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Journal of Cardiothoracic Surgery

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Open Access 01-12-2021 | Heart Surgery | Research article

Peripheral vascular complications following totally endoscopic cardiac surgery

Authors: Ling-chen Huang, Qi-chen Xu, Dao-zhong Chen, Xiao-fu Dai, Liang-wan Chen

Published in: Journal of Cardiothoracic Surgery | Issue 1/2021

Abstract

Background

Clinical application of minimally invasive cardiac surgery has increased annually. Cardiopulmonary bypass is established by peripheral cannulation during minimally invasive cardiac surgery. The methodology of peripheral cannulation has unique characteristics, which have associated risks and complications. Few studies have been conducted on this topic. In this study, we focused on complications of peripheral cannulation in totally endoscopic cardiac surgery.

Methods

Patients who underwent totally endoscopic cardiac surgery with cardiopulmonary bypass established by peripheral cannulation at our institution between January 2019 and June 2020 were reviewed. Specific cannulation strategies and related cannulation complications were noted.

Results

One hundred forty-eight patients underwent totally endoscopic cardiac surgery. One hundred forty-eight cannulations were performed in the femoral artery and vein, and eleven were performed in the internal jugular vein (combined with the femoral vein). The median size of the femoral artery cannula was 22Fr, and that of the venous canula was 24Fr. One patient died of retroperitoneal haematoma due to femoral artery injury. Three patients had postoperative lower limb oedema. One patient had a postoperative diagnosis of femoral vein thrombosis.

Conclusions

Different from cannulation in patients with aortic dissection and aneurysms, femoral artery cannulation is safe in totally endoscopic cardiac surgery. Venous cannulation is characterized by a large-bore venous cannula and a short period of use. There are few reports about complications of venous cannulation. The main complication in this study was mechanical injury, and the key to preventing this injury is meticulous manipulation during surgery.

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Title: Peripheral vascular complications following totally endoscopic cardiac surgery
Authors: Ling-chen Huang
Qi-chen Xu
Dao-zhong Chen
Xiao-fu Dai
Liang-wan Chen
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Heart Surgery
Heart Surgery
Thrombosis
ECMO
ECMO
Aortic Dissection
Published in: Journal of Cardiothoracic Surgery / Issue 1/2021
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-021-01417-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Peripheral vascular complications following totally endoscopic cardiac surgery

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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