Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
March 8, 2026Open Access

Central aortic cannulation for anterior thoracotomy coronary revascularization yields zero strokes, dissections, bleeding, or conversions.

View Full Paper
Ask AI
Bookmark
Share

Why the study?

To evaluate the feasibility, safety, and technical challenges of central aortic cannulation for total coronary revascularization via left anterior thoracotomy (TCRAT).

Is central aortic cannulation a safe and feasible approach for total coronary revascularization via anterior thoracotomy?

Population

First 29 TCRAT cases performed with central aortic cannulation

Comparison

Central aortic cannulation

Design

Retrospective single-center observational study

Key result

Central aortic cannulation for total coronary revascularization via anterior thoracotomy was safe with no strokes, aortic dissection, major bleeding, or sternotomy conversions in 29 cases.

Authors

TDTuna DemirkıranIÖIşıl Taşöz ÖzdaşGÖGizem Işık Ökten

Discussion

Loading...

Member takes

Overview

Supports selective clinical use in experienced centers; leaves open generalizability pending larger prospective validation.

Key Points

  • This research aims to assess the feasibility, safety, and technical challenges of central aortic cannulation for total coronary revascularization.
  • Conducted a retrospective observational study at a single center
  • Analyzed the first 29 cases of total coronary revascularization via left anterior thoracotomy
  • Measured primary outcomes including operative mortality, stroke, and major bleeding
  • Reported descriptive statistics as means ± SD or medians with IQR.
  • No occurrences of stroke, aortic dissection, or major bleeding were observed
  • One patient died from pneumonia nine days post-operation
  • Mean cross-clamp time was 63 ± 27 minutes and mean CPB time was 118.6 ± 41.6 minutes
  • Average ICU stay was 1.2 ± 0.4 days, and average hospital stay was 5.3 ± 1.1 days

Structured PICO

Is central aortic cannulation a safe and feasible approach for total coronary revascularization via anterior thoracotomy?

P
Population
29 patients undergoing total coronary revascularization via left anterior thoracotomy (TCRAT), mean age 57.2 ± 9.8 years, 72% male.
I
Intervention
Central aortic cannulation during total coronary revascularization via left anterior thoracotomy (TCRAT)
O
Outcome
Operative mortality, stroke, conversion to sternotomy, major aortic bleeding, and dissectionsafety

Central aortic cannulation appears to be a safe and feasible alternative to peripheral cannulation for total coronary revascularization via anterior thoracotomy, with no major aortic or neurological complications observed in this initial series.

Limitations

  • Retrospective design
  • Single-center
  • Small sample size (initial experience)
  • Lack of a prospective comparative group

Cite This Study

Demirkıran et al. (2026) studied this question. Central aortic cannulation for total coronary revascularization via anterior thoracotomy was safe with no strokes, aortic dissection, major bleeding, or sternotomy conversions in 29 cases.

synapsesocial.com/papers/69ada8a1bc08abd80d5bbcb4https://doi.org/10.3390/jcdd13030123
View Full Paper
Ask AI
Bookmark
Share