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[Axillary artery cannulation for extracorporeal circulation].

Ricardo Zalaquett1, Juan C Bahamondes, Renato Mertens

  • 1Departamento de Enfermedades Cardiovasculares, Facultad de Medicina, Pontificia Universidad Católica de Chile. rzalaque@med.puc.cl

Revista Medica De Chile
|July 23, 2003
PubMed
Summary

Axillary artery cannulation is a viable alternative for extracorporeal circulation when standard sites are unavailable. This method demonstrated safety and efficacy in complex aortic surgeries, with no major complications reported.

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Area of Science:

  • Cardiovascular Surgery
  • Extracorporeal Circulation Techniques
  • Vascular Access

Context:

  • Ascending aorta and femoral artery are primary sites for extracorporeal circulation.
  • Alternative cannulation strategies are needed when these sites are compromised.
  • Axillary artery presents an emerging option for extracorporeal support.

Purpose:

  • To evaluate the clinical experience and outcomes of using the axillary artery for extracorporeal circulation.
  • To assess the safety and efficacy of axillary artery cannulation in patients undergoing complex aortic procedures.

Summary:

  • Twenty-two patients underwent extracorporeal circulation via axillary artery cannulation between 1998 and 2002.
  • Procedures included ascending aorta and aortic arch replacements, often involving circulatory arrest.

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  • Axillary artery cannulation, frequently with a prosthesis, showed a low complication rate and no cerebrovascular events.

    • Impact:

    • Axillary artery cannulation is a safe and effective alternative for extracorporeal circulation when standard access is not feasible.
    • This technique supports complex aortic surgeries, including those requiring circulatory arrest, with good patient outcomes.
    • Long-term follow-up confirmed no secondary complications related to axillary cannulation.