Innominate artery cannulation for arterial perfusion during aortic arch surgery

Area of Science:

• Cardiovascular Surgery
• Neurological Outcomes
• Surgical Techniques

Background:

• Antegrade cerebral perfusion is crucial for minimizing neurological complications in aortic arch surgery.
• The innominate artery is a potential cannulation site for delivering arterial perfusion during these complex procedures.

Purpose of the Study:

• To evaluate the safety and efficacy of using innominate artery cannulation for arterial perfusion in patients undergoing aortic arch surgery.

Main Methods:

• A retrospective analysis of 159 patients who underwent aortic arch surgery with innominate artery perfusion between January 2008 and December 2015.
• Patients had a mean age of 71.4 ± 9.1 years, with 120 males.

Main Results:

• Total arch replacement was performed in 84.1% of the patients.
• The incidence of postoperative stroke was low, at 2.5%.
• The overall in-hospital mortality rate was also 2.5%.

Conclusions:

• Innominate artery cannulation for antegrade cerebral perfusion is a safe and effective technique in aortic arch surgery.
• This approach is associated with favorable neurological outcomes and low mortality rates.