{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T05:24:02Z","timestamp":1731043442566,"version":"3.28.0"},"reference-count":10,"publisher":"Texas Heart Institute Journal","issue":"1","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:sec>\n          <jats:title>Background<\/jats:title>\n          <jats:p>Aortic aneurysms involving the proximal aortic arch, which require hemiarch-type repair, typically require circulatory arrest with antegrade cerebral perfusion. Left carotid antegrade cerebral perfusion (LCP) via distal arch cannulation without circulatory arrest was used in this study\u2019s patient population. The goal was to assess the operative efficiency and clinical outcomes of using a distal arch cannulation technique that would not require any hypothermic circulatory arrest (HCA) time compared with more traditional brachiocephalic artery cannulation with right-sided unilateral antegrade cerebral perfusion (RCP) and HCA.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Methods<\/jats:title>\n          <jats:p>A single-center retrospective review of patients with replacement of the distal ascending aorta involving the proximal arch was performed. Patients with an intramural hematoma or dissection were excluded. Between January 2015 and December 2019, 68 adult patients had undergone a hemiarch repair because of aneurysmal disease. Analysis of baseline demographics, operative data, and clinical outcomes was performed.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Results<\/jats:title>\n          <jats:p>Comparing the 68 patients: 21 patients were treated with RCP (via brachiocephalic artery graft with HCA), and 47 patients were treated with LCP (via distal aortic arch cannulation with cross-clamp between the brachiocephalic and left common carotid arteries without HCA). Baseline characteristics and outcomes were evaluated for both groups. The LCP group was younger (LCP median [IQR] age, 60 [53-65] years vs RCP median [IQR] age, 67 [59-71] years]. Sex, race, body mass index, comorbidities, and ejection fraction were similar between the groups. Cardiopulmonary bypass time (LCP, 123 minutes vs RCP, 149 minutes) and unilateral cerebral perfusion time (LCP, 17 minutes vs RCP, 22 minutes) were longer in the RCP group. Bleeding, prolonged ventilatory support, kidney failure, and length of stay were similar. In-hospital mortality was 2% in the LCP group vs 0% in the RCP group. Stroke occurred in 2 patients (4.2%) in the LCP group and in 0% of the RCP group. Mortality at 6 months in the LCP and RCP groups was 3% and 10%, respectively.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Conclusion<\/jats:title>\n          <jats:p>Distal arch cannulation with LCP without HCA is a reasonable and safe alternative strategy for patients requiring hemiarch replacement for aneurysmal disease. This technique may provide additional benefits by avoiding circulatory arrest in these complex cases.<\/jats:p>\n        <\/jats:sec>","DOI":"10.14503\/thij-22-8026","type":"journal-article","created":{"date-parts":[[2024,2,12]],"date-time":"2024-02-12T16:31:36Z","timestamp":1707755496000},"source":"Crossref","is-referenced-by-count":0,"title":["Cannula Placement for Cerebral Protection Without Circulatory Arrest in Patients Undergoing Hemiarch Aortic Aneurysm Repair"],"prefix":"10.14503","volume":"51","author":[{"given":"Joseph C.","family":"Sweeney","sequence":"first","affiliation":[{"name":"Department of General Surgery, University of Louisville, Louisville, Kentucky"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaimin R.","family":"Trivedi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, University of Louisville, Louisville, Kentucky"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toyokazu","family":"Endo","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University of Louisville, Louisville, Kentucky"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akhila","family":"Ankem","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Louisville, Louisville, Kentucky"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siddharth V.","family":"Pahwa","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, University of Louisville, Louisville, Kentucky"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark S.","family":"Slaughter","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, University of Louisville, Louisville, Kentucky"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian L.","family":"Ganzel","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, University of Louisville, Louisville, Kentucky"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"key":"b1","series-title":"WISQARS\u2014 web-based injury statistics query and reporting system","author":"Centers for Disease Control and Prevention","year":"2023","unstructured":"Centers for Disease Control and Prevention\n          . WISQARS\u2014 web-based injury statistics query and reporting system. Updated November8, 2023. Accessed January 31, 2024. https:\/\/webappa.cdc.gov\/sasweb\/ncipc\/leadcause.html"},{"issue":"1","key":"b2","series-title":"Gen Thorac Cardiovasc Surg","first-page":"1","article-title":"Thoracic aortic aneurysm: unlocking the \u201csilent killer\u201d secrets","volume":"67","author":"Saeyeldin\n              AA","year":"2019","unstructured":"Saeyeldin\n              AA\n            , VelasquezCA, MahmoodSUB, et al.\n          Thoracic aortic aneurysm: unlocking the \u201csilent killer\u201d secrets. Gen Thorac Cardiovasc Surg. 2019;67(1):1-11. doi:10.1007\/s11748-017-0874-x"},{"issue":"2","key":"b3","series-title":"Ann Thorac Surg","first-page":"428","article-title":"Impact of cerebral perfusion on outcomes of aortic surgery: the Society of Thoracic Surgeons Adult Cardiac Surgery Database analysis","volume":"109","author":"Itagaki\n              S","year":"2020","unstructured":"Itagaki\n              S\n            , ChikweJ, SunE, ChuD, ToyodaN, EgorovaN. Impact of cerebral perfusion on outcomes of aortic surgery: the Society of Thoracic Surgeons Adult Cardiac Surgery Database analysis. 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A propensity-matched analysis","volume":"148","author":"Ganapathi\n              AM","year":"2014","unstructured":"Ganapathi\n              AM\n            , HannaJM, SchechterMA, et al.\n          Antegrade versus retrograde cerebral perfusion for hemiarch replacement with deep hypothermic circulatory arrest: does it matter? A propensity-matched analysis. J Thorac Cardiovasc Surg. 2014;148(6):2896-2902. doi:10.1016\/j.jtcvs.2014.04.014"},{"key":"b9","series-title":"Eur J Cardiothorac Surg","first-page":"i4","article-title":"Patient management in aortic arch surgery","volume":"51","author":"Peterss\n              S","year":"2017","unstructured":"Peterss\n              S\n            , PichlmaierM, CurtisA, LuehrM, BornF, HaglC. Patient management in aortic arch surgery. Eur J Cardiothorac Surg. 2017;51(suppl 1):i4-i14. doi:10.1093\/ejcts\/ ezw337"},{"issue":"9","key":"b10","series-title":"J Am Coll Cardiol","first-page":"841","article-title":"Thoracic aortic aneurysm clinically pertinent controversies and uncertainties","volume":"55","author":"Elefteriades\n              JA","year":"2010","unstructured":"Elefteriades\n              JA\n            , FarkasEA. Thoracic aortic aneurysm clinically pertinent controversies and uncertainties. J Am Coll Cardiol. 2010;55(9):841-857. doi:10.1016\/j.jacc.2009.08.084"}],"container-title":["Texas Heart Institute Journal"],"original-title":[],"link":[{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/51\/1\/article-e228026.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/meridian.allenpress.com\/thij\/article-pdf\/doi\/10.14503\/THIJ-22-8026\/3410930\/i1526-6702-51-1-e228026.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/51\/1\/article-e228026.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/51\/1\/article-e228026.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T15:38:07Z","timestamp":1730993887000},"score":1,"resource":{"primary":{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/51\/1\/article-e228026.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":10,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.14503\/thij-22-8026","relation":{},"ISSN":["1526-6702","0730-2347"],"issn-type":[{"type":"electronic","value":"1526-6702"},{"type":"print","value":"0730-2347"}],"subject":[],"published":{"date-parts":[[2024]]}}}