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Aortic cannulation for cardiopulmonary bypass

K Taguchi, T Mochizuki, K Takamura

    The Japanese Journal of Surgery
    |March 1, 1977
    PubMed
    Summary
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    Aortic cannulation for total body perfusion is a safe surgical technique with minimal risks. Our experience with 400 patients shows low complication rates, making it ideal for cardiopulmonary bypass.

    Area of Science:

    • Cardiovascular Surgery
    • Medical Devices
    • Patient Safety

    Background:

    • Total body perfusion is crucial for complex cardiac surgeries.
    • Ensuring stable arterial return during perfusion is a key surgical challenge.
    • Aortic cannulation is a common method for establishing arterial access.

    Purpose of the Study:

    • To present the surgical technique for aortic cannulation.
    • To detail the complications encountered in 400 patients undergoing total body perfusion.
    • To evaluate the safety and efficacy of aortic cannulation for arterial return.

    Main Methods:

    • Review of surgical procedures for aortic cannulation in 400 patients.
    • Analysis of complications including laceration, bleeding, hematoma, and malpositioning.

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  • Assessment of patient outcomes following re-operation for complications.
  • Main Results:

    • A total of 400 patients underwent aortic cannulation for total body perfusion.
    • Major complications included laceration/bleeding (1), hematoma/bleeding (2), and malpositioning with brain damage (1).
    • All patients with major complications underwent re-operation, with 4 survivals.

    Conclusions:

    • Aortic cannulation is a straightforward technique for arterial return in total body perfusion.
    • The procedure offers stability during cardiopulmonary bypass.
    • It presents a significantly reduced risk of retrograde dissection across all age groups.