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Thoracic Aortic Diseases pp 141–151Cite as

Distal Aortic Perfusion and Selective Visceral Perfusion

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13.4 Summary

Incredible progress has been made in the treatment of thoracoabdominal aortic aneurysms since its inception. The various strategies of organ protection including the use of distal aortic perfusion, CSF drainage, visceral perfusion, sequential aortic cross-clamp, intercostal artery reattachment and moderate hypothermia, as well as the evolution of surgical approach have all contributed to the decline in mortality and morbidity. Our refined surgical techniques and use of adjuncts have reduced the overall incidence of neurological deficits following thoracoabdominal aortic aneurysm repair to 2.4%, and to 6.6% for patients with extent II. Our continuing goals are to further decrease the incidence of neurological deficits and to improve renal protection, with particular focus on the extent II thoracoabdominal aortic aneurysm.

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Author information

Authors and Affiliations

  1. Center for Clinical Research and Evidence-Based Medicine, Center for Biotechnology Department of Cardiothoracic and Vascular Surgery, The University of Texas at Houston Medical School, 6410 Fannin, Suite 450, CV Surgery, Houston, TX, 77030, USA

    Charles C. Miller III, Tarn T. T. Huynh, Eyal E. Porat & Hazim J. Safi

  2. Department of Cardiothoracic and Vascular Surgery, The University of Texas at Houston Medical School, 6410 Fannin, Suite 450, CV Surgery, Houston, TX, 77030, USA

    Anthony L. Estrera

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  1. Charles C. Miller III
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  2. Anthony L. Estrera
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  3. Tarn T. T. Huynh
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  4. Eyal E. Porat
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  5. Hazim J. Safi
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Editor information

Editors and Affiliations

  1. Department of Radiology, Rangueil University Hospital, 1 av J. Poulhes — TSA 50032, 31059, Toulouse CEDEX 9, France

    Hervé Rousseau

  2. Cardiovascular and Thoracic Surgery Department, University Hospital Center of Rennes Pontchaillou Hospital, Rue Henri Le Guillou, 35033, Rennes CEDEX 9, France

    Jean-Philippe Verhoye

  3. Radiology and Medical Imaging Department, University Hospital Center of Rennes Pontchaillou Hospital, Rue Henri Le Guillou, 35033, Rennes CEDEX 9, France

    Jean-François Heautot

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© 2006 Springer-Verlag Berlin Heidelberg

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Miller, C.C., Estrera, A.L., Huynh, T.T.T., Porat, E.E., Safi, H.J. (2006). Distal Aortic Perfusion and Selective Visceral Perfusion. In: Rousseau, H., Verhoye, JP., Heautot, JF. (eds) Thoracic Aortic Diseases. Springer, Berlin, Heidelberg . https://doi.org/10.1007/3-540-38309-3_13

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  • DOI: https://doi.org/10.1007/3-540-38309-3_13

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-25734-9

  • Online ISBN: 978-3-540-38309-3

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