2020
DOI: 10.23736/s0021-9509.19.10893-2
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Evaluation of myocardial injury, the need for vasopressors and inotropic support in beating-heart aortic arch surgery

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Cited by 13 publications
(8 citation statements)
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“…Our surgical technique has previously been described in detail ( 12 15 ). Briefly, the right axillary artery was routinely used for arterial cannulation.…”
Section: Methodsmentioning
confidence: 99%
See 1 more Smart Citation
“…Our surgical technique has previously been described in detail ( 12 15 ). Briefly, the right axillary artery was routinely used for arterial cannulation.…”
Section: Methodsmentioning
confidence: 99%
“…After that, the LSA prosthetic branch is guided to this location via the second intercostal space, and an end-to-side anastomosis is performed. We applied the beating-heart technique using 300 mL normothermic myocardial perfusion when feasible or cold-blood cardioplegia for myocardial protection ( 15 , 16 ). We performed a staged approach in patients with chronic aortic dissection already fulfilling the criteria for aortic intervention or replacement in several downstream aortic segments: (I) FET, (II) subsequent thoracic endovascular aortic repair (TEVAR) to the level of the coeliac trunk and (III) open thoraco-abdominal replacement of the remaining involved aortic segments as previously reported ( 17 ).…”
Section: Methodsmentioning
confidence: 99%
“…In short, all patients routinely undergo a complete sternotomy with cannulation of the right axillary artery to enable arterial inflow for cardiopulmonary bypass. Concomitant cardiac, valve or root procedures are routinely carried out while the patient is cooled down to a 25°C core body temperature, and we apply cold-blood cardioplegia or the beating-heart technique using 300 ml normothermic myocardial perfusion for myocardial protection via the cardioplegia cannula during aortic arch replacement [ 14 ]. Bilateral cerebral perfusion is our standard method for cerebral protection (via the right axillary and the left common carotid artery).…”
Section: Methodsmentioning
confidence: 99%
“…Our standardised, integrated surgical management of the FET technique has been reported (6)(7)(8). In short, we carry out a full sternotomy and generally cannulate the right axillary artery for arterial inflow for cardiopulmonary bypass.…”
Section: Perioperative Approachmentioning
confidence: 99%