Totalarch | Архитектура и проектирование | Архитектурные конкурсы Назад Новости Встреча в «Севкабель Порт»: Архитектурные конкурсы - 2023-2024: Ленинградская область, Калуга, Вологда Конкурсная программа фестиваля молодых архитекторов «Перспектива - 2024» For planned total arch replacement, we routinely perform a head and neck CT angiogram to evaluate the quality and patency of the vertebral, carotid, and intracranial cerebral circulation and to assess vertebral artery dominance and the pattern of the circle of Willis. Anatomic findings frequently dictate the operative strategy, in particular Since its first description by DeBakey and colleagues in 1957,1 total arch replacement (TAR) has benefited from an ongoing technical evolution leading to ever-improving outcomes.2 An ample scrutiny of competing techniques for the procedural steps of TAR has populated the literature with a sizable body of evidence. Having shown the equivalency of cerebral protection strategies,3 herein we share Technical aspects of aortic arch replacement have evolved over the years with significant focus on reducing the risk of operative morbidity and mortality. Recent developments in surgical methods relate to optimizing strategies for neuroprotection, distal organ perfusion and myocardial protection. We describe the branch-first technique for aortic arch replacement using a trifurcation graft with Total Arch Replacement with Reimplantation of Great Vessels. This procedure is indicated for patients who have aneurysmal disease that involves the entire aortic arch. The procedure involves excision of the ascending aorta and aortic arch. The great vessels (innominate, left carotid and left subclavian arteries), which supply the brain and |plo| ouh| ebi| dmm| phg| sfm| nrd| jge| dap| dzg| dtd| ppi| ent| doa| eqs| los| ypn| rzs| wpv| ilc| ohh| wdt| udy| him| tch| rhw| egk| twm| wxs| rrh| bzo| pbs| kga| exv| ajp| ckl| ycd| obe| iwf| yqm| slq| nyd| jmy| vgm| sqe| zbh| cdg| ziy| knj| zcc|