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Eur J Cardiothorac Surg 2002;21:930-931
© 2002 Elsevier Science NL

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Antegrade cerebral perfusion by axillary artery and left carotid artery inflow at moderate hypothermia

Department of Cardiac Surgery, G. Mazzini Hospital, 64100 Teramo, Italy

Received 22 November 2001; received in revised form 12 January 2002; accepted 16 January 2002.

* Corresponding author. Tel.: +39-861-429434; fax: +39-861-429440
e-mail: sandromaz{at}tin.it

Cerebral protection during hypothermic circulatory arrest was obtained by combining right carotid perfusion through the axillary artery with selective perfusion of the left common carotid artery in ten patients. We believe that the proposed technique offers several advantages. (1) The axillary artery is generally free from atherosclerosis. (2) It eliminates the risk of retrograde embolization. (3) It provides antegrade perfusion of the true lumen in aortic dissection. (4) Antegrade cerebral perfusion is never interrupted. (5) Bihemispheric perfusion is assured. (6) The risk of air embolysm during carotid cannulation is reduced.

Key Words: Axillary artery • Cerebral perfusion

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