Document Detail


A simple technique for the prevention of lower limb ischemia during femoral veno-arterial cardiopulmonary support.
MedLine Citation:
PMID:  9016966     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: We describe a simple technique to prevent the lower limb ischemia during femoral veno-arterial cardiopulmonary support (CPS). PATIENTS: Between July 1994 and September 1995, five patients underwent the insertion of femoral veno-arterial CPS with distal limb perfusion for the treatment of circulatory collapse after cardiac surgery. METHODS: After CPS is established, the ipsilateral superficial femoral artery (SFA) is punctured downward with a 14-gauge Teflon catheter and connected to the side port of the membrane oxygenator. RESULTS: None of the patients were complicated by lower limb ischemia for up to 77 hrs on CPS with distal limb perfusion. CONCLUSIONS: Active perfusion through a 14-gauge Teflon catheter downstream to the ipsilateral SFA is effective in preventing lower limb ischemia during prolonged femoral veno-arterial CPS after cardiac surgery.
Authors:
N Yoshimura; K Ataka; K Nakagiri; T Azami; M Yoshida; C Yamashita; M Okada
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  37     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  1996 Dec 
Date Detail:
Created Date:  1997-02-20     Completed Date:  1997-02-20     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  557-9     Citation Subset:  IM    
Affiliation:
Department of Surgery, Kobe University School of Medicine, Kusunoki-cho, Chuo-ku, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Catheterization
Coronary Artery Bypass
Extracorporeal Membrane Oxygenation / methods*
Female
Femoral Artery
Femoral Vein
Heart Valve Diseases / surgery
Heart Valve Prosthesis
Humans
Ischemia / prevention & control*
Leg / blood supply*
Male
Middle Aged
Perfusion

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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