One more method for arterial cannulation in aortic arch surgery (“Penza cannulation”)

Rosseykin, E. V.; Kobzev, E E; Bazylev, V. V.

doi:10.1177/0218492318799901

Cited by 5 publications

(4 citation statements)

References 9 publications

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“…Studies stress the importance of strategic cannulation in AAD repair, emphasizing the need for meticulous planning and execution. Due to their prospective benefits, techniques such as axillary cannulation and direct true lumen cannulation have gained attention [4] [5]. Not only does proper cannulation assure the safety of CPB, but it also influences postoperative outcomes.…”

Section: Review the Significance Of Appropriate Cannulation Technique...mentioning

confidence: 99%

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Cannulation Strategies in Type A Aortic Dissection: Overlooked Details and Novel Approaches

Yadav,

Saifullah,

Mandal

et al. 2023

Cureus

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Aortic dissection type A is a life-threatening condition that frequently necessitates surgical intervention. This review focuses on central aortic cannulation, arch branch vessel (ABV) cannulation, and proximal arch cannulation as key techniques during aortic surgery. It discusses innovative solutions for addressing these challenges. The review synthesizes findings from recent studies and emphasizes the significance of meticulous planning and execution of cannulation in aortic dissection repair. This review aims to contribute to the advancement of surgical practices and the enhancement of patient outcomes in the management of type A aortic dissection (AAD) by addressing these frequently overlooked details.

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Section: Review the Significance Of Appropriate Cannulation Technique...mentioning

confidence: 99%

“…Subclavian/Axillary Artery Appropriate for cerebral perfusion, evades an aortic cannulation Unfavorable anatomy, risk of mal perfusion [5] Femoral Cannulation Used commonly, easily accessible Inadequate cerebral perfusion [42] Samurai…”

Section: Cannulation Site/technique Advantages Drawbacksmentioning

confidence: 99%

Cannulation Strategies in Type A Aortic Dissection: Overlooked Details and Novel Approaches

Yadav,

Saifullah,

Mandal

et al. 2023

Cureus

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“…We put purse-string sutures on the base of the left subclavian artery (LSA) and cross-clamp it at the origin and 3 cm above the ostium and then transect the artery. Under visual control, we insert an arterial cannula through the LSA ostium into the true lumen of the proximal part of the descending aorta 1 ( Fig. 1A ).…”

Section: Technicsmentioning

confidence: 99%

The New Delivery Method for Cardioplegic Solution in Type A Aortic Dissection

Rosseikin,

Kobzev,

Gornostaev

2023

Aorta (Stamford)

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Adequate myocardial protection is crucial for a successful cardiac surgery. In type A aortic dissection, standard methods of delivery of cardioplegic solution may not be adequately effective. Ineffectiveness may happen due to both features of the anatomy of the dissection and to peculiarities of the delivery method itself. We present a new method of delivering a cardioplegic solution using a Foley catheter through the orifice of the brachiocephalic trunk or the left common carotid artery.

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“…Rosseykin et al (64) reported a new cannulation technique called "Penza cannulation." This is double artery perfusion, which included two steps: (I) the cannula was inserted into the true lumen of descending aorta via the left subclavian artery; and (II) the left subclavian artery, left CCA, and the brachiocephalic artery was replaced using a trifurcation graft with an added perfusion side-arm ("branch first" technique).…”

Section: Penza Cannulationmentioning

confidence: 99%

Cannulation strategies in type A aortic dissection: a novel insight narrative review

Xia¹,

Cao²,

Xie³

et al. 2021

J Thorac Dis

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This review highlights vital details that can be easily overlooked and discuss how to identify and fix failed cannulation from another novel insight. Appropriate arterial cannulation strategy during cardiopulmonary bypass (CPB) in Stanford type A aortic dissection (AAD) is highly necessary to reach satisfactory perfusion effects and appreciable clinical outcomes. Despite several previously published reviews on cannulation strategies in AAD, most focus on the advantages and disadvantages by comparing various cannulation strategies. In fact, most of evidence came from retrospective studies. More importantly, however, some important details and novel approaches maybe overlooked due to variety reasons. These overlooked details also make sense in clinical practice. Papers related to cannulation refer to type AAD were retrieved and analyzed from the PubMed and Medline database. The key words such as "aortic dissection", "cannula", "cannulation", "cannulation strategy", "cerebral perfusion", "type I aortic dissection" were conducted and analyzed. In addition, we looked at some new and very significant specific perfusion techniques such as anterograde cerebral perfusion combined with retrograde inferior vena caval perfusion (RIVP) and reperfusion via the right carotid artery before surgery. The arterial cannulation site and strategy should be determined individually. Monitoring measures are very necessary in the whole procedure.

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One more method for arterial cannulation in aortic arch surgery (“Penza cannulation”)

Cited by 5 publications

References 9 publications

Cannulation Strategies in Type A Aortic Dissection: Overlooked Details and Novel Approaches

Cannulation Strategies in Type A Aortic Dissection: Overlooked Details and Novel Approaches

The New Delivery Method for Cardioplegic Solution in Type A Aortic Dissection

Cannulation strategies in type A aortic dissection: a novel insight narrative review

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