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Direct Innominate Artery Cannulation as a Sole Systemic and Cerebral Perfusion Technique in Aortic Surgery

Alireza Kashani1, Mathew Doyle1, Matthew Horton1

  • 1St. George Public Hospital, Sydney, NSW, Australia.

Heart, Lung & Circulation
|October 2, 2018
PubMed

Insights

Direct innominate artery cannulation offers a novel approach for thoracic aortic surgery. This technique provides both systemic and selective antegrade cerebral perfusion, addressing challenges in arterial access and brain protection.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Aortic Surgery
  • Cerebral Perfusion

Background:

  • Arterial cannulation in thoracic aortic surgery is complex due to surgical site and cerebral protection needs during circulatory arrest.
  • Common cannulation sites (ascending/descending aorta, axillary, carotid, femoral arteries) have limitations and risks.
  • The innominate artery presents a viable alternative for cannulation, either directly or via a graft.

Purpose of the Study:

  • To present a novel technique for sole direct innominate artery cannulation.
  • To demonstrate its capability for providing systemic and selective antegrade cerebral perfusion during aortic surgery.

Main Methods:

  • Direct cannulation of the innominate artery.
  • Utilizing this site for both systemic circulation and targeted cerebral perfusion.

Main Results:

  • Successful implementation of sole direct innominate artery cannulation.
  • Achieved both systemic and selective antegrade cerebral perfusion.

Conclusions:

  • Direct innominate artery cannulation is a feasible and effective alternative for thoracic aortic surgery.
  • This technique enhances cerebral protection and addresses limitations of traditional cannulation sites.

Keywords:
AortaCardiopulmonary bypassCerebral perfusionInnominate artery

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