2022
Spinal cord protection in open and endovascular approaches to thoracoabdominal aortic aneurysms
Amabile A, Lewis E, Costa V, Tadros RO, Han DK, Di Luozzo G. Spinal cord protection in open and endovascular approaches to thoracoabdominal aortic aneurysms. Vascular 2022, 31: 874-883. PMID: 35507464, DOI: 10.1177/17085381221094411.Peer-Reviewed Original ResearchConceptsSpinal cord injuryCord injuryAortic aneurysmSpinal cordDistal aortic perfusionSubclavian artery revascularizationSpinal cord protectionThoracoabdominal aortic aneurysmsCerebrospinal fluid drainageThoracic aortic aneurysmArtery revascularizationAortic repairEndovascular repairAortic perfusionAortic proceduresEndovascular approachSystemic hypothermiaPostoperative managementExtracorporeal circulationLocal edemaPersistent complicationsFluid drainageCurrent evidenceInjuryAdjunct
2019
Paraspinous muscle gene expression profiling following simulated staged endovascular repair of thoracoabdominal aortic aneurysm: exploring potential therapeutic pathways
Lewis ER, Geisbüsch S, Chang YJ, Costa V, Husain S, Soteropoulos P, Griepp RB, Di Luozzo G. Paraspinous muscle gene expression profiling following simulated staged endovascular repair of thoracoabdominal aortic aneurysm: exploring potential therapeutic pathways. European Journal Of Cardio-Thoracic Surgery 2019, 57: 30-38. PMID: 31006003, DOI: 10.1093/ejcts/ezz113.Peer-Reviewed Original ResearchConceptsAneurysm repairGene expression profilingCollateral networkThoracoabdominal aortic aneurysm repairSpinal collateral networkSpinal segmental arteriesSuch extensive proceduresThoracoabdominal aortic aneurysmsAortic aneurysm repairSpinal cord perfusionSpinal cord injuryPotential therapeutic pathwayExpression profilingArteriolar remodellingTAAA repairCord perfusionNeurological complicationsEndovascular repairNeuroprotective effectsEndovascular techniquesCord injuryAortic aneurysmCoil embolizationEndovascular coilingEndovascular intervention
2013
Endovascular coil embolization of segmental arteries prevents paraplegia after subsequent thoracoabdominal aneurysm repair: An experimental model
Geisbüsch S, Stefanovic A, Koruth JS, Lin HM, Morgello S, Weisz DJ, Griepp RB, Di Luozzo G. Endovascular coil embolization of segmental arteries prevents paraplegia after subsequent thoracoabdominal aneurysm repair: An experimental model. Journal Of Thoracic And Cardiovascular Surgery 2013, 147: 220-227. PMID: 24220154, PMCID: PMC3918675, DOI: 10.1016/j.jtcvs.2013.09.022.Peer-Reviewed Original ResearchMeSH KeywordsAnimalsAortic Aneurysm, ThoracicBlood Vessel Prosthesis ImplantationEmbolization, TherapeuticEndovascular ProceduresHindlimbLumbosacral RegionModels, AnimalMuscle, SkeletalParaplegiaRecovery of FunctionRegional Blood FlowSpinal Cord IschemiaSwineThoracic ArteriesTime FactorsVideo RecordingConceptsSpinal cord injuryThoracoabdominal aneurysm repairHind limb functionSegmental arteriesTAAA repairAneurysm repairCord injuryGroup 2Tarlov scoreLimb functionCoil embolizationExperimental modelSpinal cordGroup 1Ischemic spinal cord injuryPostoperative spinal cord injuryHybrid TAAA repairJuvenile Yorkshire pigsLumbar segmental arteriesModified Tarlov scoreEndovascular coil embolizationLower thoracic/upper lumbar regionUpper lumbar regionPrevents paraplegiaHistopathologic injuryHypothermia for aortic surgery
Griepp RB, Di Luozzo G. Hypothermia for aortic surgery. Journal Of Thoracic And Cardiovascular Surgery 2013, 145: s56-s58. PMID: 23410782, DOI: 10.1016/j.jtcvs.2012.11.072.Peer-Reviewed Original ResearchConceptsHypothermic circulatory arrestCirculatory arrestAcceptable neurologic outcomesAortic arch repairThoracoabdominal aortic aneurysmsAortic surgeryNeurologic outcomeArch repairSurgical patientsBrain metabolismOrgan protectionAortic aneurysmDeep hypothermiaClinical practicePig modelRoutine useHypothermiaArrestRepairPatientsSurgeryAneurysmsPerfusion
2012
Visceral and spinal cord protection during thoracoabdominal aortic aneurysm repair: Clinical and laboratory update
Di Luozzo G. Visceral and spinal cord protection during thoracoabdominal aortic aneurysm repair: Clinical and laboratory update. Journal Of Thoracic And Cardiovascular Surgery 2012, 145: s135-s138. PMID: 23260453, DOI: 10.1016/j.jtcvs.2012.11.053.Peer-Reviewed Original ResearchImaging of vascular remodeling after simulated thoracoabdominal aneurysm repair
Geisbüsch S, Schray D, Bischoff MS, Lin HM, Griepp RB, Di Luozzo G. Imaging of vascular remodeling after simulated thoracoabdominal aneurysm repair. Journal Of Thoracic And Cardiovascular Surgery 2012, 144: 1471-1478. PMID: 23010582, PMCID: PMC3496032, DOI: 10.1016/j.jtcvs.2012.08.062.Peer-Reviewed Original ResearchMeSH KeywordsAnimalsAortic Aneurysm, ThoracicArteriesBarium SulfateBehavior, AnimalCollateral CirculationContrast MediaDilatation, PathologicDisease Models, AnimalFemaleLatexLigationMammary ArteriesMultidetector Computed TomographyNeovascularization, PhysiologicParaplegiaReplica TechniquesSpinal CordSpinal Cord IschemiaSwineTime FactorsVascular Surgical ProceduresConceptsAnterior spinal arterySpinal cord blood supplySmall collateral vesselsAneurysm repairCollateral vesselsBlood supplyJuvenile Yorkshire pigsRisk of paraplegiaThoracoabdominal aneurysm repairThoracoabdominal aortic aneurysmsSpinal cord circulationEndovascular repairSpinal arteryArtery sacrificeIntercostal arteriesCord circulationInternal thoracicAortic aneurysmTomographic scanTomographic scanningVascular remodelingGroup 2Group 1Group 3Previous interventionsOpen Repair of Descending and Thoracoabdominal Aortic Aneurysms and Dissections in Patients Aged Younger Than 60 Years: Superior to Endovascular Repair?
Di Luozzo G, Geisbüsch S, Lin HM, Bischoff MS, Schray D, Pawale A, Griepp RB. Open Repair of Descending and Thoracoabdominal Aortic Aneurysms and Dissections in Patients Aged Younger Than 60 Years: Superior to Endovascular Repair? The Annals Of Thoracic Surgery 2012, 95: 12-19. PMID: 22785215, DOI: 10.1016/j.athoracsur.2012.05.071.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsAortic Aneurysm, ThoracicAortic DissectionBlood Vessel Prosthesis ImplantationCirculatory Arrest, Deep Hypothermia InducedFemaleFollow-Up StudiesHospital MortalityHumansMaleMiddle AgedNew YorkRetrospective StudiesStentsSurvival RateTime FactorsTreatment OutcomeYoung AdultConceptsThoracoabdominal aortic aneurysmsEndovascular repairOpen repairStent graftingAortic aneurysmDeep hypothermic circulatory arrestPrevious aortic operationHypothermic circulatory arrestOpen surgical repairNeurologic complication rateCerebrospinal fluid drainageModality of choiceChronic dissectionAcute dissectionAortic complicationsAortic operationsDiversity of patientsYounger patientsCirculatory arrestCommon indicationComplication rateNeurologic monitoringSurgical repairEarly mortalityLinearized rateFrequency of Reoperations in Patients With Marfan Syndrome
Geisbuesch S, Schray D, Bischoff MS, Lin HM, Di Luozzo G, Griepp RB. Frequency of Reoperations in Patients With Marfan Syndrome. The Annals Of Thoracic Surgery 2012, 93: 1496-1501. PMID: 22443865, DOI: 10.1016/j.athoracsur.2011.12.068.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge DistributionAneurysm, RupturedAortic Aneurysm, ThoracicAortic DissectionChildCohort StudiesElective Surgical ProceduresEmergency TreatmentFemaleFollow-Up StudiesHumansIncidenceKaplan-Meier EstimateMaleMarfan SyndromeMiddle AgedRadiographyReoperationRetrospective StudiesSex DistributionStatistics, NonparametricSurvival AnalysisTime FactorsTreatment OutcomeVascular Surgical ProceduresYoung AdultConceptsInitial emergency surgeryMarfan patientsGroup IAortic operationsEmergency surgeryInitial operationAortic segmentsElective root replacementInfrarenal aortic replacementThoracic aortic operationsGroup II patientsAortic root repairFrequency of reoperationArch operationsReoperative mortalityTotal reoperationsAcute dissectionAortic replacementOperative mortalityRoot replacementSurgical patientsThoracoabdominal aortaAortic ruptureII patientsRoot dilatationQuality of life and survival of septuagenarians and octogenarians after repair of descending and thoracoabdominal aortic aneurysms
Di Luozzo G, Shirali AS, Varghese R, Lin HM, Weiss AJ, Bischoff MS, Griepp RB. Quality of life and survival of septuagenarians and octogenarians after repair of descending and thoracoabdominal aortic aneurysms. Journal Of Thoracic And Cardiovascular Surgery 2012, 145: 378-384. PMID: 22365063, DOI: 10.1016/j.jtcvs.2012.01.068.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overAortic Aneurysm, ThoracicFemaleHospital MortalityHumansKaplan-Meier EstimateLogistic ModelsMaleOdds RatioProportional Hazards ModelsQuality of LifeRespiratory Distress SyndromeRetrospective StudiesRisk AssessmentRisk FactorsSex FactorsSurveys and QuestionnairesTime FactorsTreatment OutcomeVascular Surgical ProceduresConceptsQuality of lifeBody mass indexGender-matched populationLong-term survivalHospital mortalityMass indexThoracoabdominal aortic aneurysm repairAcute respiratory distress syndromeHigher body mass indexComplex aortic operationsOne-year survivalThoracoabdominal aortic aneurysmsAortic aneurysm repairItem Health SurveyRespiratory distress syndromeLower vitality scoresTAAA repairAortic operationsElderly patientsAneurysm repairDistress syndromePostoperative qualityRetrospective reviewThoracic aneurysmLife scores
2011
A propensity score–matched comparison of deep versus mild hypothermia during thoracoabdominal aortic surgery
Weiss AJ, Lin HM, Bischoff MS, Scheumann J, Lazala R, Griepp RB, Di Luozzo G. A propensity score–matched comparison of deep versus mild hypothermia during thoracoabdominal aortic surgery. Journal Of Thoracic And Cardiovascular Surgery 2011, 143: 186-193. PMID: 21885069, DOI: 10.1016/j.jtcvs.2011.07.020.Peer-Reviewed Original ResearchMeSH KeywordsAortic Aneurysm, ThoracicCirculatory Arrest, Deep Hypothermia InducedFemaleHeart Arrest, InducedHumansMaleMiddle AgedPropensity ScoreRetrospective StudiesConceptsPermanent adverse outcomesThoracoabdominal aortic aneurysm repairDeep hypothermic circulatory arrestAortic aneurysm repairHypothermic circulatory arrestAdverse outcomesHypothermic circulatory arrest groupCirculatory arrest groupRenal failureLiver failureAneurysm repairCirculatory arrestArrest groupHypothermic circulatory arrest techniqueThoracoabdominal aortic aneurysm operationsPropensity score-matched analysisPropensity score-matched comparisonAortic aneurysm operationsPropensity-matched studySignificant decreased oddsThirty-day mortalityThoracoabdominal aortic surgeryAcute renal failureAdverse outcome ratesElephant trunk procedureStaged Approach Prevents Spinal Cord Injury in Hybrid Surgical-Endovascular Thoracoabdominal Aortic Aneurysm Repair: An Experimental Model
Bischoff MS, Scheumann J, Brenner RM, Ladage D, Bodian CA, Kleinman G, Ellozy SH, Di Luozzo G, Etz CD, Griepp RB. Staged Approach Prevents Spinal Cord Injury in Hybrid Surgical-Endovascular Thoracoabdominal Aortic Aneurysm Repair: An Experimental Model. The Annals Of Thoracic Surgery 2011, 92: 138-146. PMID: 21718839, DOI: 10.1016/j.athoracsur.2011.03.098.Peer-Reviewed Original ResearchMeSH KeywordsAngiographyAngioplastyAnimalsAortic Aneurysm, ThoracicCombined Modality TherapyDisease Models, AnimalFemaleFollow-Up StudiesIntraoperative ComplicationsMonitoring, IntraoperativeRandom AllocationRisk AssessmentSpinal CordSpinal Cord InjuriesStentsSurvival RateSwineTreatment OutcomeVascular Surgical ProceduresConceptsGroup 1Group 2Thoracoabdominal aortic aneurysm repairJuvenile Yorkshire pigsSevere ischemic damageHind limb functionAortic aneurysm repairStent graft occlusionLumbar spinal cordModified Tarlov scoreSpinal cord injuryEndovascular coverageTarlov scoreGraft occlusionAneurysm repairArtery ligationIntercostal arteriesIschemic damageCord injuryLimb functionSudden occlusionSpinal cordLower thoracicHistopathologic analysisPorcine modelSpinal Cord Preservation in Thoracoabdominal Aneurysm Repair
Bischoff MS, Di Luozzo G, Griepp EB, Griepp RB. Spinal Cord Preservation in Thoracoabdominal Aneurysm Repair. Perspectives In Vascular Surgery And Endovascular Therapy 2011, 23: 214-222. PMID: 21502113, DOI: 10.1177/1531003511400622.Peer-Reviewed Original ResearchConceptsSpinal cord injuryThoracoabdominal aneurysm repairAneurysm repairIncidence of paraplegiaSpinal cord preservationSpinal cord protectionEndovascular aortic repairOpen surgical repairSpinal cord vasculatureAortic repairEndovascular approachSurgical repairDreadful complicationCord injuryEndovascular proceduresCollateral networkInvasive natureRepairRecent technical advancementsParaparesisComplicationsParaplegiaInjuryIncidenceVasculature
2010
Measuring the collateral network pressure to minimize paraplegia risk in thoracoabdominal aneurysm resection
Etz CD, Zoli S, Bischoff MS, Bodian C, Di Luozzo G, Griepp RB. Measuring the collateral network pressure to minimize paraplegia risk in thoracoabdominal aneurysm resection. Journal Of Thoracic And Cardiovascular Surgery 2010, 140: s125-s130. PMID: 21092778, DOI: 10.1016/j.jtcvs.2010.07.040.Peer-Reviewed Original ResearchMeSH KeywordsAnimalsAortic Aneurysm, ThoracicBlood PressureBlood Pressure DeterminationCatheterization, PeripheralCentral Venous PressureCerebrospinal Fluid PressureCollateral CirculationDisease Models, AnimalHumansParaplegiaRisk AssessmentRisk FactorsSpinal CordSwineTime FactorsVascular Surgical ProceduresConceptsMean aortic pressureSpinal cord injurySegmental arteriesCord injuryAortic pressureSpinal cord perfusion pressureThoracoabdominal aortic aneurysm repairThoracoabdominal aneurysm resectionSpinal cord perfusionAortic aneurysm repairAneurysm resectionParaplegia riskDistal bypassCord perfusionHypogastric arteryAneurysm repairPerfusion pressureArterial ligationEpidural spaceCollateral networkParavertebral musclesPulsatile perfusionArteryOutflow pressureInjuryPredicting the Risk of Paraplegia After Thoracic and Thoracoabdominal Aneurysm Repair
Zoli S, Roder F, Etz CD, Brenner RM, Bodian CA, Lin HM, Di Luozzo G, Griepp RB. Predicting the Risk of Paraplegia After Thoracic and Thoracoabdominal Aneurysm Repair. The Annals Of Thoracic Surgery 2010, 90: 1237-1245. PMID: 20868820, DOI: 10.1016/j.athoracsur.2010.04.091.Peer-Reviewed Original ResearchConceptsSpinal cord injuryRisk of paraplegiaSegmental arteriesParaplegia riskEndovascular repairAneurysm repairCord injuryThoracoabdominal aortic aneurysm repairMotor-evoked potential monitoringPrevious aortic surgeryThoracoabdominal aneurysm repairIndependent risk factorThoracoabdominal aortic aneurysmsAortic aneurysm repairStandard surgical approachCerebrospinal fluid drainageCrawford classificationHospital mortalitySCI riskAortic surgeryEmergent operationSurgical approachAortic aneurysmRisk factorsAbdominal aortaExperimental Two-Stage Simulated Repair of Extensive Thoracoabdominal Aneurysms Reduces Paraplegia Risk
Zoli S, Etz CD, Roder F, Brenner RM, Bodian CA, Kleinman G, Di Luozzo G, Griepp RB. Experimental Two-Stage Simulated Repair of Extensive Thoracoabdominal Aneurysms Reduces Paraplegia Risk. The Annals Of Thoracic Surgery 2010, 90: 722-729. PMID: 20732484, DOI: 10.1016/j.athoracsur.2010.04.047.Peer-Reviewed Original ResearchMeSH KeywordsAnimalsAortic Aneurysm, AbdominalAortic Aneurysm, ThoracicDisease Models, AnimalFemaleParaplegiaRisk FactorsSpinal CordSwineVascular Surgical ProceduresConceptsSpinal cord perfusion pressureHind limb functionGroup 2Artery sacrificeLimb functionExtensive segmental artery sacrificeExtensive thoracoabdominal aneurysmsJuvenile Yorkshire pigsSevere ischemic damageMotor-evoked potentialsLumbar spinal cordSpinal cord functionModified Tarlov scoreSpinal cord injuryParaplegia riskTarlov scoreThoracoabdominal aneurysmsAneurysm repairCord functionDistal stumpIschemic damagePerfusion pressureCord injurySpinal cordLower thoracicStaged repair significantly reduces paraplegia rate after extensive thoracoabdominal aortic aneurysm repair
Etz CD, Zoli S, Mueller CS, Bodian CA, Di Luozzo G, Lazala R, Plestis KA, Griepp RB. Staged repair significantly reduces paraplegia rate after extensive thoracoabdominal aortic aneurysm repair. Journal Of Thoracic And Cardiovascular Surgery 2010, 139: 1464-1472. PMID: 20494193, DOI: 10.1016/j.jtcvs.2010.02.037.Peer-Reviewed Original ResearchMeSH KeywordsAortic Aneurysm, AbdominalAortic Aneurysm, ThoracicFemaleHumansMaleMiddle AgedParaplegiaRetrospective StudiesSpinal Cord InjuriesVascular Surgical ProceduresConceptsExtensive thoracoabdominal aortic aneurysm repairExtensive segmental artery sacrificeThoracoabdominal aortic aneurysm repairThoracoabdominal aortic aneurysmsAortic aneurysm repairSpinal cord injuryArtery sacrificeAneurysm repairCord injuryAortic aneurysmCrawford type II thoracoabdominal aortic aneurysmType II thoracoabdominal aortic aneurysmIschemic spinal cord damageChronic obstructive pulmonary diseasePermanent spinal cord injuryExtensive thoracoabdominal aortic aneurysmsCrawford type ICrawford type IIIOverall hospital mortalityPrevious cerebrovascular accidentYear of procedureHypothermic circulatory arrestObstructive pulmonary diseaseOpen surgical repairMotor-evoked potentialsLong-Term Survival After Open Repair of Chronic Distal Aortic Dissection
Zoli S, Etz CD, Roder F, Mueller CS, Brenner RM, Bodian CA, Di Luozzo G, Griepp RB. Long-Term Survival After Open Repair of Chronic Distal Aortic Dissection. The Annals Of Thoracic Surgery 2010, 89: 1458-1466. PMID: 20417761, DOI: 10.1016/j.athoracsur.2010.02.014.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAortic Aneurysm, AbdominalAortic Aneurysm, ThoracicAortic DissectionBlood Vessel Prosthesis ImplantationCause of DeathChronic DiseaseCohort StudiesDatabases, FactualDisease-Free SurvivalFemaleFollow-Up StudiesHospital MortalityHumansMaleMiddle AgedMultivariate AnalysisPostoperative ComplicationsProbabilityRisk AssessmentSurvival AnalysisTime FactorsTreatment OutcomeVascular Surgical ProceduresConceptsChronic distal aortic dissectionDistal aortic dissectionAortic dissectionOpen repairAdverse outcomesAcute type ADistal aortic reoperationEndovascular stent-graft techniquesSegmental artery pairsStent-graft techniqueThrombosed false lumenCoronary artery diseaseLong-term survivalAortic reoperationChronic dissectionHospital mortalityB dissectionChronic dialysisAortic expansionVisceral arteriesArtery diseaseSurgical repairFalse lumenInitial diagnosisAortic diameter
2009
Redo Lateral Thoracotomy for Reoperative Descending and Thoracoabdominal Aortic Repair: A Consecutive Series of 60 Patients
Etz CD, Zoli S, Kari FA, Mueller CS, Bodian CA, Di Luozzo G, Plestis KA, Griepp RB. Redo Lateral Thoracotomy for Reoperative Descending and Thoracoabdominal Aortic Repair: A Consecutive Series of 60 Patients. The Annals Of Thoracic Surgery 2009, 88: 758-767. PMID: 19699894, DOI: 10.1016/j.athoracsur.2009.04.140.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overAortic Aneurysm, ThoracicAortic CoarctationAortic DiseasesAortic DissectionAtherosclerosisCardiopulmonary BypassCirculatory Arrest, Deep Hypothermia InducedEvoked Potentials, MotorEvoked Potentials, SomatosensoryFemaleHeart Bypass, LeftHospital MortalityHumansKaplan-Meier EstimateMaleMarfan SyndromeMiddle AgedNeurologic ExaminationPostoperative ComplicationsReoperationSurvival RateThoracotomyYoung AdultConceptsPartial left heart bypassSegmental artery pairsHypothermic circulatory arrestLeft heart bypassPartial cardiopulmonary bypassPermanent dialysisAtherosclerotic aneurysmsCirculatory arrestCardiopulmonary bypassHeart bypassAdverse outcomesExtensive adhesionsThoracoabdominal aortic aneurysm surgeryArtery pairsChronic obstructive pulmonary diseaseAortic aneurysm surgeryIntensive care unit recoveryObstructive pulmonary diseaseThoracoabdominal aortic repairCoronary artery diseaseAneurysm extentHospital mortalityRedo thoracotomyTAAA repairRespiratory complicationsAortic Arch Resection and Ligation of the Descending Thoracic Aorta to Manage a Ruptured Thoracoabdominal Aneurysm
Weiss A, Di Luozzo G, Etz CD, Griepp RB. Aortic Arch Resection and Ligation of the Descending Thoracic Aorta to Manage a Ruptured Thoracoabdominal Aneurysm. Vascular And Endovascular Surgery 2009, 43: 614-616. PMID: 19640920, DOI: 10.1177/1538574409335273.Peer-Reviewed Original ResearchConceptsThoracoabdominal aortic aneurysmsAcute type B aortic dissectionType B aortic dissectionAortic arch resectionRuptured thoracoabdominal aneurysmHigh-risk patientsOpen surgical interventionOpen surgical repairB aortic dissectionThoracoabdominal aneurysmsAortic dissectionAortic ruptureEndovascular approachSurgical repairArch resectionSurgical interventionAortic aneurysmThoracic aortaPrimary operationPatientsAneurysmsLess conventional approachesRuptureReoperationResectionSupradiaphragmatic Inferior Vena Cava Cannulation for Thoracoabdominal Aortic Aneurysm Repair
Di Luozzo G, Etz CD, Griepp RB. Supradiaphragmatic Inferior Vena Cava Cannulation for Thoracoabdominal Aortic Aneurysm Repair. The Annals Of Thoracic Surgery 2009, 87: 1286-1288. PMID: 19324177, DOI: 10.1016/j.athoracsur.2008.07.025.Peer-Reviewed Original ResearchMeSH KeywordsAgedAortic Aneurysm, ThoracicCardiopulmonary BypassCatheterization, Central VenousFemaleHumansMaleMiddle AgedVena Cava, InferiorConceptsSupradiaphragmatic inferior vena cavaThoracoabdominal aortic aneurysm repairDeep hypothermic circulatory arrestFemoral venous accessAortic aneurysm repairHypothermic circulatory arrestInferior vena cavaSite of cannulationThoracoabdominal aneurysmsCirculatory arrestAneurysm repairCardiopulmonary bypassCardiopulmonary supportVenous accessCannulation siteVena cavaPreoperative preparationCannulationRare occasions