Ling-Chen Huang1,2, Qi-Chen Xu1, Dao-Zhong Chen1, Xiao-Fu Dai1, Liang-Wan Chen3,4. 1. Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, 350001, China. 2. Fujian Key Laboratory of Cardio-thoracic Surgery (Fujian Medical University), Fuzhou, China. 3. Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, 350001, China. gzlde0323@msn.com. 4. Fujian Key Laboratory of Cardio-thoracic Surgery (Fujian Medical University), Fuzhou, China. gzlde0323@msn.com.
Abstract
BACKGROUND: Clinical application of minimally invasive cardiac surgery has increased annually. Cardiopulmonary bypass is established by peripheral cannulation during minimally invasive cardiac surgery. The methodology of peripheral cannulation has unique characteristics, which have associated risks and complications. Few studies have been conducted on this topic. In this study, we focused on complications of peripheral cannulation in totally endoscopic cardiac surgery. METHODS: Patients who underwent totally endoscopic cardiac surgery with cardiopulmonary bypass established by peripheral cannulation at our institution between January 2019 and June 2020 were reviewed. Specific cannulation strategies and related cannulation complications were noted. RESULTS: One hundred forty-eight patients underwent totally endoscopic cardiac surgery. One hundred forty-eight cannulations were performed in the femoral artery and vein, and eleven were performed in the internal jugular vein (combined with the femoral vein). The median size of the femoral artery cannula was 22Fr, and that of the venous canula was 24Fr. One patient died of retroperitoneal haematoma due to femoral artery injury. Three patients had postoperative lower limb oedema. One patient had a postoperative diagnosis of femoral vein thrombosis. CONCLUSIONS: Different from cannulation in patients with aortic dissection and aneurysms, femoral artery cannulation is safe in totally endoscopic cardiac surgery. Venous cannulation is characterized by a large-bore venous cannula and a short period of use. There are few reports about complications of venous cannulation. The main complication in this study was mechanical injury, and the key to preventing this injury is meticulous manipulation during surgery.
BACKGROUND: Clinical application of minimally invasive cardiac surgery has increased annually. Cardiopulmonary bypass is established by peripheral cannulation during minimally invasive cardiac surgery. The methodology of peripheral cannulation has unique characteristics, which have associated risks and complications. Few studies have been conducted on this topic. In this study, we focused on complications of peripheral cannulation in totally endoscopic cardiac surgery. METHODS:Patients who underwent totally endoscopic cardiac surgery with cardiopulmonary bypass established by peripheral cannulation at our institution between January 2019 and June 2020 were reviewed. Specific cannulation strategies and related cannulation complications were noted. RESULTS: One hundred forty-eight patients underwent totally endoscopic cardiac surgery. One hundred forty-eight cannulations were performed in the femoral artery and vein, and eleven were performed in the internal jugular vein (combined with the femoral vein). The median size of the femoral artery cannula was 22Fr, and that of the venous canula was 24Fr. One patient died of retroperitoneal haematoma due to femoral artery injury. Three patients had postoperative lower limb oedema. One patient had a postoperative diagnosis of femoral vein thrombosis. CONCLUSIONS: Different from cannulation in patients with aortic dissection and aneurysms, femoral artery cannulation is safe in totally endoscopic cardiac surgery. Venous cannulation is characterized by a large-bore venous cannula and a short period of use. There are few reports about complications of venous cannulation. The main complication in this study was mechanical injury, and the key to preventing this injury is meticulous manipulation during surgery.
Authors: Patricia Yau; Yu Xia; Saadat Shariff; William A Jakobleff; Stephen Forest; Evan C Lipsitz; Larry A Scher; Karan Garg Journal: Ann Vasc Surg Date: 2018-09-11 Impact factor: 1.466
Authors: Siavash Saadat; Molly Schultheis; Anthony Azzolini; Joseph Romero; Victor Dombrovskiy; Karen Odroniec; Peter Scholz; Anthony Lemaire; George Batsides; Leonard Lee Journal: Perfusion Date: 2015-06-01 Impact factor: 1.972
Authors: Theodosios Bisdas; Gernot Beutel; Gregor Warnecke; Marius M Hoeper; Christian Kuehn; Axel Haverich; Omke E Teebken Journal: Ann Thorac Surg Date: 2011-05-08 Impact factor: 4.330
Authors: Filip P Casselman; Sam Van Slycke; Francis Wellens; Raphael De Geest; Ivan Degrieck; Frank Van Praet; Yvette Vermeulen; Hugo Vanermen Journal: Circulation Date: 2003-09-09 Impact factor: 29.690
Authors: Silvana F Marasco; Elli Tutungi; Shirley A Vallance; Andrew A Udy; Justin C Negri; Adam D Zimmet; David C McGiffin; Vincent A Pellegrino; Randall A Moshinsky Journal: Innovations (Phila) Date: 2018 Mar/Apr