Related Experiment Video

Updated: Aug 17, 2026

Real-Time Assessment of Spinal Cord Microperfusion in a Porcine Model of Ischemia/Reperfusion
10:27

Real-Time Assessment of Spinal Cord Microperfusion in a Porcine Model of Ischemia/Reperfusion

Published on: December 10, 2020

3.5K

Bilateral antegrade cerebral perfusion during hypothermic circulatory arrest before sternal reentry for aortic

Vishal N Shah1, Joshua R Chen1, Jonathan Guba1

  • 1Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.

Perfusion
|August 26, 2024
PubMed

Insights

Sternal reentry for aortic pseudoaneurysm repair requires careful planning. This study details a safe technique using peripheral cardiopulmonary bypass and deep hypothermic circulatory arrest to prevent bleeding.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Aortic Surgery

Background:

  • Sternal reentry for aortic pseudoaneurysm repair presents significant bleeding risks.
  • Effective surgical strategies are crucial for patient safety.

Purpose of the Study:

  • To describe a safe and effective sternal reentry technique for aortic pseudoaneurysm repair.
  • To highlight the importance of specific bypass and circulatory arrest methods.

Main Methods:

  • Initiation of peripheral cardiopulmonary bypass.
  • Application of deep hypothermic circulatory arrest.
  • Adjunctive bilateral antegrade cerebral perfusion.

Main Results:

  • The described technique facilitated safe sternal reentry in two patients.
  • The approach aimed to minimize exsanguination risk during repair.

Conclusions:

  • The described technique provides a safe method for sternal reentry in aortic pseudoaneurysm repair.
  • Deep hypothermic circulatory arrest and antegrade cerebral perfusion are key components for success.

Keywords:
antegrade cerebral perfusionaortic pseudoaneurysmcarotid artery cannulationcirculatory arrestdeep hypothermiaperipheral cardiopulmonary bypasssternal reentry

More Related Videos

Establishment of Deep Hypothermic Circulatory Arrest in Rats08:39

Establishment of Deep Hypothermic Circulatory Arrest in Rats

Published on: December 16, 2022

2.2K
Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death09:54

Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death

Published on: August 15, 2022

1.8K

Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...