Antegrade Cerebral PerfusionAt UCMC, surgery on the proximal aorta is performed using antegrade cerebral perfusion (ACP) via axillary cannulation. Traditionally, surgery on the proximal aorta required complete circulatory arrest, which leaves the patients without blood circulation for a period of time.
For ACP, surgeons at UCMC attach a graft to the axillary artery. Using this graft, surgeons are able to maintain the flow of blood to the brain and other part of the body throughout the entire operation. This approach has been shown to be safer than traditional approaches, specifically decreasing the risk of stroke and other neurological injury. 
Cannulation of axillary artery for antegrade cerebral perfusion
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