Options for arterial cannulation to provide antegrade cerebral perfusion: Everything old is new again Joseph S. Coselli, MD, Ourania Preventza, MD The.

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Presentation transcript:

Options for arterial cannulation to provide antegrade cerebral perfusion: Everything old is new again Joseph S. Coselli, MD, Ourania Preventza, MD The Journal of Thoracic and Cardiovascular Surgery Volume 151, Issue 4, Pages 1079-1080 (April 2016) DOI: 10.1016/j.jtcvs.2015.12.017 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Innominate artery cannulation. After 1 mg/kg of heparin is given, a partial occluding clamp is applied to the distal aspect of the artery, a longitudinal arteriotomy is created, and an 8-mm graft is sewn onto the anterior aspect of the artery in an end-to-side fashion. The graft is carefully flushed and de-aired and is then attached to the inflow line from the cardiopulmonary bypass circuit to provide systemic hypothermic circulatory arrest and antegrade cerebral perfusion. Used with permission of Baylor College of Medicine. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1079-1080DOI: (10.1016/j.jtcvs.2015.12.017) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Innominate artery perfusion delivered via a graft sutured to anterior aspect of artery. Used with permission of Baylor College of Medicine. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1079-1080DOI: (10.1016/j.jtcvs.2015.12.017) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions