A simple technique for aortic cannulation in organ donors with advanced aortic disease.
Cannulation of the abdominal aorta in organ donors with advanced arteriosclerotic disease or extensive trauma may be problematic owing to difficulty in securing a watertight tie around the diseased aorta, the danger of creating a false passageway in the aorta, and the risk of breaking off plaque particles that can advance into the arteries of donated organs. Cannulation problems can be avoided in these challenging donors by using a simplified technique for cannulation of the thoracic aorta in which a Foley catheter is passed down around the aortic arch, the balloon is inflated, and cool flushing is initiated.
Olson
Leslie
L
Life Center Northwest, Bellevue, Wash., USA.
Lombardo Castro
V
V
Schwartz
Curtis
C
Levi
D
D
Ganz
Susan
S
Nishida
Seigo
S
Cravero
Lynn
L
Burke
George
G
Tzakis
Andreas
A
Miller
Joshua
J
Livingstone
Alan
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000628:therapy*; D001161:Arteriosclerosis / Q000628:therapy*; D001926:Brain Death; D002404:Catheterization / Q000295:instrumentation / Q000379:methods*; D015925:Cryopreservation / Q000295:instrumentation / Q000379:methods; D005260:Female; D006801:Humans; D009926:Organ Preservation / Q000295:instrumentation / Q000379:methods*; D012720:Severity of Illness Index; D007507:Therapeutic Irrigation / Q000295:instrumentation / Q000379:methods*; D014019:Tissue Donors; D009927:Tissue and Organ Procurement