| Temporary right heart support with percutaneous jugular access. | |
| | |
MedLine Citation:
|
PMID: 16427877 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: Temporary right heart bypass has shown to improve hemodynamic stability and safety in beating heart revascularization. We sought to evaluate feasibility and safety of a right ventricular assist device percutaneously implanted in the right jugular vein. DESCRIPTION: The A-Med jugular coaxial cannula (A-Med Systems Inc, West Sacramento, CA) is designed for percutaneous implantation. Blood from the right heart is drained through the outer tube of this two-cannula device to a microcentrifugal pump and returned into the pulmonary artery through the inner tube. EVALUATION: In 10 patients scheduled for elective coronary bypass grafting without cardiopulmonary bypass, a total of 27 coronary anastomoses were performed with right heart support. Arterial pressure was significantly higher with right heart support when the heart was dislocated to access posterior and posterolateral anastomosis sites. Implantation through the right internal jugular vein was feasible without complications in all patients and facilitated the procedure. CONCLUSIONS: This initial study suggests safety and feasibility of temporary right heart support using percutaneous jugular access for posterior and posterolateral coronary bypass grafting. |
| | |
Authors:
|
Stefan P Wirtz; Christoph Schmidt; Hugo Van Aken; Gerd Brodner; Dieter Hammel; Hans Heinrich Scheld; Elmar Berendes |
Related Documents
:
|
21892017 - The impact of st elevation on athletic screening. 23208587 - Increased expression of microrna-146a decreases myocardial ischemia/reperfusion injury. 14742357 - Hydroxyethyl starch as a priming solution for cardiopulmonary bypass impairs hemostasis... 12853047 - Effect of avoiding cardiopulmonary bypass in non-elective coronary artery bypass surger... 22408647 - Myocardial infarction induced by spontaneous pneumothorax. 21892017 - The impact of st elevation on athletic screening. |
Publication Detail:
|
Type: Clinical Trial; Journal Article |
Journal Detail:
|
Title: The Annals of thoracic surgery Volume: 81 ISSN: 1552-6259 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 2006 Feb |
Date Detail:
|
Created Date: 2006-01-23 Completed Date: 2006-08-22 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: Netherlands |
Other Details:
|
Languages: eng Pagination: 701-5 Citation Subset: AIM; IM |
Affiliation:
|
Department of Anesthesiology and Intensive Care, University Hospital Münster, Münster, Germany. stw@uni-muenster.de |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Female Heart Bypass, Right / methods* Heart-Assist Devices* Hemodynamics Humans Jugular Veins / surgery Male Middle Aged Postoperative Complications / prevention & control Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Cardiac surgery in children with end-stage liver disease awaiting liver transplantation.
Next Document: Portable coronary active perfusion system for off-pump coronary artery bypass grafting.