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Related Experiment Video

Updated: Jun 6, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
14:58

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

Total arch replacement using bilateral axillary antegrade selective cerebral perfusion.

Satoshi Yamashiro1, Yukio Kuniyoshi, Katsuya Arakaki

  • 1Division of Thoracic and Cardiovascular Surgery, Department of Bioregulatory Medicine, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan.

Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
|November 9, 2010
PubMed
Summary

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Bilateral axillary arterial perfusion during aortic arch aneurysm repair effectively prevents cerebral damage. This surgical strategy demonstrates safety and good patient outcomes, minimizing neurological complications.

Area of Science:

  • Cardiovascular Surgery
  • Neurosurgery
  • Vascular Surgery

Background:

  • Cerebral injury is a significant risk during aortic arch aneurysm repair.
  • Cerebral protection techniques are crucial for minimizing neurological complications.
  • Extended thoracic aortic aneurysms require specialized surgical strategies.

Purpose of the Study:

  • To describe a surgical strategy for extended thoracic aortic aneurysms.
  • To evaluate the safety and efficacy of bilateral axillary arterial perfusion for cerebral protection.
  • To assess patient outcomes following aortic arch aneurysm repair.

Main Methods:

  • 17 patients underwent total arch replacement between 2001 and 2008.
  • Bilateral axillary arteries were used for systemic and selective cerebral perfusion.

Related Experiment Videos

Last Updated: Jun 6, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
14:58

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

  • Surgical approaches included median sternotomy and left anterolateral thoracotomy.

    • Main Results:

    • One hospital death (5.9%) occurred due to multiple organ failure.
    • Permanent neurological dysfunction was not observed in any patient.
    • Patients required mechanical ventilation for an average of 4.6 days but recovered uneventfully.

    Conclusions:

    • Median sternotomy with left anterolateral thoracotomy and bilateral axillary artery perfusion is a safe method.
    • Bilateral axillary artery perfusion effectively prevents cerebral damage during aortic arch aneurysm repair.
    • The described surgical strategy yields favorable patient outcomes.