经心尖主动脉插管用于急性主动脉夹层以预防灌注不良和脑部并发症。
Transapical aortic cannulation for acute aortic dissection to prevent malperfusion and cerebral complications.
作者信息
Yamamoto S, Hosoda Y, Yamasaki M, Ishikawa N, Fuchimoto K, Fukuda T
机构信息
Department of Cardiothoracic Surgery, Juntendo University School of Medicine, Tokyo, Japan.
出版信息
Tex Heart Inst J. 2001;28(1):42-3.
Abstract
We describe a technique for transapical cannulation in cases of acute aortic dissection. This method entails aortic cannulation via the apex of the left ventricle and the aortic valve. When this technique is used, retrograde perfusion prevents such fatal complications as malperfusion or cerebral embolism that can occur with femoral cannulation. Having found no disadvantage in this method, we recommend transapical cannulation as the best cannulation technique for acute aortic dissection.
摘要
我们描述了一种用于急性主动脉夹层病例的经心尖插管技术。该方法需要通过左心室心尖和主动脉瓣进行主动脉插管。当使用这种技术时，逆行灌注可预防诸如股动脉插管可能发生的灌注不良或脑栓塞等致命并发症。由于未发现该方法存在任何缺点，我们推荐经心尖插管作为急性主动脉夹层的最佳插管技术。
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