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Ann Thorac Surg 2008;85:624-627. doi:10.1016/j.athoracsur.2007.06.037
© 2008 The Society of Thoracic Surgeons
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Ruggero De Paulis
Andrea Salica
Daniele Maselli
Raffaele Scaffa
Alessandro Bellisario
Luca Weltert
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New Technology

Initial Experience of an Arterial Shunt for Bilateral Antegrade Cerebral Perfusion During Hypothermic Circulatory Arrest

Ruggero De Paulis, MD*, Andrea Salica, MD, Daniele Maselli, MD, Raffaele Scaffa, MD, Alessandro Bellisario, MD, Luca Weltert, MD

Cardiac Surgery Department, European Hospital, Rome, Italy

Accepted for publication June 13, 2007.

* Address correspondence to Dr De Paulis, Cardiac Surgery Department, European Hospital Via Portuense 700, Rome, 00149, Italy (Email: depauli{at}tin.it).

Purpose: The purpose of this study is to describe an intravessel cerebral shunt that allows perfusion of both cerebral hemispheres through the axillary artery.

Description: The cerebral shunt is a 10-cm to 12-cm long cannula with a lumen for blood perfusion and two balloons, one at each distal end. The proximal ballon is adapted for retaining the proximal end of the catheter in the innominate artery; the second inflatable balloon is adapted for retaining the distal end of the catheter into the left common carotid artery.

Evaluation: Three consecutive patients received bilateral brain perfusion through the right axillary artery with the use of this cerebral shunt.

Conclusions: The cerebral shunt allowed bilateral cerebral perfusion as verified with cerebral oxymetry in the absence of any evident neurologic dysfunction.




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