Femoral Cannulation With Long Arterial Cannula in Aortic Dissection

• Published in: The Annals of thoracic surgery Vol. 93; no. 2; pp. e45 - e47
• Main Authors: Luciani, Nicola, MD, Anselmi, Amedeo, MD, Glieca, Franco, MD, Lauria, Giuseppe, MD, de Geest, Raphael, MD, Possati, Gianfederico, MD
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 01.02.2012
• Subjects: Aneurysm, Dissecting - diagnostic imaging; Aneurysm, Dissecting - surgery; Aortic Aneurysm, Thoracic - diagnostic imaging; Aortic Aneurysm, Thoracic - surgery; Atherosclerosis - complications; Blood Vessel Prosthesis Implantation - instrumentation; Blood Vessel Prosthesis Implantation - methods; Cardiothoracic Surgery; Catheterization - instrumentation; Catheters; Contraindications; Echocardiography, Transesophageal; Endovascular Procedures - instrumentation; Endovascular Procedures - methods; Equipment Design; Femoral Artery - pathology; Humans; Intraoperative Complications - prevention & control; Ischemia - prevention & control; Surgery; Ultrasonography, Interventional; 26

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 o...