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- Title
A Simple Technique of Distal Limb Perfusion During Prolonged Femoro-Femoral Cannulation.
- Authors
Madershahian, Navid; Nagib, Ragi; Wippermann, Jens; Strauch, Justus; Wahlers, Thorsten
- Abstract
Objective: Cannulation of the femoral vessels for cardiopulmonary support is a common approach for many cardiac procedures as well as access of choice for many emergency bypass systems such as extracorporeal membrane oxygenation. A serious complication of prolonged femoral cannulation remains the ischemic injury of the distal limb. Subjects: To minimize the incidence of ischemia in the cannulated leg, we have begun to provide antegrade femoral blood flow by placing a vascular introducer percutaneously distal to the arterial cannula into the superficial femoral artery and connecting it to the side port of the arterial line. Conclusion: This technique of distal limb perfusion was found to be safe and effective in preventing lower limb ischemia for patients with prolonged femoral cannulation for extracorporeal circulatory support.
- Subjects
CATHETERIZATION; FEMORAL vein; ARTERIAL catheterization; HEMODYNAMICS; BLOOD circulation; BLOOD flow; ARTIFICIAL blood circulation; ISCHEMIA; LEG blood-vessels
- Publication
Journal of Cardiac Surgery, 2006, Vol 21, Issue 2, p168
- ISSN
0886-0440
- Publication type
Article
- DOI
10.1111/j.1540-8191.2006.00201.x