu Ito, MD, PhD, Sachiko Hayashi,

Unilateral Versus Bilateral Antegrade Cerebral Protection During Aortic Surgery: An Updated Meta-Analysis Emiliano Angeloni, MD, Giovanni Melina, PhD,

Video-Assisted Ductal Closure With New Modifications: Minimally Invasive, Maximally Effective, 1,300 Cases Mohammad Hassan Nezafati, MD, Ghassem Soltani,

Operation for Type B Aortic Dissection Using Hypothermic Selective Cerebral Perfusion Keiichiro Tayama, MD, Hidetoshi Akashi, MD, Shuji Fukunaga, MD,

Selective Left Subclavian Ligation in Total Aortic Arch Replacement

Beating-Heart Surgery for Hypoplastic Left Heart Syndrome With Coronary Artery Fistulas Shunsuke Matsushima, MD, Yoshihiro Oshima, MD, PhD, Ayako Maruo,

James D. St. Louis, MD The Annals of Thoracic Surgery

Arterial-Sided Oxygenator Clot and Transcranial Doppler Ultrasound Emboli in Venoarterial Extracorporeal Membrane Oxygenation Sung-Min Cho, DO The Annals.

Who Do You Say You Are? The Annals of Thoracic Surgery

Congenital Absence of Bilateral Common Carotid Arteries

Arterial inflow via an axillary artery graft for the severely atheromatous aorta Yvon R Baribeau, MD, Benjamin M Westbrook, MD, David C Charlesworth,

Robert J. Cerfolio, MD, Thomas C. Matthews, BS

Anomalous Origin of Left Pulmonary Artery From Left Subclavian Artery

Hyungtae Kim, MD, Si Chan Sung, MD, Kwang Ho Choi, MD

Enlargement of aortic arch vessels after surgical repair of type A aortic dissection Takashi Yamauchi, MD, PhD, Suguru Kubota, MD, PhD, Toshihiro Ohata,

How to Clamp and Bypass if There Is Single Artery Supply to the Head and That Contains Severe Stenosis? Murat Ugurlucan, MD, Yilmaz Onal, MD, Didem Melis.

Total Aortic Arch Replacement in Patients With Arch Vessel Anomalies

Three-Dimensional Printing for Perioperative Planning of Complex Aortic Arch Surgery Daniel Schmauss, MD, Gerd Juchem, MD, Stefan Weber, Dr Ing, Nicolas.

Hybrid Management of a Giant Left Main Coronary Artery Aneurysm

Effects of perfusion mode on regional and global organ blood flow in a neonatal piglet model Akif Ündar, PhD, Takafumi Masai, MD, Shuang-Qiang Yang,

Combining Cerebral Perfusion With Retrograde Inferior Vena Caval Perfusion for Aortic Arch Surgery Jing Lin, MD, Jiyue Xiong, MS, Ming Luo, MS, Zhaoxia.

Endovascular Total Arch Repair Using In Situ Fenestration for Arch Aneurysm and Chronic Type A Dissection Yoshiaki Katada, MD, PhD, Shunichi Kondo, MD,

W. Brent Keeling, MD, David H. Tian, MD, PhD, Brad G

Aortic Arch Repair With Antegrade Selective Cerebral Perfusion Using Mild to Moderate Hypothermia of More Than 28°C Satoshi Numata, MD, PhD, Yasushi.

Embolized Methyl Methacrylate to the Right Atrium After Kyphoplasty

Editorial Board, January 2010

Charles T. Klodell, MD, Philip J. Hess, MD, Thomas M

Sarah C. Huen, MD, Chirag R. Parikh, MD, PhD

Severe Two-Vessel Ostial Stenosis of the Main Coronary Arteries in a Patient With Transposition of the Great Arteries After an Arterial Switch Operation

Arch Aneurysm Repair With Long Elephant Trunk: A 10-Year Experience in 111 Patients Koichi Toda, MD, Kazuhiro Taniguchi, MD, Takafumi Masai, MD, Toshiki.

Hypoplastic Left Heart Syndrome With Right Ventricle Compression

Temperature Dependence of Cerebral Blood Flow for Isolated Regions of the Brain During Selective Cerebral Perfusion in Pigs Justus T. Strauch, MD, Peter.

Straight Deep Hypothermic Arrest: Experience in 394 Patients Supports Its Effectiveness as a Sole Means of Brain Preservation Arjet Gega, MD, John A.

Moderate Versus Deep Hypothermic Circulatory Arrest for Elective Aortic Transverse Hemiarch Reconstruction Prashanth Vallabhajosyula, MD, MS, Arminder.

Hybrid Repair of Subclavian-Axillary Artery Aneurysms and Aortic Arch Aneurysm in a Patient With Marfan Syndrome Akihiro Yoshitake, MD, PhD, Hideyuki.

Mark A. Farber, MD, Robert R. Mendes, MD Journal of Vascular Surgery

Aortic arch replacement using a trifurcated graft and selective cerebral antegrade perfusion David Spielvogel, MD, Justus T Strauch, MD, Oktavijan P.

Massimo Meco, MD, Silvia Cirri, MD The Annals of Thoracic Surgery

Invited Commentary The Annals of Thoracic Surgery

Transapical Arterial Cannulation for Salvage Cardiopulmonary Bypass in Transcatheter Aortic Valve Replacement Derek R. Brinster, MD, Jay A. Patel, Harry.

Hybrid Repair of an Aortic Arch Aneurysm Using Double Parallel Grafts Perfused by Retrograde Flow in Endovascular Repair Combined With Left Subclavian.

Yangfeng Tang, MD, Zilin Liao, MD, Lin Han, MD, Zhiyun Xu, MD

Dumbor L. Ngaage, MD, FRCS (C-Th), Michael E. Cowen, FRCS

Traumatic Partial Avulsion of a Single Right Subclavian Artery from the Aortic Arch and Definitive Repair Emmanouil I. Kapetanakis, MD, Pamela Sears-Rogan,

Hybrid Arch Repair Including Supra-Aortic Debranching on the Descending Aorta Hideyuki Shimizu, MD, PhD, Takashi Hachiya, MD, Kentaro Yamabe, MD, Ryohei.

Shih-Rong Hsieh, MD, Chien-Chang Chen, MD, Hao-Ji Wei, MD

Integrated Total Arch Replacement Using Selective Cerebral Perfusion: A 6-Year Experience Hiroaki Sasaki, MD, Hitoshi Ogino, MD, Hitoshi Matsuda, MD,

José L. Navia, MD, Fernando A. Atik, MD, Erik A

The Impact of New Technology on Cardiothoracic Surgical Practice

Frank G. Scholl, MD, David Webb, CCP, Karla Christian, MD, Davis C

David Spielvogel, MD, James C

Harvey Edward Garrett, MD, Bradley A. Wolf, MD

How I Teach Hemi-Arch Replacement

Christo I. Tchervenkov, MD, Stephen J

Presentation transcript:

Total Arch Replacement Under Flow Monitoring During Selective Cerebral Perfusion Using a Single Pump Hideyuki Shimizu, MD, PhD, Toru Matayoshi, CP, Masanori Morita, CP, Toshihiko Ueda, MD, PhD, Ryohei Yozu, MD, PhD The Annals of Thoracic Surgery Volume 95, Issue 1, Pages 29-34 (January 2013) DOI: 10.1016/j.athoracsur.2012.08.007 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Selective antegrade cerebral perfusion. (A) Schema. (B) Photographed image. All three supraaortic vessels were cannulated by means of balloon-tipped cannulas positioned from their openings through the incised aorta and perfused using a single pump. Flow distribution was passively determined depending on the vascular resistance of each vessel. Ultrasound Doppler flowmeters (F1, F2, F3) were installed in the circuit next to balloon-tipped perfusion cannulas, and flow rates of supraaortic vessels were continuously measured in real time. Flowmeters were positioned cephalad to the operative field and did not affect maneuverability. The Annals of Thoracic Surgery 2013 95, 29-34DOI: (10.1016/j.athoracsur.2012.08.007) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Rectal temperature during selective cerebral perfusion (SCP). Rectal temperatures (RT) at the start of hypothermic circulatory arrest, 30 minutes later, at resumption of systemic perfusion, and termination of selective cerebral perfusion were 25.8° ± 2.7°C, 25.4° ± 2.4°C, 25.3° ± 2.0°C, and 26.1° ± 1.9°C, respectively. Body temperature was maintained at a low level until selective cerebral perfusion was terminated. The Annals of Thoracic Surgery 2013 95, 29-34DOI: (10.1016/j.athoracsur.2012.08.007) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Flow rate of supraaortic vessels during selective cerebral perfusion. (A) Brachiocephalic artery (BCA). (B) Left common carotid artery (LCCA). (C) Left subclavian artery (LSCA). Flow in each supraaortic vessel was parallel to total flow of all three vessels. Relationships between flow in BCA, LCCA, and LSCA and total flow in supraaortic vessels are described by regression equations as given in the text. The Annals of Thoracic Surgery 2013 95, 29-34DOI: (10.1016/j.athoracsur.2012.08.007) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Proportion of flow in supraaortic vessels versus total flow. (A) Brachiocephalic artery (BCA). (B) Left common carotid artery (LCCA). (C) Left subclavian artery (LSCA). Total flow rate did not affect the proportion of flow in each supraaortic vessel. The Annals of Thoracic Surgery 2013 95, 29-34DOI: (10.1016/j.athoracsur.2012.08.007) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions