A Method for Perfusion of the Leg During Cardiopulmonary Bypass via Femoral Cannulation

Minimally Invasive Aortic Valve Surgery in the Elderly: A Case-Control Study

“…26 Despite the safety of femoral cannulation and the port access technique in patients undergoing mitral operation, 13 we prefer direct cannulation of the ascending aorta with direct cross clamping in this subset of elderly patients. Our data show that this strategy of cannulation can be accomplished using a right anterior thoracotomy in most cases.…”

The Impact of Vascular Complications on Survival of Patients on Venoarterial Extracorporeal Membrane Oxygenation

“…However, vascular complications related to femoral cannulation are one of the most common and serious complications of ECMO (6)(7)(8)(9)(10)(11)(12). Leg ischemia is particularly worrisome and a distal perfusion catheter is often placed to prevent ischemia (13,14). The relationship between major vascular complications and outcomes of patients on ECMO is still unclear (11,12).…”

Percutaneous Cannulation of the Femoral Vessels for Cardiopulmonary Bypass

“…Femoral vessel cannulation is therefore a common approach and has proven its efficacy also for procedures including ascending aortic aneurysm or dissection, difficult reoperations, emergent establishment of CPB in case of cardiogenic shock or for hypothermia rescue [4][5][6]. Nevertheless, complications like groin wound infection, wound seroma, arterial injury requiring reconstruction and limb ischemia have been reported after surgical exposure of the femoral vessel [8][9][10] with an incidence of up to 10% [7].…”

“…It is also helpful in other situations including surgery for aortic dissection, re-redo sternotomies, and in all those cases, where urgent establishment of CPB is needed [4][5][6]. Nevertheless, the incidence of groin and vascular complications like seroma, infection, thrombosis or leg ischemia after surgical exposure of the femoral vessel has been reported to be up to 10% [7][8][9][10].…”