Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Video

Updated: Jul 7, 2025

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

Published on: September 13, 2020

The cervical branch-first technique in complex resternotomy.

Michelle Ng¹, George Matalanis¹

¹Department of Cardiac Surgery, Austin Health, Melbourne, Australia.

JTCVS Techniques

|December 28, 2023

Summary

This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Modeling Prenatal Immune Activation in Human Brain Organoids Uncovers IL-6-Dependent Interneuron Dysmaturation.

bioRxiv : the preprint server for biology·2026

Same author

Reprogramming insulin receptor activation with a de novo agonist to overcome severe insulin resistance.

bioRxiv : the preprint server for biology·2026

Same author

Targeted Therapy for Systemic Epstein-Barr Virus-Positive T-Cell Lymphoma of Childhood.

Journal of the National Comprehensive Cancer Network : JNCCN·2026

Same author

Risk Communication in Real Time: Examining Individuals' Smartphone Use During the 2021 Texas Winter Disaster With Mobile Sensing.

Risk analysis : an official publication of the Society for Risk Analysis·2026

Same author

Etiology of cirrhosis is associated with risk of hepatic decompensation and hepatocellular carcinoma.

BMC gastroenterology·2025

Same author

Avelumab First-Line Maintenance for Advanced Urothelial Carcinoma: Real-World Results From an Early Access Program in Malaysia.

Asia-Pacific journal of clinical oncology·2025

The cervical branch-first technique enhances neuroprotection during complex aortic arch repair, especially in reoperative cases with hostile anatomy. This approach ensures uninterrupted cerebral perfusion, leading to promising patient outcomes.

Area of Science:

Cardiovascular Surgery
Thoracic Surgery
Vascular Surgery

Background:

The cervical branch-first technique represents a significant advancement in open aortic surgery.
It is specifically modified for patients with challenging mediastinal anatomy, reducing risks during sternal reentry.

Purpose of the Study:

To describe the intraoperative preparation and technique for cervical branch-first aortic arch repair.
To report the outcomes of four patients who underwent complex reoperative aortic surgery using this method.

Main Methods:

Detailed description of the cervical branch-first technique for intraoperative management.
Case series analysis of four patients undergoing complex reoperative aortic surgery.

Main Results:

Keywords:

branch-first total arch repair complex redo sternotomy redo open aortic surgery

More Related Videos

A Mouse Model of Direct Anastomosis via the Prespinal Route for Crossing Nerve Transfer Surgery

A Mouse Model of Direct Anastomosis via the Prespinal Route for Crossing Nerve Transfer Surgery

Published on: October 19, 2021

Anterior Cervical Discectomy and Fusion in the Ovine Model

Anterior Cervical Discectomy and Fusion in the Ovine Model

Published on: October 5, 2009

Related Experiment Videos

Last Updated: Jul 7, 2025

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

Published on: September 13, 2020

A Mouse Model of Direct Anastomosis via the Prespinal Route for Crossing Nerve Transfer Surgery

A Mouse Model of Direct Anastomosis via the Prespinal Route for Crossing Nerve Transfer Surgery

Published on: October 19, 2021

Anterior Cervical Discectomy and Fusion in the Ovine Model

Anterior Cervical Discectomy and Fusion in the Ovine Model

Published on: October 5, 2009

All four patients survived complex reoperative aortic surgery, including emergency cases and those requiring extracorporeal support.
No permanent neurological, ischemic, or peripheral arterial complications were observed; one late mortality occurred due to heart failure.

Conclusions:

The cervical branch-first technique provides superior, early neuroprotection during reoperative aortic surgery.
It establishes an independent cerebral perfusion circuit, crucial for complex procedures in compromised chests.
Initial outcomes are promising, with ongoing efforts to refine patient selection for this advanced technique.