| Safety and efficacy of central cannulation through ascending aorta for type A aortic dissection. | |
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MedLine Citation:
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PMID: 20385668 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The femoral and axillary arteries are common arterial cannulation sites for repair of type A dissection. However, these peripheral approaches involve certain problems. From January 2002 to August 2009, a total of 77 patients underwent emergency surgery for acute type A dissection. Central cannulation was applied in 26 patients and peripheral cannulation in 51. The arterial cannulation site was decided according to preoperative computed tomography findings, the patient's condition, and intraoperative epiaortic ultrasonography findings. Central cannulation was avoided in cases of cardiac tamponade with shock. A cannula was inserted under ultrasound guidance using the Seldinger technique. Preoperative patient comorbidities and dissection-related complications were equally distributed between the two groups. Central cannulation was successfully performed in all 26 cases without incident. Operation time, cardiopulmonary bypass time, mean intubation time and mean intensive care unit stay duration were significant shorter in the central group. One patient (4%) died in the central group compared with four patients (8%) in the peripheral group (P=0.45). Direct central cannulation was successful for repair of type A dissection in selected patients and produced equal or superior surgical data to peripheral cannulation, thus providing one option in the approach to this condition. |
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Authors:
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Tomoaki Suzuki; Tohru Asai; Keiji Matsubayashi; Atsushi Kambara; Takeshi Kinoshita; Norihiko Hiramatsu; Osamu Nishimura |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2010-04-12 |
Journal Detail:
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Title: Interactive cardiovascular and thoracic surgery Volume: 11 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-06-21 Completed Date: 2010-10-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England |
Other Details:
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Languages: eng Pagination: 34-7 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Surgery, Shiga University of Medical Science, Setatsukinowa, Ootsu, Shiga 520-2192, Japan. suzukikatuta@yahoo.co.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aneurysm, Dissecting / radiography, surgery*, ultrasonography Aorta / surgery*, ultrasonography Aortic Aneurysm / radiography, surgery*, ultrasonography Aortography / methods Blood Vessel Prosthesis Implantation* / adverse effects, mortality Cardiopulmonary Bypass Catheterization / adverse effects, methods*, mortality Catheterization, Peripheral* / adverse effects, mortality Female Humans Intensive Care Japan Length of Stay Male Middle Aged Retrospective Studies Time Factors Tomography, X-Ray Computed Treatment Outcome Ultrasonography, Interventional |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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