Single, percutaneous, femoral venous cannulation for cardiopulmonary bypass.
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.
Riley
William
W
Brigham and Women's Hospital, Boston, MA, USA. wriley1@partners.org
FitzGerald
Daniel
D
Cohn
Lawrence
L
D001021:Aortic Valve / Q000601:surgery; D002315:Cardiopulmonary Bypass / Q000379:methods* / Q000401:mortality; D002406:Catheterization, Peripheral / Q000009:adverse effects; D002408:Catheters, Indwelling / Q000145:classification; D001026:Coronary Artery Bypass / Q000379:methods / Q000401:mortality; D004333:Drug Administration Routes; D005260:Female; D005268:Femoral Vein / Q000601:surgery*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D014481:United States; D014654:Vascular Patency; D014656:Vascular Surgical Procedures / Q000379:methods / Q000401:mortality