Key result
Single percutaneous femoral venous cannulation is a safe method providing adequate venous return for most cardiac surgeries, though patients demanding greater flow may require a second cannula.
Why the study?
Does single percutaneous femoral venous cannulation provide safe and adequate venous return for cardiopulmonary bypass in cardiac surgery?
Observational
No
Does single percutaneous femoral venous cannulation provide safe and adequate venous return for cardiopulmonary bypass in cardiac surgery?
Single percutaneous femoral venous cannulation is a safe and effective method for venous return in various cardiac surgeries requiring cardiopulmonary bypass.
May support single femoral venous cannulation in select cardiac surgeries; hypothesis-generating and requires prospective validation.
Percutaneous femoral venous cannulation for cardiopulmonary bypass has emerged as an indispensable technique in the management of cardiac surgical procedures requiring cardiopulmonary bypass. A review of cases at Brigham and Women's Hospital (Boston, MA, USA) relying solely on percutaneous femoral venous cannulation for venous return to the heart-lung machine demonstrated achievable blood flow and complexity of case-load. Operations performed in this manner include, but are not limited to, coronary artery bypass grafting (CABG), valve, CABG/valve, and aortic procedures. Minimally invasive procedures and re-operations comprise a portion of each group. Complications of cardiopulmonary bypass and site-related complications were considered. Percutaneous femoral venous cannulation is a safe method to provide most patients with adequate venous return to perform any cardiac surgery. Patients demanding greater flow than this method will provide, may require a second venous cannula at some time during cardiopulmonary bypass.
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Riley et al. (2007) conducted an observational in Cardiac surgery requiring cardiopulmonary bypass. Single percutaneous femoral venous cannulation was evaluated on Achievable blood flow, complexity of case-load, and complications. Single percutaneous femoral venous cannulation is a safe method providing adequate venous return for most cardiac surgeries, though patients demanding greater flow may require a second cannula.
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