Cavozza Corrado, Campanella Antonio, Pasquale Pellegrino, Audo Andrea
Department of Cardiothoracic and Vascular Surgery, Cardiac Surgery, Santissimi. Antonio e Biagio e Cesare Arrigo Hospital, Alessandria, Italy.
Aorta (Stamford). 2019 Oct;7(5):150-153. doi: 10.1055/s-0039-3401019. Epub 2020 Feb 4.
Several cannulation sites alternative to the ascending aorta, such as femoral, right axillary, carotid, innominate artery, and, less commonly, apical sites, have been proposed. Cannulation of the right subclavian artery, through sternotomy, is one possible means of establishing cardiopulmonary bypass, hence avoiding a second surgical incision. In our experience, cardiopulmonary bypass flow was adequate and circulatory arrest with antegrade cerebral perfusion was successfully performed in all cases. There was no in-hospital mortality.
已经提出了几种替代升主动脉的插管部位，如股动脉、右腋动脉、颈动脉、无名动脉，较少见的还有心尖部位。通过胸骨切开术对右锁骨下动脉进行插管是建立体外循环的一种可能方法，从而避免第二个手术切口。根据我们的经验，所有病例的体外循环流量充足，且成功进行了顺行性脑灌注下的循环停止。没有院内死亡病例。
