Femoral artery cannulation in Stanford type A aortic dissection operations.
The aim of this study was to evaluate femoral artery cannulation in Stanford type A aortic dissection operations. Between March 1994 and December 2001, 88 patients with Stanford type A aortic dissection underwent surgery with cardiopulmonary bypass and perfusion through the femoral artery; 31 of them had deep-hypothermic circulatory arrest. False lumen perfusion was detected in 8 patients (9.1%). There were 4 (4.5%) cerebral events: 2 patients had diffuse cerebral injury, with one death; and 2 patients had hemiplegia, with one death. Six patients (8.0%) had delayed incision healing, with local infection in one. There was no lower extremity ischemia associated with femoral artery cannulation. It was concluded that retrograde perfusion through the femoral artery was effective for repair of aortic dissection, with a low risk of those cerebral events associated with a high mortality rate.
Hou
Xiao-Tong
XT
Department of Cardiac Surgery, Beijing An Zhen Hospital, Capital University of Medical Science, Beijing, China. houxiaotong@yahoo.com.cn
Sun
Yan-Qing
YQ
Zhang
Hong-Jia
HJ
Zheng
Si-Hong
SH
Liu
Yu-Yong
YY
Wang
Jian-Gang
JG
D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D002315:Cardiopulmonary Bypass / Q000379:methods; D002404:Catheterization / Q000009:adverse effects / Q000379:methods*; D002561:Cerebrovascular Disorders / Q000517:prevention & control; D050792:Circulatory Arrest, Deep Hypothermia Induced / Q000379:methods; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D016019:Survival Analysis; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects; D014945:Wound Healing