Vasc Spec Int.  2019 Jun;35(2):55-59. 10.5758/vsi.2019.35.2.55.

Merits of and Technical Tips for Supra-Mesenteric Aortic Cross Clamping

Affiliations
  • 1Division of Vascular Surgery, Department of Medical, Surgical, and Experimental Sciences, University of Sassari, Sassari, Italy.
  • 2Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Case Western Reserve University School of Medicine, Cleveland, OH, USA. jsc163@case.edu

Abstract

Supra-celiac aortic cross clamping is often utilized during aortic reconstruction for aneurysmal/occlusive disease involving the pararenal aorta. However, this may be accompanied a myriad of complications related to hemodynamic disturbances, cardiopulmonary compromise and hepatic ischemia. Supra-mesenteric aortic cross clamping may be an excellent option in selected patients with suitable anatomy to minimize or avoid these complications. Herein, the merits of and technical tips for supra-mesenteric aortic cross clamping are discussed.

Keyword

Aorta; Clamping; Celiac artery; Superior mesenteric artery; Arterial bypass

MeSH Terms

Aorta
Celiac Artery
Constriction*
Hemodynamics
Humans
Ischemia
Mesenteric Artery, Superior
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