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Axillary versus femoral cannulation for aortic surgery: enough evidence for a general recommendation?

Standard

Axillary versus femoral cannulation for aortic surgery: enough evidence for a general recommendation? / Gulbins, Helmut; Pritisanac, Anita; Ennker, Jürgen.

in: ANN THORAC SURG, Jahrgang 83, Nr. 3, 03.2007, S. 1219-1224.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung

Harvard

Gulbins, H, Pritisanac, A & Ennker, J 2007, 'Axillary versus femoral cannulation for aortic surgery: enough evidence for a general recommendation?', ANN THORAC SURG, Jg. 83, Nr. 3, S. 1219-1224. https://doi.org/10.1016/j.athoracsur.2006.10.068

APA

Gulbins, H., Pritisanac, A., & Ennker, J. (2007). Axillary versus femoral cannulation for aortic surgery: enough evidence for a general recommendation? ANN THORAC SURG, 83(3), 1219-1224. https://doi.org/10.1016/j.athoracsur.2006.10.068

Vancouver

Gulbins H, Pritisanac A, Ennker J. Axillary versus femoral cannulation for aortic surgery: enough evidence for a general recommendation? ANN THORAC SURG. 2007 Mär;83(3):1219-1224. https://doi.org/10.1016/j.athoracsur.2006.10.068

Bibtex

@article{eed725c758c140a6a362f704bef9f361,
title = "Axillary versus femoral cannulation for aortic surgery: enough evidence for a general recommendation?",
abstract = "There is a trend towards cannulation of the axillary artery for extracorporeal circulation in patients requiring aortic arch surgery. We analyzed the published data comparing axillary and femoral cannulation for safety and outcome. End points were death; stroke, neurologic, and vascular complications; and malperfusion. Femoral cannulation is safe for extracorporeal circulation in patients without aortic arch surgery. In patients with type A dissections, malperfusion may occur owing to retrograde perfusion of the false lumen and subsequent occlusion of the origin of the supra aortic vessels. Cannulation of the axillary/subclavian artery results in antegrade flow, at least in the right carotid artery, with the possibility of antegrade cerebral perfusion during aortic arch repair. There was a trend towards improved neurologic outcome when the axillary artery was used for extracorporeal circulation in such patients. When different techniques were compared, the use of a side graft for axillary cannulation reduced the complication rate. The lack of randomized trials and the high variety of inclusion criteria in the different studies do not allow a general recommendation for the use of the axillary artery as cannulation site.",
keywords = "Aorta, Thoracic/surgery, Arteries, Axilla/blood supply, Catheterization, Extracorporeal Circulation/methods, Femoral Artery, Humans",
author = "Helmut Gulbins and Anita Pritisanac and J{\"u}rgen Ennker",
year = "2007",
month = mar,
doi = "10.1016/j.athoracsur.2006.10.068",
language = "English",
volume = "83",
pages = "1219--1224",
journal = "ANN THORAC SURG",
issn = "0003-4975",
publisher = "Elsevier USA",
number = "3",

}

RIS

TY - JOUR

T1 - Axillary versus femoral cannulation for aortic surgery: enough evidence for a general recommendation?

AU - Gulbins, Helmut

AU - Pritisanac, Anita

AU - Ennker, Jürgen

PY - 2007/3

Y1 - 2007/3

N2 - There is a trend towards cannulation of the axillary artery for extracorporeal circulation in patients requiring aortic arch surgery. We analyzed the published data comparing axillary and femoral cannulation for safety and outcome. End points were death; stroke, neurologic, and vascular complications; and malperfusion. Femoral cannulation is safe for extracorporeal circulation in patients without aortic arch surgery. In patients with type A dissections, malperfusion may occur owing to retrograde perfusion of the false lumen and subsequent occlusion of the origin of the supra aortic vessels. Cannulation of the axillary/subclavian artery results in antegrade flow, at least in the right carotid artery, with the possibility of antegrade cerebral perfusion during aortic arch repair. There was a trend towards improved neurologic outcome when the axillary artery was used for extracorporeal circulation in such patients. When different techniques were compared, the use of a side graft for axillary cannulation reduced the complication rate. The lack of randomized trials and the high variety of inclusion criteria in the different studies do not allow a general recommendation for the use of the axillary artery as cannulation site.

AB - There is a trend towards cannulation of the axillary artery for extracorporeal circulation in patients requiring aortic arch surgery. We analyzed the published data comparing axillary and femoral cannulation for safety and outcome. End points were death; stroke, neurologic, and vascular complications; and malperfusion. Femoral cannulation is safe for extracorporeal circulation in patients without aortic arch surgery. In patients with type A dissections, malperfusion may occur owing to retrograde perfusion of the false lumen and subsequent occlusion of the origin of the supra aortic vessels. Cannulation of the axillary/subclavian artery results in antegrade flow, at least in the right carotid artery, with the possibility of antegrade cerebral perfusion during aortic arch repair. There was a trend towards improved neurologic outcome when the axillary artery was used for extracorporeal circulation in such patients. When different techniques were compared, the use of a side graft for axillary cannulation reduced the complication rate. The lack of randomized trials and the high variety of inclusion criteria in the different studies do not allow a general recommendation for the use of the axillary artery as cannulation site.

KW - Aorta, Thoracic/surgery

KW - Arteries

KW - Axilla/blood supply

KW - Catheterization

KW - Extracorporeal Circulation/methods

KW - Femoral Artery

KW - Humans

U2 - 10.1016/j.athoracsur.2006.10.068

DO - 10.1016/j.athoracsur.2006.10.068

M3 - SCORING: Review article

C2 - 17307506

VL - 83

SP - 1219

EP - 1224

JO - ANN THORAC SURG

JF - ANN THORAC SURG

SN - 0003-4975

IS - 3

ER -