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A simplified isolation technique for atherosclerotic aortic arch aneurysms surgery
Yuta Kikuchi1, Yoichi Kikuchi2, Hiroyuki Kamiya1
1Department of Cardiovascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Journal of Surgical Case Reports
|April 26, 2021
Summary
This study simplifies a technique to prevent brain embolism during aneurysm surgery. A modified puncture method using aortic root cannulas makes the procedure more accessible.
Area of Science:
- Cardiovascular Surgery
- Neurosurgery
- Vascular Surgery
Background:
- Aneurysm treatment can pose risks of atherosclerotic embolism to the brain.
- The isolation technique is effective but difficult to perform due to cannulation challenges.
- Massive hematomas or 'shaggy aorta' increase the risk of embolism during aneurysm procedures.
Purpose of the Study:
- To simplify the cannulation procedure for the isolation technique.
- To improve the accessibility and widespread adoption of the isolation technique.
- To reduce the risk of atherosclerotic embolism during aneurysm treatment.
Main Methods:
- Modification of the standard isolation technique.
- Introduction of a simplified puncture method for cannulation.
- Utilization of aortic root cannulas for improved access.
Main Results:
- The modified technique simplifies the cannulation process.
- The puncture method with aortic root cannulas proved effective.
- This simplification aims to increase the use of the isolation technique.
Conclusions:
- The modified isolation technique is a simpler and more accessible approach.
- Simplified cannulation enhances the feasibility of preventing brain embolism.
- This technique offers a promising solution for high-risk aneurysm cases.
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