2013
DOI: 10.1371/journal.pone.0068890
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Abstract: ObjectiveTo investigate the risk factors involved in radial-femoral artery pressure gradient after cardiac surgery.MethodsIn this retrospective study, we reviewed 412 cardiac surgeries with both femoral artery pressure and radial artery pressure monitoring before cardiopulmonary bypass. 138 patients had radial-femoral artery pressure gradient after cardiopulmonary bypass (group P) but 263 were not (group N). Their hemodynamic data and other demographic data were analyzed.ResultsPhenylephrine usage was 1.7±1.1 … Show more

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Cited by 7 publications
(6 citation statements)
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References 17 publications
(25 reference statements)
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“…The frequency of PD in our study regarding MICS was greater than in previous reports regarding conventional cardiac surgery (34%-63%), although the definition of what threshold value to count as PD between femoral and radial artery pressure differed in those reports. 1,2,5,9,10 Moreover, the magnitude of PD in SAP was greater than that described in previous reports (average 13 (12-27) mm Hg). 1,2,5,9,10 Compared to CPB with antegrade perfusion via central aortic cannulation, CPB with retrograde perfusion via femoral cannulation has several disadvantages, such as distal limb ischemia of the cannulation side and cooling/warming starting from groin site.…”
Section: Discussioncontrasting
confidence: 58%
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“…The frequency of PD in our study regarding MICS was greater than in previous reports regarding conventional cardiac surgery (34%-63%), although the definition of what threshold value to count as PD between femoral and radial artery pressure differed in those reports. 1,2,5,9,10 Moreover, the magnitude of PD in SAP was greater than that described in previous reports (average 13 (12-27) mm Hg). 1,2,5,9,10 Compared to CPB with antegrade perfusion via central aortic cannulation, CPB with retrograde perfusion via femoral cannulation has several disadvantages, such as distal limb ischemia of the cannulation side and cooling/warming starting from groin site.…”
Section: Discussioncontrasting
confidence: 58%
“…1,2,5,9,10 Moreover, the magnitude of PD in SAP was greater than that described in previous reports (average 13 (12-27) mm Hg). 1,2,5,9,10 Compared to CPB with antegrade perfusion via central aortic cannulation, CPB with retrograde perfusion via femoral cannulation has several disadvantages, such as distal limb ischemia of the cannulation side and cooling/warming starting from groin site. In addition, MICS generally requires longer CPB and cross clamp time than conventional cardiac surgery as CPB time and aortic cross clamp time are found to be the risk factors for significant PD between femoral and radial SAP in this and other studies.…”
Section: Discussioncontrasting
confidence: 58%
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“…The femoral artery is the largest accessible artery for arterial catheterization and continues from the external iliac and common iliac arteries. Because femoral arterial pressure represents the central arterial pressure, femoral arterial catheterization is useful in cardiopulmonary bypass [ 21 , 22 ] or liver transplantation [ 23 ], when peripheral arterial pressure monitoring does not reflect central blood pressure. The average diameter of the common-, superficial-, and deep-femoral artery in adults is 6.6 ± 1.2 mm, 5.2 ± 1.2 mm, 4.9 ± 0.9 mm [ 24 ], respectively.…”
Section: Anatomymentioning
confidence: 99%