{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:32:19Z","timestamp":1786649539300,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,4]]},"abstract":"ABSTRACT<\/jats:title>\n \n Cerebral hypoperfusion can occur during aortic surgery. We present a case in which malposition of the selective antegrade cerebral perfusion (SACP) catheter was identified using carotid ultrasonography. A 66-year-old man underwent total arch replacement. SACP was initiated via the brachiocephalic artery following deep hypothermic circulatory arrest. However, right forehead regional oxygen saturation (rSO\n 2<\/jats:sub>\n ) remained unchanged. Carotid ultrasonography revealed no blood flow in the right common carotid artery, suggesting catheter malposition into the right subclavian artery. After a slight catheter withdrawal, blood flow was restored, and rSO\n 2<\/jats:sub>\n increased. Carotid ultrasonography, along with rSO\n 2<\/jats:sub>\n monitoring, is recommended for evaluating cerebral perfusion during SACP.\n <\/jats:p>","DOI":"10.4103\/aca.aca_51_25","type":"journal-article","created":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T13:00:20Z","timestamp":1776171620000},"page":"253-256","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Malposition of the Selective Antegrade Cerebral Perfusion Catheter Identified by Carotid Ultrasonography: A Case Report"],"prefix":"10.4103","volume":"29","author":[{"given":"Taisuke","family":"Kumamoto","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Saiseikai Kumamoto Hospital, Kumamoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takahiro","family":"Fukuda","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Saiseikai Kumamoto Hospital, Kumamoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuji","family":"Kunitoku","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Saiseikai Kumamoto Hospital, Kumamoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,15]]},"reference":[{"key":"R1-20260415","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1007\/s00540-019-02610-y","article-title":"Guidelines for the use of cerebral oximetry by near-infrared spectroscopy in cardiovascular anesthesia: A report by the cerebrospinal Division of the Academic Committee of the Japanese Society of Cardiovascular Anesthesiologists (JSCVA)","volume":"33","author":"Yoshitani","year":"2019","journal-title":"J Anesth"},{"key":"R2-20260415","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1016\/j.ejcts.2004.12.046","article-title":"Malposition of selective cerebral perfusion catheter is not a rare event","volume":"27","author":"Orihashi","year":"2005","journal-title":"Eur J Cardiothorac Surg"},{"key":"R3-20260415","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1016\/j.jtcvs.2005.08.068","article-title":"Regional cerebral saturation monitoring with near-infrared spectroscopy during selective antegrade cerebral perfusion: Diagnostic performance and relationship to postoperative stroke","volume":"131","author":"Olsson","year":"2006","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R4-20260415","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1016\/j.ejcts.2004.06.014","article-title":"Near-infrared spectroscopy for monitoring cerebral ischemia during selective cerebral perfusion","volume":"26","author":"Orihashi","year":"2004","journal-title":"Eur J Cardiothorac Surg"},{"key":"R5-20260415","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1007\/s12630-014-0181-2","article-title":"Cannula malposition during antegrade cerebral perfusion for aortic surgery: Role of cerebral oximetry","volume":"61","author":"Chan","year":"2014","journal-title":"Can J Anaesth"},{"key":"R6-20260415","first-page":"105","article-title":"Color Doppler imaging of the ophthalmic artery during antegrade selective cerebral perfusion","volume":"34","author":"Cattaneo","year":"2007","journal-title":"Tex Heart Inst J"},{"key":"R7-20260415","doi-asserted-by":"crossref","first-page":"53","DOI":"10.4103\/aca.ACA_109_17","article-title":"Transesophageal echocardiography evaluation of the aortic arch branches","volume":"21","author":"Patil","year":"2018","journal-title":"Ann Card Anaesth"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_51_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:55:11Z","timestamp":1786647311000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_51_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":7,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_51_25","relation":{},"ISSN":["0971-9784","0974-5181"],"issn-type":[{"value":"0971-9784","type":"print"},{"value":"0974-5181","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2025-03-03","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-24","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}