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Article ; Online: Aortic arch replacement with simultaneous antegrade cerebral and systemic perfusion using a single centrifugal pump driven 'split arterial line' extracorporeal circuit design.

Satchwell, Jack / Friar, Rebecca / Chetty, Govind / Sadeque, Syed / Greco, Renata / Knowles, Patrick / Bowie, James / Beatson, Paul / Colley, Sean

Perfusion

2023  , Page(s) 2676591231181848

Abstract: The ability to provide antegrade cerebral and systemic perfusion simultaneously may negate the requirement for any prolonged period of circulatory arrest during complex aortic arch reconstruction procedures, depending on the cannulation strategy. We ... ...

Abstract The ability to provide antegrade cerebral and systemic perfusion simultaneously may negate the requirement for any prolonged period of circulatory arrest during complex aortic arch reconstruction procedures, depending on the cannulation strategy. We describe the development and successful implementation of a custom 'split arterial line' extracorporeal circuit configuration to facilitate complex aortic surgery. This circuit design offers a wide range of cannulation and perfusion strategies, is safe, adaptable, simple to manage, and avoids the use of roller pumps for blood delivery, which are associated with deleterious haematological complications during prolonged cardiopulmonary bypass cases. The split arterial line approach has now become the standardised methodology for facilitating complex aortic surgery at our institution.
Language English
Publishing date 2023-06-06
Publishing country England
Document type Journal Article
ZDB-ID 645038-6
ISSN 1477-111X ; 0267-6591
ISSN (online) 1477-111X
ISSN 0267-6591
DOI 10.1177/02676591231181848
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