OBJECTIVE: We describe an alternate technique for establishing @entity1779 ( @entity1779 ) during hypothermic @entity1167 via direct, central cannulation of the innominate artery. METHODS: From 2009 to 2015, 100 elective hemiarch reconstructions for proximal @entity449 were performed under @entity1167 ( @entity1167 ). Cerebral perfusion was instituted with @entity1779 via direct cannulation of the innominate artery. RESULTS: Mean @entity1 age was 63      13  years (72 @entity1 ; 72%). Mean @entity1167 temperature was 27.3  C      1.0  C (median, 28  C). Mean @entity1779 time was 17      4  minutes and mean crossclamp time was 134      42  minutes. Proximal reconstruction included root replacement with composite valved graft (n  =  47), valve sparing root reimplantation (n  =  16), and aortic valve replacement (n  =  19). In-hospital 30-day mortality (n  =  1; 1%), @entity64 (1; 1%), reversible @entity51 (n  =  1; 1%), @entity772 (n  =  0), and @entity177 (n  =  1; 1%) rates were low. There was no incidence of @entity1317 . CONCLUSIONS: Direct, central innominate artery cannulation for @entity1779 yields excellent outcomes. This technique is safe, provides excellent cerebral protection during @entity1167 and simplifies the circulatory management strategy for elective ascending aortic and hemiarch reconstruction.

Direct innominate artery cannulation: An alternate technique for XXXX during aortic hemiarch reconstruction.

@entity1 :: ('9606', 'Species') :: ['men', 'patient'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke'] @entity449 :: ('MESH:D001014', 'Disease') :: ['aortic aneurysms'] @entity772 :: ('MESH:D003128', 'Disease') :: ['coma'] @entity177 :: ('MESH:D051437', 'Disease') :: ['renal failure'] @entity51 :: ('MESH:D009461', 'Disease') :: ['ischemic neurologic deficit'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['circulatory arrest', 'MHCA', 'moderate hypothermic circulatory arrest'] @entity1317 :: ('MESH:D057772', 'Disease') :: ['injury or dissection of the innominate artery'] @entity1779 :: ('MESH:D002543', 'Disease') :: ['ACP', 'antegrade cerebral perfusion']
@entity1779 :: (MESH:D002543,Disease) :: ['antegrade cerebral perfusion']
