title: Facilitation of bilateral selective antegrade cerebral perfusion with axillary cannulation and retrograde coronary sinus catheter.
abstract: Over the past several decades, techniques for surgery of the aortic arch have undergone significant evolution. In addition, there have been refinements in the mechanism of cerebral protection utilized intraoperatively. However, significant practice variations in the strategy of antegrade selective cerebral perfusion continue to persist. Here, we describe a simple and easily reproducible technique for selective antegrade cerebral perfusion, utilizing axillary cannulation and retrograde coronary sinus balloon catheters.
authors.affiliation: Division of Cardiothoracic Surgery, Columbia University Medical Center, New York, New York, USA.
authors.forename: S
authors.initials: S
authors.lastname: Fukuhara
authors.affiliation: Division of Cardiothoracic Surgery, Columbia University Medical Center, New York, New York, USA.
authors.forename: S
authors.initials: S
authors.lastname: DeRoo
authors.affiliation: Division of Cardiothoracic Surgery, Columbia University Medical Center, New York, New York, USA.
authors.forename: J
authors.initials: J
authors.lastname: Beck
authors.affiliation: Division of Cardiothoracic Surgery, Columbia University Medical Center, New York, New York, USA ht2225@cumc.columbia.edu.
authors.forename: H
authors.initials: H
authors.lastname: Takayama
mesh_terms: D006328:Cardiac Catheterization / Q000379:methods*; D062906:Cardiac Catheters; D002560:Cerebrovascular Circulation; D006801:Humans
keywords: aortic arch surgery; axillary artery cannulation; circulatory arrest; retrograde coronary sinus catheter; selective cerebral perfusion