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Cannulation Strategies & Circulation Management in Type A Aortic Dissection
  • Nishant Saran,
  • Alberto Pochettino
Nishant Saran
Mayo Clinic Rochester

Corresponding Author:saran.nishant@mayo.edu

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Alberto Pochettino
Mayo Clinic
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Type A aortic dissection most often requires emergent surgery to prevent malperfusion, stroke, and/or rupture of aorta. The conduct of the surgery is mostly targeted at restoring true lumen flow. In this regard, institution of cardiopulmonary bypass and circulation management is key to allow adequate systemic flow, perfusion of brain and visceral organs and comprehensive systemic cooling to achieve circulatory arrest when needed. Different strategies have been used with varying success rates, with the most common being femoral cannulation. More recently axillary and central cannulation strategies have shown satisfactory results with the promise of antegrade flow. Cannulation approach should, therefore, depend on individual patient characteristics, presentation and true lumen anatomy.
18 Dec 2020Assigned to Editor
18 Dec 2020Submission Checks Completed
18 Dec 2020Reviewer(s) Assigned
26 Dec 2020Review(s) Completed, Editorial Evaluation Pending
26 Dec 2020Editorial Decision: Accept