A modified axillo-femoral perfusion for acute type a aortic dissection accompanied with lower limb malperfusion
被引:9
作者:
Li, Qianzhen
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou, Fujian, Peoples R China
Li, Qianzhen
[1
]
Chen, Liangwan
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou, Fujian, Peoples R China
Chen, Liangwan
[1
]
Shen, Yue
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou, Fujian, Peoples R China
Shen, Yue
[1
]
Li, Jiahui
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou, Fujian, Peoples R China
Li, Jiahui
[1
]
Dong, Yi
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou, Fujian, Peoples R China
Dong, Yi
[1
]
机构:
[1] Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou, Fujian, Peoples R China
Background Lower limb malperfusion accompanied with acute type A dissection (AAD) is reported to be an independent predictor for mortality. Timely treatment is required. However, staged approach to restore the perfusion of the ischemic leg before aortic repair has a continuously increase risk of aortic rupture. Aortic repair under isolated axillary artery perfusion also has the risk of prolonging leg ischemia. Here we introduce our experience in performing axillo-femoral perfusion, which is supposed to bring benefits for treating lower limb malperfuison. Methods Thirty patients who suffered AAD accompanied by lower limb ischemia enrolled in our study. All patients received aortic repair as soon as possible using the modified axillo-femoral perfusion approach. The cardiopulmonary bypass and cooling started with the right axillary artery perfusion. Then the femoral artery of the ischemic side was exposed and sewn to a graft connected with another inflow cannula. The rectal temperature was about 31 degrees C when the femoral perfusion started. The perfusion of the ischemic legs preoperative was estimated after the surgery by the clinical signs, the saturation of the distal-limb, and computed tomography scan. Results Twenty-eight patients got good perfusion of the lower body after the surgery. Two patients received femoral-femoral artery bypass immediately after surgery because of the thrombosis in the right common iliac artery, without further injury. No peripheral vessels damage occurred, and no compartment fasciotomy or amputation needed. One patient died for the sepsis and the subsequent multi organ failure 28 days postoperative. Conclusions The modified axllio-femoral perfusion could restore the lower limbs' perfusion simultaneously during the aortic surgery without neither delaying dissection repair nor prolonging the ischemic time. It is a simple, but safe and effective technique.
机构:
Washington Univ, Sch Med, Dept Med, Div Cardiovasc, St Louis, MO 63110 USAWashington Univ, Sch Med, Dept Med, Div Cardiovasc, St Louis, MO 63110 USA
机构:
Fujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R China
Chen, Liang-Wan
Wu, Xi-Jie
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R China
Wu, Xi-Jie
Dai, Xiao-Fu
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R China
Dai, Xiao-Fu
Lu, Lin
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R China
Lu, Lin
Liao, Dong-Shan
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R China
Liao, Dong-Shan
Li, Chao
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R China
Li, Chao
Li, Qian-Zhen
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R China
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
Chen, Liang-Wan
Lu, Lin
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
Lu, Lin
Dai, Xiao-Fu
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
Dai, Xiao-Fu
Wu, Xi-Jie
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
Wu, Xi-Jie
Zhang, Gui-Can
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
Zhang, Gui-Can
Yang, Guo-Feng
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
Yang, Guo-Feng
Dong, Yi
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
Chen, Liang-Wan
Dai, Xiao-Fu
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
Dai, Xiao-Fu
Lu, Lin
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
Lu, Lin
Zhang, Gui-Can
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
Zhang, Gui-Can
Cao, Hua
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
机构:
Fujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R China
Chen, Liang-Wan
Dai, Xiao-Fu
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R China
Dai, Xiao-Fu
Zhang, Gui-Can
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R China
Zhang, Gui-Can
Lu, Lin
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R China
机构:
Washington Univ, Sch Med, Dept Med, Div Cardiovasc, St Louis, MO 63110 USAWashington Univ, Sch Med, Dept Med, Div Cardiovasc, St Louis, MO 63110 USA
机构:
Fujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R China
Chen, Liang-Wan
Wu, Xi-Jie
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R China
Wu, Xi-Jie
Dai, Xiao-Fu
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R China
Dai, Xiao-Fu
Lu, Lin
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R China
Lu, Lin
Liao, Dong-Shan
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R China
Liao, Dong-Shan
Li, Chao
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R China
Li, Chao
Li, Qian-Zhen
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R China
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
Chen, Liang-Wan
Lu, Lin
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
Lu, Lin
Dai, Xiao-Fu
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
Dai, Xiao-Fu
Wu, Xi-Jie
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
Wu, Xi-Jie
Zhang, Gui-Can
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
Zhang, Gui-Can
Yang, Guo-Feng
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
Yang, Guo-Feng
Dong, Yi
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
Chen, Liang-Wan
Dai, Xiao-Fu
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
Dai, Xiao-Fu
Lu, Lin
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
Lu, Lin
Zhang, Gui-Can
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
Zhang, Gui-Can
Cao, Hua
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Dept Cardiac Surg, Union Hosp, Fuzhou 350001, Fujian, Peoples R China
机构:
Fujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R China
Chen, Liang-Wan
Dai, Xiao-Fu
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R China
Dai, Xiao-Fu
Zhang, Gui-Can
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R China
Zhang, Gui-Can
Lu, Lin
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R ChinaFujian Med Univ, Union Hosp, Dept Cardiac Surg, Fuzhou 350001, Fujian, Peoples R China