Mid-Term Results of Peripheral Cannulation After Robotic Cardiac Surgery
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| Formato: | Artículo científico |
| Lenguaje: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2018
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| _version_ | 1876482158827143168 |
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| author | Onur Sen |
| author_facet | Onur Sen |
| contents | Mid-Term Results of Peripheral Cannulation After Robotic Cardiac Surgery Onur Sen Unal Aydin Ersin Kadirogullari Muhammed Bayram Mehmet Karacalilar Erhan Kutluk Burak Onan Medicina Surgery Doppler Computer Assisted Femoral Artery Introduction: Various surgical procedures for minimally invasive cardiac surgery have been described in recent decades as alternatives to median sternotomy. Cardiopulmonary bypass via femoral arterial and venous cannulation is the foundation of these procedures. In this study, we evaluated the mid-term outcomes of femoral cannulation performed with U-suture technique in patients undergoing robotic heart surgery. Methods: A total of 216 patients underwent roboticassisted cardiac surgery between January 2013 and April 2017. Cardiopulmonary bypass was performed via femoral artery, jugular, and femoral vein cannulation, and a Chitwood clamp was used for aortic occlusion. A total of 192 patients attended the outpatient follow-up, and femoral arterial and venous flow pattern was examined using Doppler ultrasound (DUS) in 145 patients. Results: Hospital mortality occured in 4 of the 216 (1.85%) cases, but there was no late mortality in this patient group. Postoperatively, seroma (n=9, 4.69%) and cannulation site infection (n=3, 1.56%) were managed with outpatient treatment. DUS in 145 patients revealed triphasic flow pattern in the common femoral arteries in all patients except for 2 (1.38%). These patients were determined to have asymptomatic arterial stenosis. Chronic recanalized thrombus in the common femoral vein was also detected in 2 (1.38%) patients. Conclusion: Femoral artery cannulation with the U-suture technique can be successfully performed in robotic-assisted cardiac surgery, with good mid-term results. 2018 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398957528004 https://www.redalyc.org/journal/3989/398957528004/ https://www.redalyc.org/journal/3989/398957528004/html/ https://www.redalyc.org/journal/3989/398957528004/398957528004.epub https://www.redalyc.org/journal/3989/398957528004/movil 10.21470/1678-9741-2018-0061 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.5 Vol.33 |
| format | Artículo científico |
| id | redalyc_398957528004 |
| institution | Redalyc |
| language | en |
| publishDate | 2018 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| spellingShingle | Mid-Term Results of Peripheral Cannulation After Robotic Cardiac Surgery Onur Sen Medicina Surgery Doppler Computer Assisted Femoral Artery Mid-Term Results of Peripheral Cannulation After Robotic Cardiac Surgery Onur Sen Unal Aydin Ersin Kadirogullari Muhammed Bayram Mehmet Karacalilar Erhan Kutluk Burak Onan Medicina Surgery Doppler Computer Assisted Femoral Artery Introduction: Various surgical procedures for minimally invasive cardiac surgery have been described in recent decades as alternatives to median sternotomy. Cardiopulmonary bypass via femoral arterial and venous cannulation is the foundation of these procedures. In this study, we evaluated the mid-term outcomes of femoral cannulation performed with U-suture technique in patients undergoing robotic heart surgery. Methods: A total of 216 patients underwent roboticassisted cardiac surgery between January 2013 and April 2017. Cardiopulmonary bypass was performed via femoral artery, jugular, and femoral vein cannulation, and a Chitwood clamp was used for aortic occlusion. A total of 192 patients attended the outpatient follow-up, and femoral arterial and venous flow pattern was examined using Doppler ultrasound (DUS) in 145 patients. Results: Hospital mortality occured in 4 of the 216 (1.85%) cases, but there was no late mortality in this patient group. Postoperatively, seroma (n=9, 4.69%) and cannulation site infection (n=3, 1.56%) were managed with outpatient treatment. DUS in 145 patients revealed triphasic flow pattern in the common femoral arteries in all patients except for 2 (1.38%). These patients were determined to have asymptomatic arterial stenosis. Chronic recanalized thrombus in the common femoral vein was also detected in 2 (1.38%) patients. Conclusion: Femoral artery cannulation with the U-suture technique can be successfully performed in robotic-assisted cardiac surgery, with good mid-term results. 2018 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398957528004 https://www.redalyc.org/journal/3989/398957528004/ https://www.redalyc.org/journal/3989/398957528004/html/ https://www.redalyc.org/journal/3989/398957528004/398957528004.epub https://www.redalyc.org/journal/3989/398957528004/movil 10.21470/1678-9741-2018-0061 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.5 Vol.33 |
| title | Mid-Term Results of Peripheral Cannulation After Robotic Cardiac Surgery |
| topic | Medicina Surgery Doppler Computer Assisted Femoral Artery |
| url | https://www.redalyc.org/articulo.oa?id=398957528004 https://www.redalyc.org/journal/3989/398957528004/ https://www.redalyc.org/journal/3989/398957528004/html/ https://www.redalyc.org/journal/3989/398957528004/398957528004.epub https://www.redalyc.org/journal/3989/398957528004/movil |