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Published on: December 10, 2020
Facilitation of bilateral selective antegrade cerebral perfusion with axillary cannulation and retrograde coronary
S Fukuhara1, S DeRoo1, J Beck1
1Division of Cardiothoracic Surgery, Columbia University Medical Center, New York, New York, USA.
Abstract:
Over the past several decades, techniques for surgery of the aortic arch have undergone significant evolution. In addition, there have been refinements in the mechanism of cerebral protection utilized intraoperatively. However, significant practice variations in the strategy of antegrade selective cerebral perfusion continue to persist. Here, we describe a simple and easily reproducible technique for selective antegrade cerebral perfusion, utilizing axillary cannulation and retrograde coronary sinus balloon catheters.
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