title: Antegrade cerebral perfusion by axillary artery and left carotid artery inflow at moderate hypothermia.
abstract: Cerebral protection during hypothermic circulatory arrest was obtained by combining right carotid perfusion through the axillary artery with selective perfusion of the left common carotid artery in ten patients. We believe that the proposed technique offers several advantages. (1) The axillary artery is generally free from atherosclerosis. (2) It eliminates the risk of retrograde embolization. (3) It provides antegrade perfusion of the true lumen in aortic dissection. (4) Antegrade cerebral perfusion is never interrupted. (5) Bihemispheric perfusion is assured. (6) The risk of air embolysm during carotid cannulation is reduced.
authors.affiliation: Department of Cardiac Surgery, G. Mazzini Hospital, 64100 Teramo, Italy. sandromaz@tin.it
authors.forename: Alessandro
authors.initials: A
authors.lastname: Mazzola
authors.forename: Renato
authors.initials: R
authors.lastname: Gregorini
authors.forename: Carmine
authors.initials: C
authors.lastname: Villani
authors.forename: Mauro
authors.initials: M
authors.lastname: Di Eusanio
mesh_terms: D001366:Axillary Artery / Q000601:surgery*; D002315:Cardiopulmonary Bypass / Q000379:methods*; D002339:Carotid Arteries / Q000601:surgery*; D002560:Cerebrovascular Circulation / Q000502:physiology*; D006801:Humans; D007036:Hypothermia, Induced