[HSF] Selective Perfusion for Arch Reconstruction

[erdinç naseri]

I put a suture in the adventitial tissue as close to the incision in the 
arch as possible and tie it around the retrograde cannulae.No popping out .
erdinc


>From: prasannasimha <prasannasimha at gmail.com>
>Reply-To: OpenHeart-L at lists.hsforum.com
>To: OpenHeart-L at lists.hsforum.com
>Subject: Re: [HSF] Selective Perfusion for Arch Reconstruction
>Date: Sat, 24 Mar 2007 08:11:37 +0530
>
>Incidentally I have had those balloons popping all around when I have used 
>it too - Also when using a femoral cannula placing a Foleys in the distal 
>arch for allowing lower body perfusion  also causes the blessed balloon to 
>pp around. How does on fix that too ?
>Prasanna
>
>Hgrmd at aol.com wrote:
>>Drs Bachet and Battellini,
>>   I want to thank you for your previous posts on selective perfusion  
>>during a
>>ortic reconstruction.  I used it today during a hemiarch  replacement.  I 
>>cannulated the right axillary artery with a 17 Fr femoral  cannula placed 
>>over a wire through a pursestring.  I cooled to 26 C.   When it came time 
>>to do the distal anastomosis, I clamped the origin of the  innominate and 
>>introduced a retrograde cannula through the left common  orifice.  Total 
>>flow was 10ml/kg/min.  The only problem was the  retrograde cannula popped 
>>out a few times (do you have any pointers for securing  it?).  Thus, the 
>>selective perfusion time was 38 minutes (my usual with  circ arrest is 
>>about half that).  I don't recall what the total bypass time  was, but I'm 
>>sure it was significantly shortened by not having to cool to 16 C.  
>>Anyway, this 81 yo lady woke up and should be extubated by morning.  I  
>>really appreciate your contributions to HSF.
>>Hal
>>
>>
>>
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