Peripheral vs. Central Cannulation in Cardiac Reoperations: Technical Considerations and Outcomes
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Cardiovascular Surgery (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382020000400006 |
Resumo: | Abstract Objective: To compare peripheral and central cannulation techniques in cardiac reoperation. Methods: This retrospective study included 258 patients undergoing cardiac reoperation between January 2013 and July 2018. Patients were divided into two groups according to the cannulation type. The first group included 145 (56.2%) patients operated with standard central cannulation through aorta and right atrium or bicaval cannulation. In this group, cardiopulmonary bypass was instituted after sternotomy. The second group consisted of 113 (43.8%) patients operated with peripheral cannulation through femoral artery, vein, and internal jugular vein. In this group, cardiopulmonary bypass was started before sternotomy and after systemic heparinisation. The two groups’ operative complications and postoperative outcomes were compared. Results: Procedure-related injury was higher in the central cannulation group than in the peripheral cannulation group (8.3% vs. 1.8%, respectively, P=0.038). Cardiopulmonary bypass time was shorter in the central cannulation group (P=0.008) and total operation time was similar between the groups (P=0.115). Postoperative red blood cell requirement was higher with central cannulation (P=0.004). Operative mortality (2.8% vs. 0, P=0.186), hospital mortality (4.3% vs. 2.7%, P=0.523), and one-year survival rate (90.3% vs. 94.7%, P=0.202) were similar between the groups. Conclusion: Peripheral cannulation reduces cardiac injury and blood transfusion in cardiac reoperation. The cannulation type does not affect postoperative complication, mortality, and one-year survival. |
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Brazilian Journal of Cardiovascular Surgery (Online) |
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Peripheral vs. Central Cannulation in Cardiac Reoperations: Technical Considerations and OutcomesCardiopulmonary BypassSurvival RateRetrospective StudiesReoperationSternotomyHeparinJugular VeinsFemoral VeinAortaHeart AtriaCatheterizationErythrocytesAbstract Objective: To compare peripheral and central cannulation techniques in cardiac reoperation. Methods: This retrospective study included 258 patients undergoing cardiac reoperation between January 2013 and July 2018. Patients were divided into two groups according to the cannulation type. The first group included 145 (56.2%) patients operated with standard central cannulation through aorta and right atrium or bicaval cannulation. In this group, cardiopulmonary bypass was instituted after sternotomy. The second group consisted of 113 (43.8%) patients operated with peripheral cannulation through femoral artery, vein, and internal jugular vein. In this group, cardiopulmonary bypass was started before sternotomy and after systemic heparinisation. The two groups’ operative complications and postoperative outcomes were compared. Results: Procedure-related injury was higher in the central cannulation group than in the peripheral cannulation group (8.3% vs. 1.8%, respectively, P=0.038). Cardiopulmonary bypass time was shorter in the central cannulation group (P=0.008) and total operation time was similar between the groups (P=0.115). Postoperative red blood cell requirement was higher with central cannulation (P=0.004). Operative mortality (2.8% vs. 0, P=0.186), hospital mortality (4.3% vs. 2.7%, P=0.523), and one-year survival rate (90.3% vs. 94.7%, P=0.202) were similar between the groups. Conclusion: Peripheral cannulation reduces cardiac injury and blood transfusion in cardiac reoperation. The cannulation type does not affect postoperative complication, mortality, and one-year survival.Sociedade Brasileira de Cirurgia Cardiovascular2020-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382020000400006Brazilian Journal of Cardiovascular Surgery v.35 n.4 2020reponame:Brazilian Journal of Cardiovascular Surgery (Online)instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)instacron:SBCCV10.21470/1678-9741-2019-0445info:eu-repo/semantics/openAccessAta,Emin CanErkanli,KorhanUlukan,Mustafa ÖzerYıldız,YahyaTürkoglu,HalilPaslı,Sedateng2020-08-12T00:00:00Zoai:scielo:S0102-76382020000400006Revistahttp://www.rbccv.org.br/https://old.scielo.br/oai/scielo-oai.php||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br1678-97410102-7638opendoar:2020-08-12T00:00Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)false |
dc.title.none.fl_str_mv |
Peripheral vs. Central Cannulation in Cardiac Reoperations: Technical Considerations and Outcomes |
title |
Peripheral vs. Central Cannulation in Cardiac Reoperations: Technical Considerations and Outcomes |
spellingShingle |
Peripheral vs. Central Cannulation in Cardiac Reoperations: Technical Considerations and Outcomes Ata,Emin Can Cardiopulmonary Bypass Survival Rate Retrospective Studies Reoperation Sternotomy Heparin Jugular Veins Femoral Vein Aorta Heart Atria Catheterization Erythrocytes |
title_short |
Peripheral vs. Central Cannulation in Cardiac Reoperations: Technical Considerations and Outcomes |
title_full |
Peripheral vs. Central Cannulation in Cardiac Reoperations: Technical Considerations and Outcomes |
title_fullStr |
Peripheral vs. Central Cannulation in Cardiac Reoperations: Technical Considerations and Outcomes |
title_full_unstemmed |
Peripheral vs. Central Cannulation in Cardiac Reoperations: Technical Considerations and Outcomes |
title_sort |
Peripheral vs. Central Cannulation in Cardiac Reoperations: Technical Considerations and Outcomes |
author |
Ata,Emin Can |
author_facet |
Ata,Emin Can Erkanli,Korhan Ulukan,Mustafa Özer Yıldız,Yahya Türkoglu,Halil Paslı,Sedat |
author_role |
author |
author2 |
Erkanli,Korhan Ulukan,Mustafa Özer Yıldız,Yahya Türkoglu,Halil Paslı,Sedat |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Ata,Emin Can Erkanli,Korhan Ulukan,Mustafa Özer Yıldız,Yahya Türkoglu,Halil Paslı,Sedat |
dc.subject.por.fl_str_mv |
Cardiopulmonary Bypass Survival Rate Retrospective Studies Reoperation Sternotomy Heparin Jugular Veins Femoral Vein Aorta Heart Atria Catheterization Erythrocytes |
topic |
Cardiopulmonary Bypass Survival Rate Retrospective Studies Reoperation Sternotomy Heparin Jugular Veins Femoral Vein Aorta Heart Atria Catheterization Erythrocytes |
description |
Abstract Objective: To compare peripheral and central cannulation techniques in cardiac reoperation. Methods: This retrospective study included 258 patients undergoing cardiac reoperation between January 2013 and July 2018. Patients were divided into two groups according to the cannulation type. The first group included 145 (56.2%) patients operated with standard central cannulation through aorta and right atrium or bicaval cannulation. In this group, cardiopulmonary bypass was instituted after sternotomy. The second group consisted of 113 (43.8%) patients operated with peripheral cannulation through femoral artery, vein, and internal jugular vein. In this group, cardiopulmonary bypass was started before sternotomy and after systemic heparinisation. The two groups’ operative complications and postoperative outcomes were compared. Results: Procedure-related injury was higher in the central cannulation group than in the peripheral cannulation group (8.3% vs. 1.8%, respectively, P=0.038). Cardiopulmonary bypass time was shorter in the central cannulation group (P=0.008) and total operation time was similar between the groups (P=0.115). Postoperative red blood cell requirement was higher with central cannulation (P=0.004). Operative mortality (2.8% vs. 0, P=0.186), hospital mortality (4.3% vs. 2.7%, P=0.523), and one-year survival rate (90.3% vs. 94.7%, P=0.202) were similar between the groups. Conclusion: Peripheral cannulation reduces cardiac injury and blood transfusion in cardiac reoperation. The cannulation type does not affect postoperative complication, mortality, and one-year survival. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382020000400006 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382020000400006 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.21470/1678-9741-2019-0445 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Cirurgia Cardiovascular |
publisher.none.fl_str_mv |
Sociedade Brasileira de Cirurgia Cardiovascular |
dc.source.none.fl_str_mv |
Brazilian Journal of Cardiovascular Surgery v.35 n.4 2020 reponame:Brazilian Journal of Cardiovascular Surgery (Online) instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) instacron:SBCCV |
instname_str |
Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) |
instacron_str |
SBCCV |
institution |
SBCCV |
reponame_str |
Brazilian Journal of Cardiovascular Surgery (Online) |
collection |
Brazilian Journal of Cardiovascular Surgery (Online) |
repository.name.fl_str_mv |
Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) |
repository.mail.fl_str_mv |
||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br |
_version_ |
1752126602053943296 |