New technique for retrograde cerebral perfusion during arch aneurysm repair. 1995

S Bartoccioni, and G Lanzillo, and A A deJong, and P Fiaschini, and G Martinelli, and C Fedeli, and D Di Lazarro, and U Mercati
Division of Cardiac Surgery, Ospedale R. Silvestrini, Perugia, Italy.

Many techniques are used to reduce brain damage during surgery for dissecting aneurysms of the ascending aorta and arch. Recently, new techniques of protection were proposed, consistent with hypothermic circulatory arrest in association with retrograde cerebral perfusion via superior vena cava. We propose a simple, time-saving method, which does not require any manipulation of the heart. We use a multilumen cannula for cardioplegia (D 860-DIDECO FUNDARO') with pressure transducer. This cannula is inserted in superior vena cava by means of a simple purse-string, and linked to the arterial line with a "Y" derivation, allowing retrograde perfusion of the brain and monitoring the perfusion pressure at every moment. The superior vena cava placed downstream from the cannula is closed by a small vascular clamp, to avoid blood reflux in the right atrium. This method is time- and money-saving, is readily available, and can be prepared whenever necessary, also in the middle of the surgical procedure.

UI MeSH Term Description Entries
D007036 Hypothermia, Induced Abnormally low BODY TEMPERATURE that is intentionally induced in warm-blooded animals by artificial means. In humans, mild or moderate hypothermia has been used to reduce tissue damages, particularly after cardiac or spinal cord injuries and during subsequent surgeries. Induced Hypothermia,Mild Hypothermia, Induced,Moderate Hypothermia, Induced,Targeted Temperature Management,Therapeutic Hypothermia,Hypothermia, Therapeutic,Induced Mild Hypothermia,Induced Mild Hypothermias,Induced Moderate Hypothermia,Induced Moderate Hypothermias,Mild Hypothermias, Induced,Moderate Hypothermias, Induced,Targeted Temperature Managements
D001925 Brain Damage, Chronic A condition characterized by long-standing brain dysfunction or damage, usually of three months duration or longer. Potential etiologies include BRAIN INFARCTION; certain NEURODEGENERATIVE DISORDERS; CRANIOCEREBRAL TRAUMA; ANOXIA, BRAIN; ENCEPHALITIS; certain NEUROTOXICITY SYNDROMES; metabolic disorders (see BRAIN DISEASES, METABOLIC); and other conditions. Encephalopathy, Chronic,Chronic Encephalopathy,Chronic Brain Damage
D002315 Cardiopulmonary Bypass Diversion of the flow of blood from the entrance of the right atrium directly to the aorta (or femoral artery) via an oxygenator thus bypassing both the heart and lungs. Heart-Lung Bypass,Bypass, Cardiopulmonary,Bypass, Heart-Lung,Bypasses, Cardiopulmonary,Bypasses, Heart-Lung,Cardiopulmonary Bypasses,Heart Lung Bypass,Heart-Lung Bypasses
D002405 Catheterization, Central Venous Placement of an intravenous CATHETER in the subclavian, jugular, or other central vein. Central Venous Catheterization,Venous Catheterization, Central,Catheterization, Central,Central Catheterization,Catheterizations, Central,Catheterizations, Central Venous,Central Catheterizations,Central Venous Catheterizations,Venous Catheterizations, Central
D002560 Cerebrovascular Circulation The circulation of blood through the BLOOD VESSELS of the BRAIN. Brain Blood Flow,Regional Cerebral Blood Flow,Cerebral Blood Flow,Cerebral Circulation,Cerebral Perfusion Pressure,Circulation, Cerebrovascular,Blood Flow, Brain,Blood Flow, Cerebral,Brain Blood Flows,Cerebral Blood Flows,Cerebral Circulations,Cerebral Perfusion Pressures,Circulation, Cerebral,Flow, Brain Blood,Flow, Cerebral Blood,Perfusion Pressure, Cerebral,Pressure, Cerebral Perfusion
D004867 Equipment Design Methods and patterns of fabricating machines and related hardware. Design, Equipment,Device Design,Medical Device Design,Design, Medical Device,Designs, Medical Device,Device Design, Medical,Device Designs, Medical,Medical Device Designs,Design, Device,Designs, Device,Designs, Equipment,Device Designs,Equipment Designs
D006324 Heart Arrest, Induced A procedure to stop the contraction of MYOCARDIUM during HEART SURGERY. It is usually achieved with the use of chemicals (CARDIOPLEGIC SOLUTIONS) or cold temperature (such as chilled perfusate). Cardiac Arrest, Induced,Cardioplegia,Induced Cardiac Arrest,Induced Heart Arrest,Cardioplegias
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000784 Aortic Dissection A tear in the inner layer of the AORTA leading to interstitial HEMORRHAGE, and splitting (dissecting) of the aortic TUNICA MEDIA layer. It typically begins with a tear in the TUNICA INTIMA layer. Aneurysm, Dissecting,Aortic Dissecting Aneurysm,Dissecting Aneurysm,Dissecting Aneurysm Aorta,Aneurysm Aorta, Dissecting,Aneurysm, Aortic Dissecting,Aorta, Dissecting Aneurysm,Aortic Dissecting Aneurysms,Aortic Dissections,Dissecting Aneurysm Aortas,Dissecting Aneurysm, Aortic,Dissecting Aneurysms,Dissection, Aortic
D001014 Aortic Aneurysm An abnormal balloon- or sac-like dilatation in the wall of AORTA. Aneurysm, Aortic,Aneurysms, Aortic,Aortic Aneurysms

Related Publications

S Bartoccioni, and G Lanzillo, and A A deJong, and P Fiaschini, and G Martinelli, and C Fedeli, and D Di Lazarro, and U Mercati
August 1993, The Annals of thoracic surgery,
S Bartoccioni, and G Lanzillo, and A A deJong, and P Fiaschini, and G Martinelli, and C Fedeli, and D Di Lazarro, and U Mercati
December 1999, The Journal of thoracic and cardiovascular surgery,
S Bartoccioni, and G Lanzillo, and A A deJong, and P Fiaschini, and G Martinelli, and C Fedeli, and D Di Lazarro, and U Mercati
February 2018, The Annals of thoracic surgery,
S Bartoccioni, and G Lanzillo, and A A deJong, and P Fiaschini, and G Martinelli, and C Fedeli, and D Di Lazarro, and U Mercati
June 1997, The Annals of thoracic surgery,
S Bartoccioni, and G Lanzillo, and A A deJong, and P Fiaschini, and G Martinelli, and C Fedeli, and D Di Lazarro, and U Mercati
February 1997, The Kobe journal of medical sciences,
S Bartoccioni, and G Lanzillo, and A A deJong, and P Fiaschini, and G Martinelli, and C Fedeli, and D Di Lazarro, and U Mercati
July 1993, Kyobu geka. The Japanese journal of thoracic surgery,
S Bartoccioni, and G Lanzillo, and A A deJong, and P Fiaschini, and G Martinelli, and C Fedeli, and D Di Lazarro, and U Mercati
April 1998, The Annals of thoracic surgery,
S Bartoccioni, and G Lanzillo, and A A deJong, and P Fiaschini, and G Martinelli, and C Fedeli, and D Di Lazarro, and U Mercati
August 2002, The Annals of thoracic surgery,
S Bartoccioni, and G Lanzillo, and A A deJong, and P Fiaschini, and G Martinelli, and C Fedeli, and D Di Lazarro, and U Mercati
July 1993, Kyobu geka. The Japanese journal of thoracic surgery,
S Bartoccioni, and G Lanzillo, and A A deJong, and P Fiaschini, and G Martinelli, and C Fedeli, and D Di Lazarro, and U Mercati
May 1996, The Annals of thoracic surgery,
Copied contents to your clipboard!