Bassano Carlo, Mve Mvondo Charles, Bovio Emanuele, Chiariello Luigi
Operative Unit of Cardiac Surgery, Tor Vergata University, Rome, Italy.
Thorac Cardiovasc Surg. 2013 Oct;61(7):584-6. doi: 10.1055/s-0032-1333135. Epub 2013 Jan 23.
Several methods have been proposed to avoid cerebral damage during aortic arch surgery. Antegrade, bilateral, selective cerebral perfusion is probably the most efficient one, although it has some drawbacks, such as air or particulate embolism risk, limitation in operative field visibility, and interactions with surgical maneuvers. We describe a surgical technique that provides bilateral antegrade perfusion to the brain, via the right axillary artery, with no need of additional arterial lines or shunting devices.
已经提出了几种方法来避免主动脉弓手术期间的脑损伤。顺行性、双侧选择性脑灌注可能是最有效的方法，尽管它有一些缺点，如空气或颗粒栓塞风险、手术视野能见度受限以及与手术操作的相互影响。我们描述了一种手术技术，该技术通过右腋动脉为大脑提供双侧顺行灌注，无需额外的动脉管路或分流装置。
