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Source: The Annals of Thoracic Surgery
Procedure: Perfusion

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Total 35 results found since Jan 2013.

Deep Hypothermic Circulatory Arrest with Retrograde Cerebral Perfusion: How Long is Safe?
CONCLUSIONS: DHCA/RCA provided satisfactory outcomes after proximal aortic operations. The safe duration of RCP with DHCA was up to 30 minutes in our experience. When the circulatory arrest time is expected to exceed 60 minutes, other adjuncts for cerebral protection should be recommended.PMID:36243133 | DOI:10.1016/j.athoracsur.2022.09.045
Source: The Annals of Thoracic Surgery - October 15, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Akiko Tanaka Max Chehadi Holly N Smith Madiha Hassan Harleen K Sandhu Charles C Miller Hazim J Safi Anthony L Estrera Source Type: research

Branch-first Continuous Perfusion Aortic Arch Replacement - Mid-term Results
CONCLUSIONS: BF-CPAR has excellent 10-year results for elective and emergent cases of arch replacement.PMID:36152878 | DOI:10.1016/j.athoracsur.2022.09.020
Source: The Annals of Thoracic Surgery - September 24, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Varun J Sharma Abbie R Kanagarajah Siven Seevanayagam Michelle Kim George Matalanis Source Type: research

Prolonged Periods of Antegrade Cerebral Perfusion Are Safe During Elective Arch Surgery
CONCLUSIONS: In this series of patients who underwent elective proximal aortic surgery using ACP, periods of circulatory arrest up to at least 80 minutes were not associated with significant increases in mortality or permanent stroke. Modern perfusion strategies have allowed for increased safety during elective arch cases requiring prolonged periods of circulatory arrest.PMID:35697114 | DOI:10.1016/j.athoracsur.2022.05.038
Source: The Annals of Thoracic Surgery - June 13, 2022 Category: Cardiovascular & Thoracic Surgery Authors: William B Keeling David Tian Woodrow Farrington Riccardo Sinatra Alessandro Della Corte Roberto Chiesa J Malcolm Underwood Bradley G Leshnower Edward P Chen ARCH International Investigators Source Type: research

Reoperative Total Arch Repair Using a Trifurcated Graft and Selective Antegrade Cerebral Perfusion
CONCLUSIONS: We report a reoperative TAR technique that minimizes dissection of the cardiac structures, simplifies the distal anastomosis, and protects vital organs, such as the brain, heart, and spinal cord.PMID:33857494 | DOI:10.1016/j.athoracsur.2021.03.090
Source: The Annals of Thoracic Surgery - April 15, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Suguru Ohira Ramin Malekan Masashi Kai Joshua B Goldberg Philip J Spencer Steven L Lansman David Spielvogel Source Type: research

Direct versus side graft cannulation from the right axillary artery in thoracic aortic surgery.
CONCLUSIONS: Cannulating the right axillary through a vascular prosthetic graft reduces cannulation-related complications such as iatrogenic axillary artery dissection, and lowers stroke rates. To help prevent cannulation-related complications and stroke, we recommend the routine use of a side graft when cannulating the axillary artery. PMID: 33421389 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - January 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Puiu PC, Pingpoh C, Beyersdorf F, Czerny M, Keyl C, Kreibich M, Kondov S, Rylski B, Zimmer E, Siepe M Tags: Ann Thorac Surg Source Type: research

Impact of Cerebral Perfusion on Outcomes of Aortic Surgery: STS Adult Cardiac Database Analysis.
CONCLUSIONS: For patients without dissection and requiring >30 minutes circulatory arrest, optimal cerebral protection strategies are deep hypothermia with either antegrade or retrograde cerebral perfusion; or moderate hypothermia with antegrade cerebral perfusion. PMID: 31563489 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - September 25, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Itagaki S, Chikwe J, Sun E, Chu D, Toyoda N, Egorova N Tags: Ann Thorac Surg Source Type: research

Dissection of Arch Branches Alone an Indication for Aggressive Arch Management in Type A Dissection?
CONCLUSIONS: In ATAAD, dissection of arch branches alone should not be an indication for routine zone 1/2/3 arch replacement; however, zone 1/2/3 arch replacement could be considered to prevent future reoperations in select patients. PMID: 31404544 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 8, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Norton EL, Wu X, Farhat L, Kim KM, Patel HJ, Deeb GM, Yang B Tags: Ann Thorac Surg Source Type: research

Steps forward in minimally invasive cardiac surgery: 10-year experience.
CONCLUSIONS: The present study shows the considerable and attractive results of our decision making process based on the tailored approach: the 10-year outcome analysis demonstrates a trend toward a progressive decrease in the overall rate of post-operative complications and a significant protective effect of the tailored approach on the occurrence of stroke. PMID: 31233725 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - June 20, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Barbero C, Marchetto G, Ricci D, Stura EC, Clerici A, El Qarra S, Filippini C, Boffini M, Rinaldi M Tags: Ann Thorac Surg Source Type: research

Preliminary results of debranch-first technique in Frozen Elephant Trunk procedures.
CONCLUSIONS: FET with debranch-first technique is safe and feasible and resulted in low mortality and morbidity rates. Further investigation is needed to compare it with standard techniques. PMID: 31082360 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Bertoglio L, Fittipaldi A, Giambuzzi I, Redaelli P, Verzini A, Cambiaghi T, Bargagna M, Alfieri O, Chiesa R, Castiglioni A Tags: Ann Thorac Surg Source Type: research

The Addition of Aortic Root Procedures during Elective Arch Surgery Does Not Confer Added Morbidity nor Mortality.
CONCLUSIONS: The addition of an aortic root procedure during elective aortic arch surgery lengthens cardiopulmonary bypass and aortic crossclamp times but does not increase postoperative morbidity nor mortality. PMID: 30851260 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - March 5, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Keeling B, Tian D, Jakob H, Shrestha M, Fujikawa T, Corvera JS, Di Eusanio M, Leshnower B, Chen EP, ARCH Investigators Tags: Ann Thorac Surg Source Type: research