Axillary artery perfusion in XXXX aortic dissection repair.

@entity1 @entity697 @entity12040 @entity51 @entity1167 @entity715
BACKGROUND: We evaluated our experience with axillary artery perfusion technique in @entity697 aortic dissection repair. METHODS: Between September 2000 and July 2006, 41 consecutive @entity1 with @entity697 aortic dissection underwent surgical repair. In 35 of 41 @entity1 (85.4%), arterial perfusion was performed through right axillary artery and in the remaining six @entity1 (14.6%), arterial perfusion site was femoral artery. Indication for femoral artery perfusion was @entity1167 and ongoing cardiopulmonary resuscitation in one and @entity12040 of right upper limb in five @entity1 . Mean age was 54.9 +/- 15.3 (16 to 90 years) and 28 were male. Unilateral antegrade cerebral perfusion (perfusate temperature 22 to 25 degrees C) through axillary artery was performed in all axillary artery perfused @entity1 and in three @entity1 who had femoral artery perfusion. RESULTS: Five @entity1 died postoperatively (hospital mortality 12.2%). All of them had evidence of single or multiple organ malperfusion preoperatively. We did not experience any new transient or permanent @entity51 after the procedure in the unilateral antegrade cerebral perfusion @entity1 . Complications related to axillary artery cannulation were observed in two @entity1 (5.3%). One @entity1 with femoral artery cannulation experienced femoral @entity715 , postoperatively. CONCLUSIONS: Right axillary artery cannulation for repair of @entity697 aortic dissection is a simple and safe procedure. In the case of @entity12040 of right upper limb, femoral artery is still the choice of cannulation site.
