Document Detail


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
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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
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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


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