Key result
Central aortic cannulation emerges as a potentially advantageous alternative to femoral cannulation during minimally invasive AVR.
Why the study?
Femoral artery cannulation is commonly used during minimally invasive AVR, but concerns exist about retrograde perfusion and cerebral complications.
Does central aortic cannulation compared to femoral artery cannulation reduce cerebral complications in patients undergoing minimally invasive aortic valve replacement?
Does central aortic cannulation compared to femoral artery cannulation reduce cerebral complications in patients undergoing minimally invasive aortic valve replacement?
Central aortic cannulation may offer advantages over femoral cannulation during minimally invasive AVR by potentially reducing cerebral complications associated with retrograde perfusion.
Central aortic cannulation may reduce cerebral complications in minimally invasive AVR; leaves open confirmation versus femoral access in prospective trials.
Minimally invasive aortic valve replacement (AVR) is rapidly becoming the preferred approach for aortic valve procedures in most centers worldwide. While femoral artery cannulation is still the most frequently used form of arterial perfusion strategy during less invasive AVR, some recent studies have showed a possible connection between retrograde perfusion and cerebral complications. In this article, we discuss the possible advantages of central aortic cannulation during right minimally invasive AVR and provide some technical aspects for a safe and efficient cannulation of the ascending aorta through a right minithoracotomy.
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Murzi et al. (2015) conducted a review in Aortic valve replacement. Central aortic cannulation vs. Femoral artery cannulation was evaluated. Central aortic cannulation during right minimally invasive aortic valve replacement is discussed as a potentially advantageous alternative to femoral cannulation.
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