Deltoido-pectoralis approach to axillary vessels for full-flow cardiopulmonary bypass

Giuseppe Zattera, Pasquale Totaro, Andrea Maria D'Armini, Mario Vigano

Research output: Contribution to journalArticlepeer-review


Axillary artery has been proposed as a safe and effective alternative for arterial cannulation in surgical procedures involving ascending aorta and/or aortic arch, and is nowadays the site of choice in many centres. Advantages of axillary artery cannulation include antegrade flow and the possibility of selective mono-hemispherical brain perfusion during circulatory arrest. Experiences with the axillary vein cannulation, however, are scarce. Here we report our preliminary experience with axillo-axillary cardiopulmonary bypass, through both axillary artery and vein cannulation (using echo-guided Seldinger technique) at deltoido-pectoralis groove. We have used such an approach in 5 cases of redo surgery on ascending aorta and we have not had any inconvenience during cardiopulmonary bypass. Full flow was maintained in all patients (in 2 with vacuum assisted drainage) including 2 cases with deep hypothermic circulatory arrest. In conclusion such an approach seems to be feasible and effective and can be safely performed providing that accurate TE echo monitoring is provided.

Original languageEnglish
Pages (from-to)913-914
Number of pages2
JournalEuropean Journal of Cardio-thoracic Surgery
Issue number5
Publication statusPublished - May 2009


  • Axillary artery
  • Axillary vein
  • Cardiopulmonary bypass

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine
  • Surgery


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