Is Deep Hypothermic Cardiac Arrest Mandatory in Aortic Arch Surgeries?
Cannulation strategies in aortic arch surgeries are a matter of immense discussion. Majority of time deep hypothermic circulatory arrest (DHCA) is the way out, but it does come with its set of demerits. Here we demonstrate a case with aortic arch dissection dealt with dual cannulation strategy in ax...
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| Published in: | Revista brasileira de cirurgia cardiovascular Vol. 39; no. 1; p. e20200465 |
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Sociedade Brasileira de Cirurgia Cardiovascular
01-01-2024
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| Abstract | Cannulation strategies in aortic arch surgeries are a matter of immense discussion. Majority of time deep hypothermic circulatory arrest (DHCA) is the way out, but it does come with its set of demerits. Here we demonstrate a case with aortic arch dissection dealt with dual cannulation strategy in axillary and femoral artery without need for DHCA and ensuring complete neuroprotection of brain and spinal cord without hinderance of time factor. Inception of new ideas like this may decrease the need for DHCA and hence its drawbacks, thus decreasing the morbidity and mortality associated. |
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| AbstractList | ABSTRACT Cannulation strategies in aortic arch surgeries are a matter of immense discussion. Majority of time deep hypothermic circulatory arrest (DHCA) is the way out, but it does come with its set of demerits. Here we demonstrate a case with aortic arch dissection dealt with dual cannulation strategy in axillary and femoral artery without need for DHCA and ensuring complete neuroprotection of brain and spinal cord without hinderance of time factor. Inception of new ideas like this may decrease the need for DHCA and hence its drawbacks, thus decreasing the morbidity and mortality associated. Cannulation strategies in aortic arch surgeries are a matter of immense discussion. Majority of time deep hypothermic circulatory arrest (DHCA) is the way out, but it does come with its set of demerits. Here we demonstrate a case with aortic arch dissection dealt with dual cannulation strategy in axillary and femoral artery without need for DHCA and ensuring complete neuroprotection of brain and spinal cord without hinderance of time factor. Inception of new ideas like this may decrease the need for DHCA and hence its drawbacks, thus decreasing the morbidity and mortality associated. |
| Author | Gohil, Ishan Kothari, Jignesh Baria, Kinneresh |
| AuthorAffiliation | B.J. Medical College |
| AuthorAffiliation_xml | – name: B.J. Medical College |
| Author_xml | – sequence: 1 givenname: Jignesh orcidid: 0000-0002-7693-2037 surname: Kothari fullname: Kothari, Jignesh organization: Department of Cardiovascular and Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Centre, Affiliated B.J. Medical College, New Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India – sequence: 2 givenname: Ishan surname: Gohil fullname: Gohil, Ishan organization: Department of Cardiovascular and Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Centre, Affiliated B.J. Medical College, New Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India – sequence: 3 givenname: Kinneresh surname: Baria fullname: Baria, Kinneresh organization: Department of Cardiovascular and Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Centre, Affiliated B.J. Medical College, New Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38315001$$D View this record in MEDLINE/PubMed |
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| Keywords | Neuroprotection Deep Hypothermia Induced Circulatory Arrest Catheterization Thoracic Aorta Aortic Diseases Thoracic Aorta Dissection |
| Language | English |
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| References | Leshnower, BG. 2019; 8 Stecker, MM; Cheung, AT; Pochettino, A; Kent, GP; Patterson, T; Weiss, SJ 2001; 71 Abe, T; Usui, A. 2017; 65 Benedetto, U; Raja, SG; Amrani, M; Pepper, JR; Zeinah, M; Tonelli, E 2014; 148 Raja, SG. 2017; 9 Gulbins, H; Pritisanac, A; Ennker, J. 2007; 83 |
| References_xml | – volume: 9 start-page: S428 issue: Suppl 6 year: 2017 end-page: 9 article-title: Cannulation strategies for aortic surgery: which is the best one? publication-title: J Thorac Dis contributor: fullname: Raja, SG. – volume: 83 start-page: 1219 issue: 3 year: 2007 end-page: 1224 article-title: Axillary versus femoral cannulation for aortic surgery: enough evidence for a general recommendation? publication-title: Ann Thorac Surg contributor: fullname: Gulbins, H; Pritisanac, A; Ennker, J. – volume: 71 start-page: 14 issue: 1 year: 2001 end-page: 21 article-title: Deep hypothermic circulatory arrest: I. effects of cooling on electroencephalogram and evoked potentials publication-title: Ann Thorac Surg contributor: fullname: Stecker, MM; Cheung, AT; Pochettino, A; Kent, GP; Patterson, T; Weiss, SJ – volume: 8 start-page: 561 issue: 5 year: 2019 end-page: 566 article-title: Cannulation strategies, circulation management and neuroprotection for type A intramural hematoma: tips and tricks publication-title: Ann Cardiothorac Surg contributor: fullname: Leshnower, BG. – volume: 65 start-page: 1 issue: 1 year: 2017 end-page: 9 article-title: The cannulation strategy in surgery for acute type A dissection publication-title: Gen Thorac Cardiovasc Surg contributor: fullname: Abe, T; Usui, A. – volume: 148 start-page: 2936 issue: 6 year: 2014 end-page: 43.e1-4 article-title: The impact of arterial cannulation strategy on operative outcomes in aortic surgery: evidence from a comprehensive meta-analysis of comparative studies on 4476 patients publication-title: J Thorac Cardiovasc Surg contributor: fullname: Benedetto, U; Raja, SG; Amrani, M; Pepper, JR; Zeinah, M; Tonelli, E |
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| Snippet | Cannulation strategies in aortic arch surgeries are a matter of immense discussion. Majority of time deep hypothermic circulatory arrest (DHCA) is the way out,... ABSTRACT Cannulation strategies in aortic arch surgeries are a matter of immense discussion. Majority of time deep hypothermic circulatory arrest (DHCA) is the... |
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| SubjectTerms | Aorta, Thoracic - surgery Aortic Diseases - surgery CARDIAC & CARDIOVASCULAR SYSTEMS Catheterization Circulatory Arrest, Deep Hypothermia Induced Heart Arrest - etiology Humans Retrospective Studies SURGERY Treatment Outcome |
| Title | Is Deep Hypothermic Cardiac Arrest Mandatory in Aortic Arch Surgeries? |
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