Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Evaluation of Different Cannulation Strategies for Aortic Arch Surgery Using a Cardiovascular Numerical Simulator

Version 1 : Received: 19 October 2022 / Approved: 20 October 2022 / Online: 20 October 2022 (14:19:25 CEST)

A peer-reviewed article of this Preprint also exists.

De Lazzari, B.; Capoccia, M.; Cheshire, N.J.; Rosendahl, U.P.; Badagliacca, R.; De Lazzari, C. Evaluation of Different Cannulation Strategies for Aortic Arch Surgery Using a Cardiovascular Numerical Simulator. Bioengineering 2023, 10, 60, doi:10.3390/bioengineering10010060. De Lazzari, B.; Capoccia, M.; Cheshire, N.J.; Rosendahl, U.P.; Badagliacca, R.; De Lazzari, C. Evaluation of Different Cannulation Strategies for Aortic Arch Surgery Using a Cardiovascular Numerical Simulator. Bioengineering 2023, 10, 60, doi:10.3390/bioengineering10010060.

Abstract

Aortic disease has a significant impact on quality of life. Involvement of the aortic arch requires preservation of blood supply to the brain during surgery. Deep hypothermic circulatory arrest is an established technique for this purpose although neurological injury remains high. Additional techniques have been used to reduce the risk although controversy still remains. A three-way cannulation approach, including both carotid arteries and the femoral artery or the ascending aorta, has been used successfully for aortic arch replacement and redo procedures. We have de-veloped circuits of the circulation to simulate blood flow during this type of cannulation set up. The aim is to analyse using CARDIOSIM© cardiovascular simulation platform, how the haemodynamic and energetic parameters are affected and the benefit derived with particular reference to the cerebral circulation.

Keywords

Aortic surgery; Aortic arch; Three-way cannulation approach; Carotid artery perfusion; Pressure-volume loop; Lumped parameter model; Software simulation; Cardiovascular modelling.; CARDIOSIM

Subject

Medicine and Pharmacology, Surgery

Comments (1)

Comment 1
Received: 20 October 2022
The commenter has declared there is no conflict of interests.
Comment: Very interested too know are there medical Sound Barriers that are used an or confirmed as a tool too the different circuits for circulation during the set up an or cerebral circulation. Such example BIOMEDICAL & CHEMICAL ENGINEERING. Q UESTION ARE SOUND BARRIERS INFORMATION EVER USED SINCE THEY ARE PLACED WITHIN A HOSPITAL .
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