Risk factors to predict leg ischemia in patients undergoing single femoral artery cannulation in minimally invasive cardiac surgery

Tarui, Tatsuya; Miyata, Kazuto; Shigematsu, Sayaka; Watanabe, Go

doi:10.1177/0267659118768151

Cited by 24 publications

(25 citation statements)

References 11 publications

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“…Anselmo, et al attenuated [10] IR-induced renal changes, with reduction of plasmatic phosphorus as well as reducing kidney expression of iNOS, nitrotyrosine and macrophage in lux after pretreatment with 75 mg of Brazil nuts. Tarui, et al evaluated [11] the outcome and risk factors related [11] with increased creatinine phosphorus kinase in patients undergoing minimally invasive cardiac operation in mitral valve problem. Dattilo, et al associated [12] hypovitaminosis D beyond calcium and phosphorus with the genesis of rheumatic, autoimmune, neoplastic and cardiovascular diseases in patients particularly with heart failure.…”

Section: Discussionmentioning

confidence: 99%

The alterations effects in phosphorus of erythropoietin and U-74389G

Τsompos¹,

Panoulis²,

Triantafyllou³

et al. 2020

Int J Bone Marrow Res

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Aim: This study calculated the eff ects on serum phosphorus (P) levels, after treatment with either of 2 drugs: the erythropoietin (Epo) and the antioxidant lazaroid (L) drug U-74389G. The calculation was based on the results of 2 preliminary studies, each one of which estimated the certain infl uence, after the respective drug usage in an induced ischemia reperfusion (IR) animal experiment. Materials and methods:The 2 main experimental endpoints at which the serum P levels were evaluated was the 60 th reperfusion min (for the groups A, C and E) and the 120 th reperfusion min (for the groups B, D and F). Specially, the groups A and B were processed without drugs, the groups C and D after Epo administration; whereas the groups E and F after the L administration. Results:The fi rst preliminary study of Epo presented a non signifi cant hyperphosphoremic eff ect by 2.46% + 2.02% (pvalue = 0.2168). However, the second preliminary study of U-74389G presented a non signifi cant hypophosphoremic eff ect by 1.09% + 2.01% (pvalue = 0.5771). These 2 studies were co-evaluated since they came from the same experimental setting. The outcome of the co-evaluation was that L is at least 0.4455128-fold [0.4445589 -0.4464687] more hypophosphoremic than Epo (pvalue = 0.0000). Conclusion:The anti-oxidant capacities of U-74389G ascribe at least 0.4455128-fold [0.4445589 -0.4464687] more eff ects than Epo (pvalue = 0.0000).The alterations effects in phosphorus of erythropoietin and U-74389G https://www.heighpubs.org/hbmr https://doi.

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Section: Discussionmentioning

confidence: 99%

The alterations effects in phosphorus of erythropoietin and U-74389G

Τsompos¹,

Panoulis²,

Triantafyllou³

et al. 2020

Int J Bone Marrow Res

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“…Tarui et al identified different risk factors in the prediction of patients with leg ischaemia undergoing minimally invasive cardiac surgery with single femoral artery cannulation. The authors conducted a retrospective study involving 162 patients and determined that BMI, cannula size and operation time were significant risk factors for the development of leg ischaemia 8…”

Section: Discussionmentioning

confidence: 99%

A silent compartment syndrome following elective minimally invasive mitral valve repair

Godavitarne¹,

Phadnis

Ahmed

2019

BMJ Case Rep

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A 63-year-old male with severe mitral valve regurgitation underwent an elective minimally invasive mitral valve repair. Peripheral cannulation of the right femoral vein and artery was performed with a total cardiopulmonary bypass time of 268 min. There were no intraoperative complications. 12 hours postoperatively the patient reported mild pain in the right lower leg with a subjective decrease in sensation. Compartmental pressures were significantly raised. The patient underwent lower leg fasciotomies, which revealed bulging compartments confirming the diagnosis of an evolving compartment syndrome (CS). This rare case demonstrates the highly variable aetiology, pathophysiology and presenting symptoms of CS. Clinicians in any specialty should consider this diagnosis if there is a possibility of local vascular compromise secondary to an intervention/treatment. This diagnosis is not exclusive to patients with trauma and as such clinicians should have a high index of suspicion for this potentially devastating condition.

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“…13 During surgery, body mass index, cannula size, and prolonged operation or cardiopulmonary bypass time were considered as the risk factors for leg ischemia. 8,14 In particular, the incidence of leg ischemia was high in young patients 15 because the femoral diameter is smaller in younger adults, women, and individuals with small body surface area. 16 On the contrary, several studies reported that femoral cannulation was not associated with an increased risk of stroke and aortic dissection.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Efficacy of Transthoracic Cannulation into the Ascending Aorta Versus Femoral Artery Cannulation in Minimally Invasive Cardiac Surgery

Nakajima

Takazawa

Tounaga

et al. 2019

Innovations�(Phila)

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Objective To delineate the efficacy and safety of transthoracic cannulation to the ascending aorta through a right pleural cavity during minimally invasive cardiac surgery (MICS). Methods We retrospectively assessed the records of 104 patients who underwent MICS in our institution between December 2011 and December 2018. Procedures included mitral valve repair (88 patients), aortic valve replacement (8 patients), atrial septal defect closure (6 patients), and myxoma resection (2 patients). Aortic valve replacements were performed through the third intercostal space (ICS), whereas the other procedures were mainly performed through the fourth ICS. The femoral group comprised 60 patients in whom an artificial graft was anastomosed to the femoral artery and 4 who underwent cannulation into the femoral artery. The aorta group comprised 40 patients in whom transthoracic cannulation was performed through the second or third ICS, separate from the main skin incision. Results No mortality or critical complications were associated with cardiopulmonary bypass. Perfusion pressure measured at outflow of the artificial lung (224 ± 43 vs. 190 ± 42; P < 0.001) and pump pressure measured at the outflow of the pump (293 ± 50 vs. 255 ± 57; P < 0.001) were significantly higher in the femoral group than in the aorta group. The skin incision lengths were similar (56.9 ± 6.9 vs. 55.1 ± 6.0 mm; P = 0.107). Conclusions Transthoracic cannulation into the ascending aorta is reliable and can be safely performed. The possible risks associated with peripheral cannulation and retrograde perfusion can be avoided thereafter.

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Risk factors to predict leg ischemia in patients undergoing single femoral artery cannulation in minimally invasive cardiac surgery

Abstract: In peripheral cannulation for minimally invasive cardiac surgery, body mass index, cannula size and operation time can be considered as risk factors for leg ischemia.

Cited by 24 publications

References 11 publications

The alterations effects in phosphorus of erythropoietin and U-74389G

The alterations effects in phosphorus of erythropoietin and U-74389G

A silent compartment syndrome following elective minimally invasive mitral valve repair

Comparison of the Efficacy of Transthoracic Cannulation into the Ascending Aorta Versus Femoral Artery Cannulation in Minimally Invasive Cardiac Surgery

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