Cerebral protection with a crossover external carotid artery bypass during arch debranching

Murat Ugurlucan; Omer Ali Sayin; Mehmet Akif Onalan; Nijat Alishev; Murat Basaran; Ufuk Alpagut; Enver Dayioglu

doi:10.1016/j.athoracsur.2014.07.089

Cerebral protection with a crossover external carotid artery bypass during arch debranching

Ann Thorac Surg. 2015 Feb;99(2):725-7. doi: 10.1016/j.athoracsur.2014.07.089.

Authors

Murat Ugurlucan¹, Omer Ali Sayin², Mehmet Akif Onalan³, Nijat Alishev³, Murat Basaran², Ufuk Alpagut², Enver Dayioglu²

Affiliations

¹ Department of Cardiovascular Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey. Electronic address: [email protected].
² Department of Cardiovascular Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.
³ Department of Radiology, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.

PMID: 25639427
DOI: 10.1016/j.athoracsur.2014.07.089

Abstract

Endovascular stent graft repair of the thoracic aorta sometimes requires debranching of the aortic arch and reimplantation of the left common carotid and left subclavian arteries to the brachiocephalic trunk. Cerebral protection has utmost importance during such a procedure. The surgical technique detailed here offers pulsatile flow inside the internal carotid arteries despite proximal clamping of the common carotid arteries throughout the whole procedure.

Publication types

Case Reports

MeSH terms

Anastomosis, Surgical / adverse effects
Aorta, Thoracic / surgery*
Aortic Aneurysm, Thoracic / surgery*
Aortic Dissection / surgery*
Brain Diseases / etiology
Brain Diseases / prevention & control*
Carotid Artery, External / surgery*
Endovascular Procedures* / adverse effects
Endovascular Procedures* / methods
Female
Humans
Middle Aged