Antegrade cerebral perfusion by axillary artery and left carotid artery inflow at moderate hypothermia.
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.
Mazzola
Alessandro
A
Department of Cardiac Surgery, G. Mazzini Hospital, 64100 Teramo, Italy. sandromaz@tin.it
Gregorini
Renato
R
Villani
Carmine
C
Di Eusanio
Mauro
M
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