NDLI: Axillary artery perfusion in acute type A aortic dissection repair.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Battaloglu, Bektas Erdil, Nevzat Nisanoglu, Vedat
Description	Country affiliation: Turkey Author Affiliation: Battaloglu B ( Department of Cardiovascular Surgery, Inonu University, Turgut Ozal Medical Center, Malatya, Turkey. bbattaloglu@inonu.edu.tr)
Abstract	BACKGROUND: We evaluated our experience with axillary artery perfusion technique in acute type A aortic dissection repair. METHODS: Between September 2000 and July 2006, 41 consecutive patients with acute type A aortic dissection underwent surgical repair. In 35 of 41 patients (85.4%), arterial perfusion was performed through right axillary artery and in the remaining six patients (14.6%), arterial perfusion site was femoral artery. Indication for femoral artery perfusion was cardiac arrest and ongoing cardiopulmonary resuscitation in one and pulselessness of right upper limb in five patients. Mean age was 54.9 +/- 15.3 (16 to 90 years) and 28 were male. Unilateral antegrade cerebral perfusion (perfusate temperature 22 to 25 degrees C) through axillary artery was performed in all axillary artery perfused patients and in three patients who had femoral artery perfusion. RESULTS: Five patients died postoperatively (hospital mortality 12.2%). All of them had evidence of single or multiple organ malperfusion preoperatively. We did not experience any new transient or permanent neurologic deficit after the procedure in the unilateral antegrade cerebral perfusion patients. Complications related to axillary artery cannulation were observed in two patients (5.3%). One patient with femoral artery cannulation experienced femoral arterial thrombosis, postoperatively. CONCLUSIONS: Right axillary artery cannulation for repair of acute type A aortic dissection is a simple and safe procedure. In the case of pulselessness of right upper limb, femoral artery is still the choice of cannulation site.
File Format	HTM / HTML
ISSN	08860440
Issue Number	6
Volume Number	23
e-ISSN	15408191
Journal	Journal of Cardiac Surgery
Language	English
Publisher	Wiley
Publisher Date	2008-11-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Discipline Cardiology Discipline Surgery Aneurysm, Dissecting Surgery Aortic Aneurysm, Thoracic Catheterization Methods Femoral Artery Acute Disease Adolescent Adult Aged Aged, 80 And Over Cardiopulmonary Resuscitation Adverse Effects Feasibility Studies Female Heart Arrest Humans Male Middle Aged Retrospective Studies Survival Analysis Young Adult Evaluation Studies Journal Article
Content Type	Text
Resource Type	Article
Subject	Pulmonary and Respiratory Medicine Surgery Cardiology and Cardiovascular Medicine

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