title: Innominate artery cannulation during aortic surgery.
abstract: During aortic surgery, the cannulation of arteries preserving an antegrade flow in the thoracic aorta [ascending aorta, axillary artery, innominate artery (IA) and carotid artery] has been associated with superior survival and neurological outcomes compared with the cannulation of the femoral artery. However, the ideal site of cannulation for both cardiopulmonary bypass (CPB) and antegrade selective cerebral perfusion remains under debate. Here, we present our technique of IA cannulation for CPB and antegrade selective cerebral perfusion during surgery of the thoracic aorta.
authors.affiliation: Department of Cardiac Surgery, G. Mazzini Hospital, Teramo, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Berretta
authors.affiliation: Department of Cardiac Surgery, S.Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
authors.forename: Jacopo
authors.initials: J
authors.lastname: Alfonsi
authors.affiliation: Department of Cardiac Surgery, S.Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Di Bartolomeo
authors.affiliation: Department of Cardiac Surgery, G. Mazzini Hospital, Teramo, Italy marco.dieusanio@aslteramo.it.
authors.forename: Marco
authors.initials: M
authors.lastname: Di Eusanio
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000601:surgery*; D016122:Brachiocephalic Trunk; D002315:Cardiopulmonary Bypass / Q000379:methods*; D002404:Catheterization / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care
keywords: Aortic Surgery; Cerebral protection; Innominate artery