Uchino Gaku, Yunoki Keiji, Sakoda Naoya, Saiki Munehiro, Hisamochi Kunikazu, Yoshida Hideo
Department of Cardiovascular Surgery, Hiroshima Shimin Hospital, Nakaku, Hiroshimashi, Hiroshima Prefecture, Japan.
Department of Endovascular Treatment for Structural Heart and Aortic Disease, Hiroshima Shimin Hospital, Hiroshima Prefecture, Japan.
J Card Surg. 2017 Feb;32(2):110-113. doi: 10.1111/jocs.13091. Epub 2017 Jan 20.
Antegrade cerebral perfusion during aortic arch surgery plays an important role in improving postoperative neurological outcomes. We report our experience using innominate artery cannulation for arterial perfusion during aortic arch surgery.
From January 2008 to December 2015, 159 patients underwent aortic arch surgery using innominate artery perfusion and were included in the study analysis (mean age, 71.4 ± 9.1 years; male, 120).
Total arch replacement was performed in 84.1% of all patients. The incidence of postoperative stroke was 2.5%, with an overall in-hospital mortality rate of 2.5%.
Innominate artery perfusionis a safe and useful technique for aortic arch surgery.
主动脉弓手术期间的顺行性脑灌注在改善术后神经功能结局方面起着重要作用。我们报告了我们在主动脉弓手术期间使用无名动脉插管进行动脉灌注的经验。
2008年1月至2015年12月，159例患者接受了使用无名动脉灌注的主动脉弓手术，并纳入研究分析（平均年龄，71.4±9.1岁；男性，120例）。
所有患者中84.1%进行了全弓置换。术后中风发生率为2.5%，总体院内死亡率为2.5%。
无名动脉灌注是一种用于主动脉弓手术的安全且有用的技术。
