Abstract
Methods We enrolled consecutive 45 patients who underwent type A AAD repair from January 2007 to March 2012. Central cannulation was applied under ultrasound guidance using the Seldinger technique in 33 patients and in 12 patients through peripheral cannulation. After the distal aortic anastomosis, antegrade systemic reperfusion was established with prosthetic side arm. Two groups were compared on the basis of comorbidities, mortality, and complications.
Highlights
The optimal site of arterial cannulation in acute type A aortic dissection (AAD) surgery remains controversial
Central cannulation was applied under ultrasound guidance using the Seldinger technique in 33 patients and in 12 patients through peripheral cannulation
Central cannulation was safely performed in all 33 cases
Summary
The optimal site of arterial cannulation in acute type A aortic dissection (AAD) surgery remains controversial. We retrospectively investigated our experience with ascending aortic (central) cannulation as an alternative to femoral or axillary (peripheral) procedures
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