Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Aortic arch reconstruction without aortic cross-clamping using separate extracorporeal circulation]

K Ogawa1, T Higami, T Asada

  • 1Division of Cardiovascular Surgery, Hyogo Brain and Heart Center, Himeji, Japan.

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai
|November 1, 1993
PubMed
Summary

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

[Management of coronary artery disease combined with aortic stenosis: how to do with mild aortic stenosis].

Kyobu geka. The Japanese journal of thoracic surgery·2000
Same author

Coronary artery bypass grafting using the "Super Pulse" dynamic pulsatile cardiopulmonary bypass device in patients with cerebrovascular occlusive disease.

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·2000
Same author

Minimally invasive direct coronary artery bypass grafting using the gastroepiploic artery for reoperation after the Cabrol procedure.

The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi·1999
Same author

Retrograde cerebral perfusion versus selective cerebral perfusion as evaluated by cerebral oxygen saturation during aortic arch reconstruction.

The Annals of thoracic surgery·1999
Same author

Emergency percutaneous cardiopulmonary bypass support for acute myocardial infarction.

Surgery today·1998
Same author

Leriche syndrome. Surgical procedures and early and late results.

Angiology·1997

This study presents a reliable aortic arch reconstruction technique without aortic cross-clamping, utilizing selective cerebral perfusion and retrograde cardioplegia. The method achieved a 95.2% discharge rate with no major complications, demonstrating its safety and efficacy.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Vascular Surgery

Background:

  • Aortic arch reconstruction traditionally involves aortic cross-clamping, posing risks of cerebral and visceral ischemia.
  • Developing alternative techniques is crucial for improving patient outcomes in complex aortic surgeries.

Observation:

  • A novel technique of aortic arch reconstruction without aortic cross-clamping was employed in 21 patients.
  • This method involved separate extracorporeal circulation with retrograde blood cardioplegia and selective cerebral perfusion.

Findings:

  • The non-clamping selective cerebral perfusion technique resulted in a 95.2% patient discharge rate.
  • No instances of cerebral complications, myocardial infarction, lung bleeding, or coagulopathy were observed.
  • The mean duration of separate perfusion was 99.9 minutes, with a range of 20 to 161 minutes.

Related Experiment Videos

Implications:

  • This non-clamping approach offers a reliable and safe alternative for aortic arch reconstruction.
  • It effectively prevents cerebral infarction and protects vital organs during complex aortic procedures.
  • The technique holds promise for reducing morbidity and mortality associated with aortic arch pathologies.