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Use of carotid–subclavian arterial bypass and thoracic endovascular aortic repair to minimize cerebral ischemia in total aortic arch reconstruction

Steve Xydas, MD,a Benjamin Wei, MD,b Hiroo Takayama, MD,b Mark Russo, MD,b(2010-01)

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来源-Journal of thoracic and
Objective: Total aortic arch replacement typically requires hypothermic circulatory arrest, carrying risks of ce- rebral ischemia. We recently introduced left carotid–subclavian bypass before total aortic arch replacement with thoracic stent grafting to achieve hybrid arch reconstruction with short periods of selective antegrade cerebral per- fusion. Methods: From 2004 to 2009, 332 patients underwent ascending aorta or arch replacements. Of these, 37 under- went total aortic arch replacement

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