Aortic arch reconstruction using a trifurcated graft.

David Spielvogel; Manu N Mathur; Steven L Lansman; Randall B Griepp

doi:10.1016/s0003-4975(02)04340-0

Home/Archive/PubMed

PubMed · 12645749

Aortic arch reconstruction using a trifurcated graft.

David Spielvogel·Manu N Mathur·Steven L Lansman·Randall B Griepp

View original source ↗Export metadata ↓

Abstract

Cerebral protection and prevention of atheroembolism remain challenges in aortic arch reconstruction. To reduce neurologic complications, we developed a "no-touch" technique in which a trifurcated graft is anastomosed to the arch vessels during hypothermic circulatory arrest, reducing the risk of embolization while minimizing cerebral ischemia by permitting antegrade cerebral perfusion as arch reconstruction is completed.

Explore related subjects

Anastomosis, Surgical Aorta, Thoracic Aortic Aneurysm, Thoracic Blood Vessel Prosthesis Brain Ischemia Heart Arrest, Induced Humans Hypothermia, Induced Intracranial Embolism Intraoperative Complications Prosthesis Design Suture Techniques Journal Article

Keep this discovery

Explore connections, maps & timelines

BibTeX RIS

David Spielvogel, Manu N Mathur, Steven L Lansman, Randall B Griepp. 2003. Aortic arch reconstruction using a trifurcated graft.. https://doi.org/10.1016/s0003-4975(02)04340-0

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2007

Revival of the side-to-side approach for distal coronary anastomosis.

Side-to-side anastomosis was employed by just ten proportional stitches while performing distal anastomosis during coronary artery surgery. This technique is simple and quick. Here this simple technique is described in detail and the postoperative status of grafted conduits is reported.

Anastomosis, Surgical↗

PubMed2007

Review article: Indeterminate colitis--definition, diagnosis and management.

BACKGROUND: The term indeterminate colitis is imprecise and without a generally accepted definition. Nevertheless, it is a term that is commonly used by gastroenterologists, pathologists and surgeons. AIM: To offer an opinion supported by published data, about the appropriate use of the term indeterminate colitis by addressing a series of questions. METHODS: A PubMed database search was performed using the keywords, 'colitis' and 'inflammatory bowel disease' each combined individually with the following adjectives: 'indeterminate', 'unclassified', 'undefined', 'undiagnosed' and 'non-specific'. RESULTS: There is no generally accepted definition of indeterminate colitis. All current applications of the term rely on exclusionary criteria and there is no confirmatory diagnostic test. Nevertheless, the diagnosis of indeterminate colitis appears to be durable in a subgroup of patients, suggesting that this group represents a unique phenotype. CONCLUSIONS: Indeterminate colitis has expanded from a strictly defined, postcolectomy pathological diagnosis to become, in addition, a clinical diagnosis without generally accepted criteria. A diagnosis of indeterminate colitis should be qualified with descriptors for the diagnostic criteria applied.

Anastomosis, Surgical↗

PubMed2007

Acellular dermal matrix grafts for prevention of microarterial thrombophlebitis.

OBJECTIVE: To examine the role of acellular dermal matrix grafts for prevention of microarterial anastomotic thrombophlebitis. DESIGN: Bilateral femoral artery microvascular anastomoses were created in the field of established wounds infected with Staphylococcus aureus in 12 rats. In each animal, 1 femoral microarterial anastomosis was wrapped with an acellular dermal matrix graft, and the contralateral femoral anastomosis was left unprotected. The incidence of femoral artery thrombosis was determined after 4 days by wound reexploration. SETTING: David Geffen School of Medicine, University of California, Los Angeles. MAIN OUTCOME MEASURE: The patency of femoral artery anastomoses was determined after 4 days by wound reexploration. RESULTS: The incidence of femoral artery thrombosis in vessels wrapped with acellular dermal matrix grafts was 17%. The incidence of femoral artery thrombosis in unprotected vessels was 100%. This difference was statistically significant (P<.05). CONCLUSION: Acellular dermal matrix grafts seem to have a protective effect in the prevention of acute thrombophlebitis when arterial microvascular anastomoses are performed in infected surgical fields.

Anastomosis, Surgical↗