| Retrograde Cerebral Perfusion
Using a New Double-Lumen Balloon Catheter via Internal Jugular
Vein Cannulation |
| Takahisa Okano |
Shinichi Satoh |
Keiichi Kanda |
| Osamu Sakai |
Yasuyuki Shimada |
Hitoshi Yaku |
| Nobuo Kitamura |
|
|
(Department of Cardiovascular Surgery, Kyoto Prefectural
University of Medicine, Kyoto, Japan)
|
We developed a new double-lumen
balloon catheter for retrograde cerebral perfusion (RCP) via
jugular vein cannulation. Between November 1996 and September
2000, 34 of 73 patients treated with surgical procedures for
thoracic aortic aneurysms underwent RCP using the new catheter
during circulatory arrest under deep hypothermia. Nine patients
underwent a median sternotomy, and 25 underwent a left thoracotomy.
In all cases, the new catheter installation under fluoroscopy
was easy, and it took about 15min. The mean RCP time, pressure,
and flow rate were 26.8min, 20.0mmHg, and 202.6ml/min, respectively.
Our procedure using the new catheter was safe and easy in RCP
during circulatory arrest in aortic arch replacement regardless
of surgical approaches such as a left thoracotomy or median sternotomy.
Jpn. J. Cardiovasc. Surg. 31：29-32 (2002) |
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