title: Femoral cannulation with long arterial cannula in aortic dissection.
abstract: The optimal cannulation site in repair of DeBakey type I aortic dissection is controversial, and malperfusion during cardiopulmonary bypass is facilitated by retrograde flow. We propose the use of a long arterial cannula through the femoral artery to achieve a proximal antegrade perfusion. The tip of the cannula is placed in the true lumen of the distal aortic arch through the common femoral artery (Seldinger technique and transesophageal echography guidance). In 9 patients, there was one case of operative mortality (cardiac death), and no cases of perioperative stroke, bowel ischemia, severe renal failure, or local complications. Proximal perfusion can achieved rapidly and through an easily accessible site.
authors.affiliation: Division of Cardiac Surgery, Catholic University, Rome, Italy. nicola.luciani@tiscali.it
authors.forename: Nicola
authors.initials: N
authors.lastname: Luciani
authors.forename: Amedeo
authors.initials: A
authors.lastname: Anselmi
authors.forename: Franco
authors.initials: F
authors.lastname: Glieca
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Lauria
authors.forename: Raphael
authors.initials: R
authors.lastname: de Geest
authors.forename: Gianfederico
authors.initials: G
authors.lastname: Possati
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D050197:Atherosclerosis / Q000150:complications; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D002404:Catheterization / Q000295:instrumentation*; D057785:Catheters; D000075202:Contraindications; D017548:Echocardiography, Transesophageal; D057510:Endovascular Procedures / Q000295:instrumentation / Q000379:methods*; D004867:Equipment Design; D005263:Femoral Artery / Q000473:pathology; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D007511:Ischemia / Q000517:prevention & control; D018084:Ultrasonography, Interventional