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Updated: May 24, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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[Ascending aorta cannulation in stanford type a acute aortic dissection].

Tatsuya Seki1, Ryushi Maruyama, Yousuke Inoue

  • 1Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|March 1, 2012
PubMed
Summary

Ascending aorta cannulation offers a safe and effective method for establishing cardiopulmonary bypass in acute aortic dissection type A. This technique avoids complications, ensuring antegrade flow through the true lumen.

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Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Aortic Surgery

Background:

  • Acute aortic dissection type A (AAD) requires rapid and safe cardiopulmonary bypass.
  • Cannulation strategies include femoral artery, axillary artery, ascending aorta, and left ventricular apex.
  • Maintaining antegrade flow through the true lumen is critical for type A AAD management.

Purpose of the Study:

  • To evaluate the safety and efficacy of ascending aorta cannulation for cardiopulmonary bypass in type A AAD.
  • To compare ascending aorta cannulation with traditional femoral artery cannulation.

Main Methods:

  • Ascending aorta cannulation using the Seldinger technique was performed in 8 patients.
  • Real-time imaging with epiaortic color Doppler and transesophageal echocardiography guided cannulation.

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  • Data were compared with a control group undergoing femoral artery cannulation.

    • Main Results:

    • Ascending aorta cannulation was successfully and easily performed.
    • No cerebral events or hypoperfusion-related complications were observed in the ascending aorta cannulation group.
    • Femoral artery cannulation served as the control group for comparison.

    Conclusions:

    • Ascending aorta cannulation is a safe and effective cannulation strategy for cardiopulmonary bypass in type A AAD.
    • This method facilitates antegrade flow and avoids major complications.
    • The Seldinger technique, guided by advanced echocardiography, ensures procedural success.