The Peripheral Cannulation Technique in Minimally Invasive Congenital Cardiac Surgery

Vida, Vladimiro L.; Tessari, Chiara; Putzu, Alessandro; Tiberio, Ivo; Guariento, Alvise; Gallo, Michele; Stellin, Giovanni

doi:10.5301/ijao.5000505

Cited by 15 publications

(10 citation statements)

References 12 publications

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“…Vida and col. suggests that right jugular vein cannulation and femoral artery open surgery cannulation is the optimal choice for patients above 15 kg. (16) The same study suggests that peripheric cannulation decreases the amount of surgical stress. Reeb and col. suggests that peripheric cannulation is practical for elective or emergency ECMO applications.…”

Section: Discussionmentioning

confidence: 91%

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Outcomes of with open and Seldinger-Guided Peripheral Cannulation Techniques in open heart surgery

Sayarer¹,

Akkaya²,

Oto³

et al. 2018

ejcm

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In this study, we evaluated the results of open access and seldinger guided peripheral cannulation techniques in patients which underwent open heart surgery. Materials and Method: The results of heart surgery cases with peripheral artery and vein open access technique and seldinger guide technique between November 2010 and October 2017 were evaluated retrospectively. Edwards® Fem-Flex II and Medtronic Bio-Medicus™ NextGen percutaneous femoral artery and venous Cannulas were chosen. Peripheric cannulations were performed percutaneously with doppler ultrasonography via guided seldinger technique. Seldinger technique for peripheric cannulation was preferred even open exploration of the groin vessels were needed. Results: 65 patients (32 male, 33 female; mean age 43±37 years; range 3-81 years) were taken into the study that peripheral cannulation performed. In 18 (27.6%) patients minimally invasive technique was applied and 34 (52.3%) patients were redo cases. A mean flow of 4,108±0.6 m2 l/m2/m was achieved with vacuum application in only 6 patients (9.2%) for venous drainage. No hemothorax, pneumothorax or hematoma had occured in cannulation sites due to internal jugular vein or femoral cannulations. Surgical embolectomy was performed due to distal thrombus only in 4 patients (6.15%) to whom had conventional cannulation. In 4 patients (6.15%) femoral venous cannula couldn't reached up to the right atrium. Conclusion: In our opinion, seldinger technique either performed percutaneously or surgically is a faster, easier and superior technique in protecting distal limb perfusion when compared with open vasculotomy with proximal/distal clamping technique. Moreover, it can be safely applied in high risk redo cases as well as routine minimally invasive surgery.

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Section: Discussionmentioning

confidence: 91%

“…The datas from this research were evaluated with database created with "Statistical Package for Social Sciences" (SPSS-Chicago, IL, USA) 16…”

Section: Resultsmentioning

confidence: 99%

Outcomes of with open and Seldinger-Guided Peripheral Cannulation Techniques in open heart surgery

Sayarer¹,

Akkaya²,

Oto³

et al. 2018

ejcm

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“…We feel that appropriate debridement rather than prosthesis selection determines outcome in patients with aortic root abscess. Jassar et al reported similar rates of reinfection and reoperation in 134 patients who had aortic root replacement using either cryopreserved homograft, biological or mechanical valved conduits [47].…”

Section: Aortic Root Replacement With Cryopreserved Homograftmentioning

confidence: 95%

Cardiac Surgery Procedures

Montalto¹,

Loforte²,

Amarelli³

2020

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Dr. Montalto has shown particular interest in the field of surgical treatment of advanced heart failure, becoming familiar in the management of patients implanted with mechanical devices. Since 2012 he has been serving as the head of the Ventricular Assist Device (VAD) program at the center of cardiac surgery at San Camillo Hospital. He is an active member of Italian Society of Cardiac Surgery (SICCH) and European Registry for Patients with Mechanical Circulatory Support (EUROMACS).Dr. Antonio Loforte is currently a staff surgeon and co-chair ule he edited with the ECTTA board. He takes an active part in the editorial board and historical committee of the American Society for Artificial Internal Organs (ASAIO) and is an active reviewer for many journals and international meetings, being named a top peer reviewer in 2017. Last year he undertook a national scheme looking to expand the adoption of mechanical circulatory support in Italy under the auspices of the National Transplant Center and the Italian Society of Cardiac Surgery. He was involved in the editorial project "Mechanical Circulatory Support in End-Stage Heart Failure." ContentsPreface XIII Chapter 1

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“…This allowed to minimize surgical trauma while maintaining functional results [3]. The introduction of peripheral cannulation for CPB has further minimized the surgical access and expanded the spectrum of CHD that can be addressed with these techniques [4].…”

Section: Commentmentioning

confidence: 99%

“…Over the past decade, surgical correction of less severe congenital heart disease (CHD) such as ASD has been increasingly performed through minimally invasive less traumatic surgical approaches [3,4]. In particular, the advantage of total or partial peripheral cardiopulmonary bypass (CPB) includes the possibility of avoiding IVC snaring during CPB.…”

Section: Introductionmentioning

confidence: 99%

Minimally invasive congenital cardiac surgery with unsnared inferior vena cava

Guariento

Cattapan

Bertelli

et al. 2020

Preprint

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Here we report two cases of residual atrial septal defect (ASD) with inferior extension towards the inferior vena cava (inferior sinus venosus type). In both cases, patients underwent surgical repair of their ASD in childhood. However, signs of persistent hemodynamic right ventricular overload were detected at the last follow-up and a residual ASD was demonstrated. Both underwent successful minimally invasive surgical closure of the ASD by combining a right postero-lateral mini-thoracotomy (sub-axillary approach) and total peripheral cardiopulmonary bypass, avoiding snaring of the inferior vena cava. This allowed an optimal visualization of the residual intra-cardiac shunt and its subsequent closure.

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The Peripheral Cannulation Technique in Minimally Invasive Congenital Cardiac Surgery

Cited by 15 publications

References 12 publications

Outcomes of with open and Seldinger-Guided Peripheral Cannulation Techniques in open heart surgery

Outcomes of with open and Seldinger-Guided Peripheral Cannulation Techniques in open heart surgery

Cardiac Surgery Procedures

Minimally invasive congenital cardiac surgery with unsnared inferior vena cava

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