Using a new selective antegrade cerebral perfusion technique for ascending aorta and aortic arch repair

Dissecting aortic aneurysm is one of the most dangerous diseases of the aorta, often leading to severe complications or death. Currently, due to the increased level of diagnosis and the speed of care for patients with aortic diseases, there is now a need to improve approaches to the treatment of thi...

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Main Authors: D. M. Bondarenko, A. G. Sdvigova, G. A. Akopov, A. S. Ivanov, M. K. Lugovskii, А. F. Afanasiev, R. Yu. Bangarov
Format: Article
Language:Russian
Published: Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov 2022-09-01
Series:Вестник трансплантологии и искусственных органов
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Online Access:https://journal.transpl.ru/vtio/article/view/1481
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author D. M. Bondarenko
A. G. Sdvigova
G. A. Akopov
A. S. Ivanov
M. K. Lugovskii
А. F. Afanasiev
R. Yu. Bangarov
author_facet D. M. Bondarenko
A. G. Sdvigova
G. A. Akopov
A. S. Ivanov
M. K. Lugovskii
А. F. Afanasiev
R. Yu. Bangarov
author_sort D. M. Bondarenko
collection DOAJ
description Dissecting aortic aneurysm is one of the most dangerous diseases of the aorta, often leading to severe complications or death. Currently, due to the increased level of diagnosis and the speed of care for patients with aortic diseases, there is now a need to improve approaches to the treatment of this condition. This paper presents the outcomes of a technique developed at our center, Shumakov National Medical Research Center of Transplantology and Artificial Organs, for selective antegrade cerebral perfusion (SACP) when performing prosthetic replacement of the aortic arch under circulatory arrest. Surgical treatment is performed on an emergency basis. During these surgeries, we focused on preventing neurological complications. Analysis of the efficacy and safety of our SACP technique shows that we obtained positive outcomes. In the analysis of 10 cases of aortic arch replacement, there was no evidence indicating the presence of any neurological complication. This technique allows for more adequate monitoring of perfusion during reconstructive interventions on the ascending aorta and aortic arch than the classical perfusion technique.
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institution DOAJ
issn 1995-1191
language Russian
publishDate 2022-09-01
publisher Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov
record_format Article
series Вестник трансплантологии и искусственных органов
spelling doaj-art-b1ee79fa30a54cab9e878bd4437760f12025-08-20T03:20:51ZrusFederal Research Center of Transplantology and Artificial Organs named after V.I.ShumakovВестник трансплантологии и искусственных органов1995-11912022-09-0124312112910.15825/1995-1191-2022-3-121-1291126Using a new selective antegrade cerebral perfusion technique for ascending aorta and aortic arch repairD. M. Bondarenko0A. G. Sdvigova1G. A. Akopov2A. S. Ivanov3M. K. Lugovskii4А. F. Afanasiev5R. Yu. Bangarov6Shumakov National Medical Research Center of Transplantology and Artificial OrgansShumakov National Medical Research Center of Transplantology and Artificial OrgansShumakov National Medical Research Center of Transplantology and Artificial OrgansShumakov National Medical Research Center of Transplantology and Artificial OrgansShumakov National Medical Research Center of Transplantology and Artificial OrgansShumakov National Medical Research Center of Transplantology and Artificial OrgansShumakov National Medical Research Center of Transplantology and Artificial OrgansDissecting aortic aneurysm is one of the most dangerous diseases of the aorta, often leading to severe complications or death. Currently, due to the increased level of diagnosis and the speed of care for patients with aortic diseases, there is now a need to improve approaches to the treatment of this condition. This paper presents the outcomes of a technique developed at our center, Shumakov National Medical Research Center of Transplantology and Artificial Organs, for selective antegrade cerebral perfusion (SACP) when performing prosthetic replacement of the aortic arch under circulatory arrest. Surgical treatment is performed on an emergency basis. During these surgeries, we focused on preventing neurological complications. Analysis of the efficacy and safety of our SACP technique shows that we obtained positive outcomes. In the analysis of 10 cases of aortic arch replacement, there was no evidence indicating the presence of any neurological complication. This technique allows for more adequate monitoring of perfusion during reconstructive interventions on the ascending aorta and aortic arch than the classical perfusion technique.https://journal.transpl.ru/vtio/article/view/1481ascending aorta and aortic arch repairdissecting aortic aneurysmselective antegrade cerebral perfusioncirculatory arrestischemic brain injury
spellingShingle D. M. Bondarenko
A. G. Sdvigova
G. A. Akopov
A. S. Ivanov
M. K. Lugovskii
А. F. Afanasiev
R. Yu. Bangarov
Using a new selective antegrade cerebral perfusion technique for ascending aorta and aortic arch repair
Вестник трансплантологии и искусственных органов
ascending aorta and aortic arch repair
dissecting aortic aneurysm
selective antegrade cerebral perfusion
circulatory arrest
ischemic brain injury
title Using a new selective antegrade cerebral perfusion technique for ascending aorta and aortic arch repair
title_full Using a new selective antegrade cerebral perfusion technique for ascending aorta and aortic arch repair
title_fullStr Using a new selective antegrade cerebral perfusion technique for ascending aorta and aortic arch repair
title_full_unstemmed Using a new selective antegrade cerebral perfusion technique for ascending aorta and aortic arch repair
title_short Using a new selective antegrade cerebral perfusion technique for ascending aorta and aortic arch repair
title_sort using a new selective antegrade cerebral perfusion technique for ascending aorta and aortic arch repair
topic ascending aorta and aortic arch repair
dissecting aortic aneurysm
selective antegrade cerebral perfusion
circulatory arrest
ischemic brain injury
url https://journal.transpl.ru/vtio/article/view/1481
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