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A New Hybrid Quantitative Evaluation Model for Axillary Junctional Hemorrhage in Swine
Published on: December 6, 2024
Contemporary utilization of the axillary artery in cardiac surgery
Michael P Rogers1, Anthony J DeSantis1, Kristina Gemayel1
1Department of Surgery, University of South Florida Morsani College of Medicine, Tampa, Florida, USA.
Introduction:
The axillary artery is a reliable inflow vessel when addressing pathology of the aortic root and aortic arch that may preclude standard central cannulation strategies. This narrative review examines the use of the axillary artery in cardiac surgery. Anatomy, indications for use, cannulation strategies, and potential complications will be discussed.
Methods:
A comprehensive review of the current literature was performed using PubMed, Cochrane Review, and authoritative committee guidelines. A narrative review incorporating current available evidence was undertaken.
Comment:
Use of the axillary artery in select cardiac surgical cases is reliable, reproducible, and may be preferable in certain cases involving ascending aortic pathology, reoperative surgery, porcelain aorta, access for transcatheter valve therapies, and peripheral mechanical circulatory support.
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Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
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