Amac: Bu calismanin amaci, aort cerrahisinde kullanilan aksiller ve femoral arter kanulasyon stratejilerinin sonuclarini karsilastirmaktir. Calisma plani: Calismaya alinan 192 hastanin 88’inde (%51.2) femoral arter kanulasyonu (grup F), 84’unde (%48.8) ise aksiller arter kanulasyonu (grup A) kullanildi. Tum hastalarin aort kokleri ve aortun en az bir segmentinin replasman veya onarim islemleri uygulandi. Bul gu lar: Ortalama hipotermi derecesi, yogun bakim ve hastane kalis sureleri grup A’daki hastalarda daha dusuk bulundu. Mortalite orani grup F’de %8 (n=7) ve grup A’da %3.6 (n=3) oldu (p=0.330). Grup F’de yedi hastada (%8), grup A’da ise 10 hastada (%11.9) cerrahi sonrasinda norolojik komplikasyon gozlemlendi. Ameliyat sonrasi kanama, pulmoner komplikasyon ve enfeksiyon oranlari grup F’de daha yuksekti. Lojistik regresyon analizinde gecirilmis kardiyak cerrahi ve ameliyat sonrasi norolojik komplikasyon gorulmesi ameliyat sonrasi mortaliteyle iliskili bulundu. Sonuc:Aksiller kanulasyon uygulamalari ameliyat suresinin kisalmasi ve daha az derinlikte hipotermi kullanilabilmesi acisindan fayda saglamaktadir. Hastalarin yogun bakim ve hastane kalis sureleri kisalmakta, ameliyat sonrasi gorulen kanama, enfeksiyon ve pulmoner komplikasyon orani azalmaktadir. Anah tar soz cuk ler: Aort cerrahisi; aksiller kanulasyon; femoral kanulasyon. Background: This study aims to compare axillary and femoral arterial cannulation strategies in aortic surgery. Methods: Femoral artery cannulation (group F) was used in 88 (51.2%) and axillary artery cannulation (group A) was used in 84 (48.8%) of 192 patients. All patients had their aortic roots or one segment of their aortae replaced and/or repaired. Results:The mean degree of hypothermia, mean duration of intensive care and length of hospital stay were lower in group A patients. The mortality rate was 8% (n=7) in group F and 3.6% (n=3) in group A (p=0.330). Seven patients (8%) in group F and 10 patients (11.9%) in group A had neurologic complications following surgery. Postoperative incidences of bleeding, pulmonary complications and infections were higher in group F. Logistic regression analysis showed that previous cardiac surgery and postoperative neurologic complications were independently related to the postoperative mortality. Conclusion: Axillary artery cannulation is useful to decrease the operation time and use lesser degrees of hypothermia. Patients have less intensive care and hospital stays and also pulmonary and infectious complications and postoperative bleeding are reduced.