{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T22:54:07Z","timestamp":1774479247328,"version":"3.50.1"},"reference-count":15,"publisher":"Texas Heart Institute Journal","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:p>The brachiocephalic artery is an alternative cannulation site in the repair of ascending aortic lesions that require circulatory arrest. We evaluate the effectiveness and safety of this technique.<\/jats:p>\n        <jats:p>Proximal aortic surgery was performed in 32 patients from 2006 through 2012 via brachiocephalic artery cannulation and circulatory arrest. Twenty-four (75%) of the patients were men. The mean age was 48.69 \u00b1 9.43 years (range, 30\u201368 yr). Twelve had type I dissection, 2 had type II dissection, and 18 had true aneurysms of the ascending aorta. All operations were performed through a median sternotomy. The arterial cannula was inserted through an 8-mm vascular graft anastomosed to the brachiocephalic artery in an end-to-side fashion. In dissections, the distal anastomosis was performed without clamping the aorta. The patients were cooled to 24 \u00b0C, and circulatory arrest was established. The brachiocephalic and left carotid arteries were clamped, and antegrade cerebral perfusion was started at a rate of 10 mL\/kg\/min. Cardiopulmonary bypass was resumed after completion of the distal anastomosis and the initiation of rewarming. The proximal anastomosis was then performed.<\/jats:p>\n        <jats:p>None of the patients sustained a major neurologic deficit, but 5 patients experienced transient postoperative agitation (&lt;24 hr). There were 2 early deaths (6.25%), on the 3rd and the 11th postoperative days, both unrelated to the cannulation technique.<\/jats:p>\n        <jats:p>Brachiocephalic artery cannulation through a graft can be a safe and effective technique in proximal aortic surgical procedures that require circulatory arrest.<\/jats:p>","DOI":"10.14503\/thij-13-3947","type":"journal-article","created":{"date-parts":[[2014,12,1]],"date-time":"2014-12-01T16:53:08Z","timestamp":1417452788000},"page":"596-600","source":"Crossref","is-referenced-by-count":7,"title":["Brachiocephalic Artery Cannulation in Proximal Aortic Surgery that Requires Circulatory Arrest"],"prefix":"10.14503","volume":"41","author":[{"given":"Mehmet","family":"Unal","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oguz","family":"Yilmaz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilker","family":"Akar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilker","family":"Ince","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cemal","family":"Aslan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatih","family":"Koc","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haluk","family":"Kafali","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"2","key":"i0730-2347-41-6-596-b1","series-title":"Ann Thorac Surg","first-page":"581","article-title":"Technical advances in total aortic arch replacement","volume":"77","year":"2004","unstructured":"Strauch\n              JT\n            , SpielvogelD, LautenA, GallaJD, LansmanSL, McMurtryK, GrieppRB.\n          Technical advances in total aortic arch replacement. 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Ann Thorac Surg2010;89(3):800\u20133."},{"issue":"Suppl 2","key":"i0730-2347-41-6-596-b4","series-title":"Turk J Thorac Cardiovasc Surg","first-page":"8","article-title":"Aortic surgery with brachial artery cannulation [in Turkish]","volume":"19","year":"2011","unstructured":"Ozatik\n              MA\n            , MunganU.\n          Aortic surgery with brachial artery cannulation [in Turkish]. Turk J Thorac Cardiovasc Surg2011;19Suppl 2:8\u201314."},{"issue":"3","key":"i0730-2347-41-6-596-b5","series-title":"Turk J Thorac Cardiovasc Surg","first-page":"197","article-title":"Axillary artery cannulation in surgery of the ascending aorta and the aortic arch [in Turkish]","volume":"15","year":"2007","unstructured":"Sanioglu\n              S\n            , SokulluO, YapiciF, YilmazM, ArslanIY, HastaogluIO, et al. Axillary artery cannulation in surgery of the ascending aorta and the aortic arch [in Turkish]. 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Ann Thorac Surg2008;86(3):1030\u20132."},{"issue":"3","key":"i0730-2347-41-6-596-b10","series-title":"J Thorac Cardiovasc Surg","first-page":"944","article-title":"A new cannula for innominate artery cannulation","volume":"130","year":"2005","unstructured":"Stassano\n              P\n            , MusumeciA, IannelliG, D'AliseG, MottolaM.\n          A new cannula for innominate artery cannulation. J Thorac Cardiovasc Surg2005;130(3):944\u20135."},{"issue":"3 Suppl","key":"i0730-2347-41-6-596-b11","series-title":"J Thorac Cardiovasc Surg","first-page":"S191","article-title":"Innominate artery cannulation: an alternative to femoral or axillary cannulation for arterial inflow in proximal aortic surgery","volume":"145","year":"2013","unstructured":"Preventza\n              O\n            , BakaeenFG, StephensEH, TrocciolaSM, de la CruzKI, CoselliJS.\n          Innominate artery cannulation: an alternative to femoral or axillary cannulation for arterial inflow in proximal aortic surgery. J Thorac Cardiovasc Surg2013;145(3 Suppl):S191\u20136."},{"issue":"Suppl 2","key":"i0730-2347-41-6-596-b12","series-title":"Turk J Thorac Cardiovasc Surg","first-page":"1","article-title":"Technical innovations to facilitate cerebral protection during operations on the aortic arch: a historical perspective and current application [in Turkish]","volume":"19","year":"2011","unstructured":"Ergin\n              MA.\n            \n          \n          Technical innovations to facilitate cerebral protection during operations on the aortic arch: a historical perspective and current application [in Turkish]. Turk J Thorac Cardiovasc Surg2011;19Suppl 2:1\u20137."},{"issue":"5","key":"i0730-2347-41-6-596-b13","series-title":"Tex Heart Inst J","first-page":"564","article-title":"Cerebral protection in aortic arch surgery: hypothermia alone suffices","volume":"40","year":"2013","unstructured":"Dumfarth\n              J\n            , ZiganshinBA, TranquilliM, ElefteriadesJA.\n          Cerebral protection in aortic arch surgery: hypothermia alone suffices. Tex Heart Inst J2013;40(5):564\u20135."},{"issue":"2","key":"i0730-2347-41-6-596-b14","series-title":"J Thorac Cardiovasc Surg","first-page":"501","article-title":"The safety of moderate hypothermic lower body circulatory arrest with selective cerebral perfusion: a propensity score analysis","volume":"133","year":"2007","unstructured":"Kamiya\n              H\n            , HaglC, KropivnitskayaI, BothigD, KallenbachK, KhaladjN, et al. The safety of moderate hypothermic lower body circulatory arrest with selective cerebral perfusion: a propensity score analysis. J Thorac Cardiovasc Surg2007; 133(2):501\u20139."},{"issue":"3","key":"i0730-2347-41-6-596-b15","series-title":"Ann Cardiothorac Surg","first-page":"331","article-title":"Best strategy for cerebral protection in arch surgery - antegrade selective cerebral perfusion and adequate hypothermia","volume":"2","year":"2013","unstructured":"Misfeld\n              M\n            , MohrFW, EtzCD.\n          Best strategy for cerebral protection in arch surgery - antegrade selective cerebral perfusion and adequate hypothermia. Ann Cardiothorac Surg2013;2 (3):331\u20138."}],"container-title":["Texas Heart Institute Journal"],"original-title":[],"link":[{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/41\/6\/article-p596.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/thij\/article-pdf\/41\/6\/596\/1967891\/thij-13-3947.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/41\/6\/article-p596.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/41\/6\/article-p596.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T15:29:54Z","timestamp":1730993394000},"score":1,"resource":{"primary":{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/41\/6\/article-p596.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12]]},"references-count":15,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.14503\/thij-13-3947","relation":{},"ISSN":["0730-2347","1526-6702"],"issn-type":[{"value":"0730-2347","type":"print"},{"value":"1526-6702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,12]]}}}