title: Easy and Safe Total Debranching of Arch Aneurysms Using Axilloaxillary Arterial Bypass.
abstract: Techniques used in hybrid repair of proximal aortic arch diseases are associated with perioperative complications such as cerebrovascular emboli. We present an easy and safe technique of total debranching thoracic endovascular aortic repair for arch diseases using axilloaxillary arterial bypass. The placement of the axilloaxillary arterial bypass enables perfusion of the brachiocephalic artery even when the artery is clamped. After reconstruction of the brachiocephalic artery and the left common carotid artery, the left subclavian artery is proximally ligated, and it is perfused through the bypass. This procedure is simple, safe, and useful for the prevention of neurologic complications.
authors.affiliation: Department of Cardiovascular Surgery, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan. Electronic address: t-mizuno@yhc.att.ne.jp.
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Mizuno
authors.affiliation: Department of Cardiovascular Surgery, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan.
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Hachimaru
authors.affiliation: Department of Cardiovascular Surgery, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan.
authors.forename: Keiji
authors.initials: K
authors.lastname: Oi
authors.affiliation: Department of Cardiovascular Surgery, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan.
authors.forename: Taiju
authors.initials: T
authors.lastname: Watanabe
authors.affiliation: Department of Cardiovascular Surgery, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan.
authors.forename: Hidehito
authors.initials: H
authors.lastname: Kuroki
authors.affiliation: Department of Cardiovascular Surgery, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan.
authors.forename: Tatsuki
authors.initials: T
authors.lastname: Fujiwara
authors.affiliation: Department of Cardiovascular Surgery, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan.
authors.forename: Shogo
authors.initials: S
authors.lastname: Sakurai
authors.affiliation: Department of Cardiovascular Surgery, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan.
authors.forename: Masashi
authors.initials: M
authors.lastname: Takeshita
authors.affiliation: Department of Cardiovascular Surgery, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan.
authors.forename: Ryoji
authors.initials: R
authors.lastname: Kinoshita
authors.affiliation: Department of Cardiovascular Surgery, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan.
authors.forename: Hirokuni
authors.initials: H
authors.lastname: Arai
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001366:Axillary Artery / Q000601:surgery*; D006801:Humans; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000379:methods