TY - JOUR
T1 - Femoral cannulation with long arterial cannula in aortic dissection
AU - Luciani, Nicola
AU - Anselmi, Amedeo
AU - Glieca, Franco
AU - Lauria, Giuseppe
AU - De Geest, Raphael
AU - Possati, Gianfederico
PY - 2012/2
Y1 - 2012/2
N2 - The optimal cannulation site in repair of DeBakey type I aortic dissection is controversial, and malperfusion during cardiopulmonary bypass is facilitated by retrograde flow. We propose the use of a long arterial cannula through the femoral artery to achieve a proximal antegrade perfusion. The tip of the cannula is placed in the true lumen of the distal aortic arch through the common femoral artery (Seldinger technique and transesophageal echography guidance). In 9 patients, there was one case of operative mortality (cardiac death), and no cases of perioperative stroke, bowel ischemia, severe renal failure, or local complications. Proximal perfusion can achieved rapidly and through an easily accessible site.
AB - The optimal cannulation site in repair of DeBakey type I aortic dissection is controversial, and malperfusion during cardiopulmonary bypass is facilitated by retrograde flow. We propose the use of a long arterial cannula through the femoral artery to achieve a proximal antegrade perfusion. The tip of the cannula is placed in the true lumen of the distal aortic arch through the common femoral artery (Seldinger technique and transesophageal echography guidance). In 9 patients, there was one case of operative mortality (cardiac death), and no cases of perioperative stroke, bowel ischemia, severe renal failure, or local complications. Proximal perfusion can achieved rapidly and through an easily accessible site.
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U2 - 10.1016/j.athoracsur.2011.10.018
DO - 10.1016/j.athoracsur.2011.10.018
M3 - Article
C2 - 22269770
AN - SCOPUS:84856110874
VL - 93
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
SN - 0003-4975
IS - 2
ER -