Axillary Artery Perfusion in Acute Type A Aortic Dissection Repair

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dc.authoridErdil, Nevzat/0000-0002-8275-840X;
dc.authorwosidErdil, Nevzat/K-8079-2019
dc.authorwosidBattaloglu, Bektas/ABI-6211-2020
dc.contributor.authorBattaloglu, Bektas
dc.contributor.authorErdil, Nevzat
dc.contributor.authorNisanoglu, Vedat
dc.date.accessioned2024-08-04T20:31:01Z
dc.date.available2024-08-04T20:31:01Z
dc.date.issued2008
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: 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 pulslessness 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 pulslessness of right upper limb, femoral artery is still the choice of cannulation site. doi: 10.1111/j.1540-8191.2008.00754.x (J Card Surg 2008;23:693-696)en_US
dc.identifier.doi10.1111/j.1540-8191.2008.00754.x
dc.identifier.endpage696en_US
dc.identifier.issn0886-0440
dc.identifier.issn1540-8191
dc.identifier.issue6en_US
dc.identifier.pmid19016993en_US
dc.identifier.scopus2-s2.0-55149085698en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage693en_US
dc.identifier.urihttps://doi.org/10.1111/j.1540-8191.2008.00754.x
dc.identifier.urihttps://hdl.handle.net/11616/94682
dc.identifier.volume23en_US
dc.identifier.wosWOS:000260499400020en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofJournal of Cardiac Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCerebral Perfusionen_US
dc.subjectCannulationen_US
dc.subjectSurgeryen_US
dc.titleAxillary Artery Perfusion in Acute Type A Aortic Dissection Repairen_US
dc.typeArticleen_US

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