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Distal Carotid Perfusion in Combined Carotid Endarterectomy and OP-CABG

2007; SAGE Publishing; Volume: 15; Issue: 2 Linguagem: Inglês

10.1177/021849230701500219

1816-5370

Parachuri V Rao, Praveen K Hosabettu, Sanjay Dhaded, Avery Mathew, Julius Punnen, Muralidhar Kanchi,

Acute Ischemic Stroke Management

An alternative method of maintaining carotid perfusion during combined carotid endarterectomy and off-pump coronary artery bypass grafting involves insertion of a cannula in the ascending aorta after a median sternotomy. This cannula is connected to a perfusion cannula, the distal end of which is inserted into the carotid artery beyond the carotid arteriotomy. This technique of aortico-carotid shunting and carotid perfusion was utilized in nine patients who underwent successful combined carotid endarterectomy and off-pump coronary artery bypass grafting.