Femoral Versus Aortic Cannulation for Surgery of Chronic Ascending Aortic Aneurysm

Lakew, Fitsum; Pasek, Piotr; Zacher, Michael; Diegeler, Anno; Urbanski, Paul P.

doi:10.1016/j.athoracsur.2005.02.006

Cited by 26 publications

(26 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…During surgery for type A aortic dissection, cerebrovascular injury is one of the major causes of morbidity and mortality [5,9]. Possible causes for this neurologic complication, such as malperfusion, cerebral embolism, and global ischemia during deep hypothermic circulatory arrest are currently being discussed [1,3,9,10].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of the Outcomes between Axillary and Femoral Artery Cannulation for Acute Type A Aortic Dissection

Lee

Kim

Cho

et al. 2012

Korean J Thorac Cardiovasc Surg

View full text Add to dashboard Cite

Background At present, many surgeons prefer axillary artery cannulation because it facilitates antegrade cerebral perfusion and may diminish the risk of cerebral embolization. However, axillary artery cannulation has not been established as a routine procedure because there is controversy about its clinical advantage. Materials and Methods We examined 111 patients diagnosed with acute type A aortic dissection between January 2000 and December 2009. The right axillary artery was cannulated in 58 patients (group A) and the femoral artery was cannulated in 53 (group F). The postoperative outcomes were retrospectively reviewed and compared between the two groups. Results There were 46 male and 65 female patients with a mean age of 58.9±13.1 years (range, 26 to 84 years). The extent of aortic replacement in both groups did not differ. There were 8 early deaths (7.2%) and 2 late deaths (1.8%). The mean follow-up duration was 46.0±32.6 months (range, 1 month to 10 years). Transient neurologic dysfunction was observed in 11 patients (19.0%) in group A and 14 patients (26.4%) in group F. A total of 11 patients (9.9%) suffered from a permanent neurologic dysfunction. Early and delayed stroke were observed in 6 patients (10.3%) and 2 patients (3.4%), respectively, in group A as well as 2 patients (3.8%) and 1 patient (1.9%), respectively, in group F. There were no statistical differences in the cannulation-related complications between both groups (3 in group A vs. 0 in group F). Conclusion There were no differences in postoperative neurologic outcomes and cannulation-related complications according to the cannulation sites. The cannulation site in an aortic dissection should be carefully chosen on a case-by-case basis. It is important to also pay attention to the possibility of intraoperative malperfusion syndrome occurring and the subsequent need to change the cannulation site.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Possible causes for this neurologic complication, such as malperfusion, cerebral embolism, and global ischemia during deep hypothermic circulatory arrest are currently being discussed [1,3,9,10]. The attempt to avoid neurologic complications has directed the attention of surgeons toward the arterial cannulation site.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Outcomes between Axillary and Femoral Artery Cannulation for Acute Type A Aortic Dissection

Lee

Kim

Cho

et al. 2012

Korean J Thorac Cardiovasc Surg

View full text Add to dashboard Cite

show abstract

“…After evaluating the full-text articles, 14 were finally selected for the systematic review and meta-analysis. [14][15][16][17][18][19][20][21][22][23][24][25][26][27] An overview of the studies and study quality assessment are summarized in Tables 1 and 2, respectively. An outline of the systematic review process is depicted in Figure 1.…”

Section: Selected Studiesmentioning

confidence: 99%

“…The CC group included right axillary artery cannulation in 7 studies, [20][21][22][23][24][25][26] direct aortic cannulation in 2 studies, 18,19 both right axillary artery or direct aortic cannulation in 3 studies, [15][16][17] and right axillary artery or innominate artery or direct aortic cannulation in 2 studies. [14][15][16][17][18][19][20][21][22][23][24][25][26][27] A total of 8 of 14 studies reported on type A aortic dissection cases only, [16][17][18][20][21][22][23]25 whereas the others included mixed aortic pathologies. 14,15,19,24,26,27 Cerebral protection strategies included hypothermic circulatory arrest (HCA), antegrade selective cerebral perfusion (ASCP), and retrograde cerebral perfusion.…”

Section: Selected Studiesmentioning

confidence: 99%

The impact of arterial cannulation strategy on operative outcomes in aortic surgery: Evidence from a comprehensive meta-analysis of comparative studies on 4476 patients

Benedetto

Raja

Amrani

et al. 2014

The Journal of Thoracic and Cardiovascular Surgery

View full text Add to dashboard Cite

show abstract

“…But, Lakew at al. [20], in a retrospective study of 327 patients surgically operated for descending aortic aneurysm repair, where 166 (50.8%) patients were submitted to aortic arch cannulation and 161 (49.2%) to femoral artery cannulation, reported no statistically significant difference in the results related to neurological complications. They also stated that, chiefly in aortic arch surgeries, the axillary and carotid arteries are important alternative routes when the goal of CPB is perfusion and brain protection.…”

Section: Femoral Arterymentioning

confidence: 99%

Proteção cerebral: sítios de canulação arterial e vias de perfusão do cérebro

Dias¹,

Silva²,

Fiorelli³

et al. 2007

Rev Bras Cir Cardiovasc

View full text Add to dashboard Cite

Brain perfusion for adequate cerebral protection has changed over the years. The limitations of the time during total circulatory arrest with deep hypothermia, the inefficient cerebral metabolism during retrograde perfusion and special care to prevent cerebral embolism during antegrade perfusion have resulted in the development of different methods of cerebral protection during the evolution of aortic arch operations. Antegrade cerebral perfusion associated with moderate hypothermia is today, considered the best option for cerebral protection. 236DIAS, RR ET AL -Cerebral protection: sites of arterial cannulation and brain perfusion routes Braz J Cardiovasc Surg 2007; 22(2): 235-240

show abstract

Femoral Versus Aortic Cannulation for Surgery of Chronic Ascending Aortic Aneurysm

Cited by 26 publications

References 13 publications

Comparison of the Outcomes between Axillary and Femoral Artery Cannulation for Acute Type A Aortic Dissection

Comparison of the Outcomes between Axillary and Femoral Artery Cannulation for Acute Type A Aortic Dissection

The impact of arterial cannulation strategy on operative outcomes in aortic surgery: Evidence from a comprehensive meta-analysis of comparative studies on 4476 patients

Proteção cerebral: sítios de canulação arterial e vias de perfusão do cérebro

Contact Info

Product

Resources

About