Selective cerebral perfusion for reduced cerebral blood flow during debranching thoracic endovascular aortic repair
A 69-year-old man with chest pain was diagnosed with acute type B aortic dissection with the entry tear located at distal arch and a distal aortic arch aneurysm. Therefore, we performed debranching thoracic endovascular aortic repair 2 weeks after type B aortic dissection onset. First, the graft was...
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Elsevier
2025-04-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724002910 |
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| author | Satoshi Sakakibara, MD Takashi Yamauchi, MD, PhD |
| author_facet | Satoshi Sakakibara, MD Takashi Yamauchi, MD, PhD |
| author_sort | Satoshi Sakakibara, MD |
| collection | DOAJ |
| description | A 69-year-old man with chest pain was diagnosed with acute type B aortic dissection with the entry tear located at distal arch and a distal aortic arch aneurysm. Therefore, we performed debranching thoracic endovascular aortic repair 2 weeks after type B aortic dissection onset. First, the graft was anastomosed to bilateral axillary arteries. After clamping the left common carotid artery (LCCA), the regional cerebral oxygen saturation decreased notably. Therefore, we used selective cerebral perfusion using a roller pump with a filter to prevent embolization, a 24F sheath inserted into the left common femoral artery (drainage cannula), and a balloon perfusion catheter inserted into the LCCA (arterial cannula). This technique improved the rSO2 and was continued during anastomosis of the graft to the LCCA. Thoracic endovascular aortic repair was performed after debranching from the right axillary artery to the LCCA and left axillary artery. The patient was discharged 7 days postoperatively without cerebral complications. |
| format | Article |
| id | doaj-art-fbb5037e00b94e7fb7b43d81f5c23ef0 |
| institution | DOAJ |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-fbb5037e00b94e7fb7b43d81f5c23ef02025-08-20T03:06:00ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-04-0111210170710.1016/j.jvscit.2024.101707Selective cerebral perfusion for reduced cerebral blood flow during debranching thoracic endovascular aortic repairSatoshi Sakakibara, MD0Takashi Yamauchi, MD, PhD1Correspondence: Satoshi Sakakibara, MD, Department of Cardiovascular Surgery, Higashiosaka City Medical Center, 3-4-5 Nishi iwata, Higashiosaka, Osaka 578-8588, Japan; Department of Cardiovascular Surgery, Higashiosaka City Medical Center, Higashiosaka, Osaka, JapanDepartment of Cardiovascular Surgery, Higashiosaka City Medical Center, Higashiosaka, Osaka, JapanA 69-year-old man with chest pain was diagnosed with acute type B aortic dissection with the entry tear located at distal arch and a distal aortic arch aneurysm. Therefore, we performed debranching thoracic endovascular aortic repair 2 weeks after type B aortic dissection onset. First, the graft was anastomosed to bilateral axillary arteries. After clamping the left common carotid artery (LCCA), the regional cerebral oxygen saturation decreased notably. Therefore, we used selective cerebral perfusion using a roller pump with a filter to prevent embolization, a 24F sheath inserted into the left common femoral artery (drainage cannula), and a balloon perfusion catheter inserted into the LCCA (arterial cannula). This technique improved the rSO2 and was continued during anastomosis of the graft to the LCCA. Thoracic endovascular aortic repair was performed after debranching from the right axillary artery to the LCCA and left axillary artery. The patient was discharged 7 days postoperatively without cerebral complications.http://www.sciencedirect.com/science/article/pii/S2468428724002910Selected cerebral perfusionTEVARINVOSrSO2 |
| spellingShingle | Satoshi Sakakibara, MD Takashi Yamauchi, MD, PhD Selective cerebral perfusion for reduced cerebral blood flow during debranching thoracic endovascular aortic repair Journal of Vascular Surgery Cases and Innovative Techniques Selected cerebral perfusion TEVAR INVOS rSO2 |
| title | Selective cerebral perfusion for reduced cerebral blood flow during debranching thoracic endovascular aortic repair |
| title_full | Selective cerebral perfusion for reduced cerebral blood flow during debranching thoracic endovascular aortic repair |
| title_fullStr | Selective cerebral perfusion for reduced cerebral blood flow during debranching thoracic endovascular aortic repair |
| title_full_unstemmed | Selective cerebral perfusion for reduced cerebral blood flow during debranching thoracic endovascular aortic repair |
| title_short | Selective cerebral perfusion for reduced cerebral blood flow during debranching thoracic endovascular aortic repair |
| title_sort | selective cerebral perfusion for reduced cerebral blood flow during debranching thoracic endovascular aortic repair |
| topic | Selected cerebral perfusion TEVAR INVOS rSO2 |
| url | http://www.sciencedirect.com/science/article/pii/S2468428724002910 |
| work_keys_str_mv | AT satoshisakakibaramd selectivecerebralperfusionforreducedcerebralbloodflowduringdebranchingthoracicendovascularaorticrepair AT takashiyamauchimdphd selectivecerebralperfusionforreducedcerebralbloodflowduringdebranchingthoracicendovascularaorticrepair |