title: Cerebral protection with a crossover external carotid artery bypass during arch debranching.
abstract: Endovascular stent graft repair of the thoracic aorta sometimes requires debranching of the aortic arch and reimplantation of the left common carotid and left subclavian arteries to the brachiocephalic trunk. Cerebral protection has utmost importance during such a procedure. The surgical technique detailed here offers pulsatile flow inside the internal carotid arteries despite proximal clamping of the common carotid arteries throughout the whole procedure.
authors: Department of Cardiovascular Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey. Electronic address: muratugurlucan@yahoo.com.
authors: Murat
authors: M
authors: Ugurlucan
authors: Department of Cardiovascular Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.
authors: Omer Ali
authors: OA
authors: Sayin
authors: Department of Radiology, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.
authors: Mehmet Akif
authors: MA
authors: Onalan
authors: Department of Radiology, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.
authors: Nijat
authors: N
authors: Alishev
authors: Department of Cardiovascular Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.
authors: Murat
authors: M
authors: Basaran
authors: Department of Cardiovascular Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.
authors: Ufuk
authors: U
authors: Alpagut
authors: Department of Cardiovascular Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.
authors: Enver
authors: E
authors: Dayioglu
mesh_terms: D000714:Anastomosis, Surgical / Q000009:adverse effects; D000784:Aortic Dissection / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001927:Brain Diseases / Q000209:etiology / Q000517:prevention & control*; D002342:Carotid Artery, External / Q000601:surgery*; D057510:Endovascular Procedures / Q000009:adverse effects / Q000379:methods; D005260:Female; D006801:Humans; D008875:Middle Aged