Hirose H, Kawashima Y, Shirakura R, Matsuda H, Nakano S, Adachi S
Ann Thorac Surg. 1985 Jun;39(6):538-40. doi: 10.1016/s0003-4975(10)61994-7.
A balloon catheter was utilized to occlude the distal aorta during prosthetic replacement of an aortic arch aneurysm in 4 consecutive patients under conditions of separate cerebral and peripheral perfusion and deep hypothermia. All patients survived the procedure, and 3 were doing well 1 to 1.5 years following operation. One patient sustained a cerebral infarction and recovered with some sequent disability. The use of a balloon occlusion catheter allowed us to perform the operation through a median sternotomy only, and eliminated the procedure of pulmonary dissection for distal clamping and the risk of emboli. In addition, its use provided a relatively bloodless field and sufficient protection for organs in the lower body through adequate perfusion, even when their function was poor or when the distal anastomosis was prolonged. We realized improved surgical results in the treatment of aneurysms of the aortic arch.
在4例连续性患者中，于脑和外周循环分离灌注及深度低温条件下，使用球囊导管在人工置换主动脉弓动脉瘤期间闭塞远端主动脉。所有患者均顺利完成手术，3例患者术后1至1.5年情况良好。1例患者发生脑梗死，恢复后遗留一定残疾。使用球囊闭塞导管使我们仅通过正中胸骨切开术即可完成手术，省去了用于远端钳夹的肺门解剖操作及栓塞风险。此外，即使在器官功能不佳或远端吻合时间延长时，其使用通过充分灌注为下半身器官提供了相对无血的术野和充分保护。我们意识到在主动脉弓动脉瘤治疗中手术效果得到了改善。
