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An alternate approach: Percutaneous axillary cannulation for minimally invasive cardiac surgery
Background Percutaneous axillary artery cannulation for cardiopulmonary bypass (CPB) offers a novel alternate approach to mechanical circulatory support for patients with contraindications to femoral perfusion. To our knowledge, this has not yet been reported in minimally invasive cardiac surgery (M...
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| Published in: | Journal of cardiac surgery 2022-12, Vol.37 (12), p.5622-5625 |
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| Main Authors: | , , , , , , |
| Format: | Article |
| Language: | English |
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| container_end_page | 5625 |
| container_issue | 12 |
| container_start_page | 5622 |
| container_title | Journal of cardiac surgery |
| container_volume | 37 |
| creator | Mandel, Jenna L. Yost, Colin C. Rosen, Jake L. Prochno, Kyle W. Round, Kellen J. Komlo, Caroline M. Guy, Thomas Sloane |
| description | Background
Percutaneous axillary artery cannulation for cardiopulmonary bypass (CPB) offers a novel alternate approach to mechanical circulatory support for patients with contraindications to femoral perfusion. To our knowledge, this has not yet been reported in minimally invasive cardiac surgery (MICS).
Aim
We aim to highlight our experience using percutaneous axillary artery cannulation to safely facilitate CPB for minimally invasive cardiac surgery MICS.
Methods
Four patients who underwent robotic cardiac surgery utilizing the axillary artery for percutaneous cannulation between November 2019 and August 2021 at a single center were identified and included in the analysis. Preoperative, intraoperative, and postoperative data were collected and analyzed to support this case series.
Results
There were no perioperative hematomas, brachial plexus injuries, or neurovascular injuries. Within 30‐days postoperatively there was no mortality, vessel injury, stroke, new onset atrial fibrillation, or other life‐threatening bleeding.
Conclusion
Percutaneous cannulation of the axillary artery is a novel and promising CPB modality for robotic cardiac surgery in patients with extensive peripheral and aortic atherosclerotic disease. |
| doi_str_mv | 10.1111/jocs.17220 |
| format | article |
| fullrecord | <record><control><sourceid>wiley_cross</sourceid><recordid>TN_cdi_crossref_primary_10_1111_jocs_17220</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>JOCS17220</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2910-196cc095966020934c2eadeeccf072bfc13c8790e5551c426e119f42acd98b443</originalsourceid><addsrcrecordid>eNp9kF9LwzAUR4Mobk5f_ACSZ6HzJk27xrcx_MtggvpcsttUM7K0JO20397Oqo_el_tyOPw4hJwzmLL-rjYVhimbcQ4HZMwSAVHGJDskY8iyNAIhYEROQtgAcC5iOCajOBU85kk8JvncUWUb7Z1qNFV17SuF79f0SXtsG-V01QaqPo21yncUlXOtVY2pHC0rT7fGma2ytqPG7VQwO90jvjAKaWj9m_bdKTkqlQ367OdPyOvtzcviPlqu7h4W82WEXDKImEwRQSYyTYGDjAVyrQqtEUuY8XWJLMZsJkEnScJQ8FQzJkvBFRYyWwsRT8jl4EVfheB1mde-n-a7nEG-r5TvK-XflXr4YoDrdr3VxR_6m6UH2AB8GKu7f1T542rxPEi_ACocc_s</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>An alternate approach: Percutaneous axillary cannulation for minimally invasive cardiac surgery</title><source>Wiley-Blackwell Journals</source><creator>Mandel, Jenna L. ; Yost, Colin C. ; Rosen, Jake L. ; Prochno, Kyle W. ; Round, Kellen J. ; Komlo, Caroline M. ; Guy, Thomas Sloane</creator><creatorcontrib>Mandel, Jenna L. ; Yost, Colin C. ; Rosen, Jake L. ; Prochno, Kyle W. ; Round, Kellen J. ; Komlo, Caroline M. ; Guy, Thomas Sloane</creatorcontrib><description>Background
Percutaneous axillary artery cannulation for cardiopulmonary bypass (CPB) offers a novel alternate approach to mechanical circulatory support for patients with contraindications to femoral perfusion. To our knowledge, this has not yet been reported in minimally invasive cardiac surgery (MICS).
Aim
We aim to highlight our experience using percutaneous axillary artery cannulation to safely facilitate CPB for minimally invasive cardiac surgery MICS.
Methods
Four patients who underwent robotic cardiac surgery utilizing the axillary artery for percutaneous cannulation between November 2019 and August 2021 at a single center were identified and included in the analysis. Preoperative, intraoperative, and postoperative data were collected and analyzed to support this case series.
Results
There were no perioperative hematomas, brachial plexus injuries, or neurovascular injuries. Within 30‐days postoperatively there was no mortality, vessel injury, stroke, new onset atrial fibrillation, or other life‐threatening bleeding.
Conclusion
Percutaneous cannulation of the axillary artery is a novel and promising CPB modality for robotic cardiac surgery in patients with extensive peripheral and aortic atherosclerotic disease.</description><identifier>ISSN: 0886-0440</identifier><identifier>EISSN: 1540-8191</identifier><identifier>DOI: 10.1111/jocs.17220</identifier><identifier>PMID: 36423253</identifier><language>eng</language><publisher>United States</publisher><subject>aorta and great vessels ; Aortic Diseases - surgery ; Axillary Artery ; Cardiac Surgical Procedures ; Cardiopulmonary Bypass ; Catheterization ; Heart ; Humans ; Minimally Invasive Surgical Procedures ; perfusion ; Retrospective Studies ; valve repair/replacement</subject><ispartof>Journal of cardiac surgery, 2022-12, Vol.37 (12), p.5622-5625</ispartof><rights>2022 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2910-196cc095966020934c2eadeeccf072bfc13c8790e5551c426e119f42acd98b443</cites><orcidid>0000-0001-9994-6469</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjocs.17220$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjocs.17220$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,786,790,27957,27958,50923,51032</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36423253$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mandel, Jenna L.</creatorcontrib><creatorcontrib>Yost, Colin C.</creatorcontrib><creatorcontrib>Rosen, Jake L.</creatorcontrib><creatorcontrib>Prochno, Kyle W.</creatorcontrib><creatorcontrib>Round, Kellen J.</creatorcontrib><creatorcontrib>Komlo, Caroline M.</creatorcontrib><creatorcontrib>Guy, Thomas Sloane</creatorcontrib><title>An alternate approach: Percutaneous axillary cannulation for minimally invasive cardiac surgery</title><title>Journal of cardiac surgery</title><addtitle>J Card Surg</addtitle><description>Background
Percutaneous axillary artery cannulation for cardiopulmonary bypass (CPB) offers a novel alternate approach to mechanical circulatory support for patients with contraindications to femoral perfusion. To our knowledge, this has not yet been reported in minimally invasive cardiac surgery (MICS).
Aim
We aim to highlight our experience using percutaneous axillary artery cannulation to safely facilitate CPB for minimally invasive cardiac surgery MICS.
Methods
Four patients who underwent robotic cardiac surgery utilizing the axillary artery for percutaneous cannulation between November 2019 and August 2021 at a single center were identified and included in the analysis. Preoperative, intraoperative, and postoperative data were collected and analyzed to support this case series.
Results
There were no perioperative hematomas, brachial plexus injuries, or neurovascular injuries. Within 30‐days postoperatively there was no mortality, vessel injury, stroke, new onset atrial fibrillation, or other life‐threatening bleeding.
Conclusion
Percutaneous cannulation of the axillary artery is a novel and promising CPB modality for robotic cardiac surgery in patients with extensive peripheral and aortic atherosclerotic disease.</description><subject>aorta and great vessels</subject><subject>Aortic Diseases - surgery</subject><subject>Axillary Artery</subject><subject>Cardiac Surgical Procedures</subject><subject>Cardiopulmonary Bypass</subject><subject>Catheterization</subject><subject>Heart</subject><subject>Humans</subject><subject>Minimally Invasive Surgical Procedures</subject><subject>perfusion</subject><subject>Retrospective Studies</subject><subject>valve repair/replacement</subject><issn>0886-0440</issn><issn>1540-8191</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kF9LwzAUR4Mobk5f_ACSZ6HzJk27xrcx_MtggvpcsttUM7K0JO20397Oqo_el_tyOPw4hJwzmLL-rjYVhimbcQ4HZMwSAVHGJDskY8iyNAIhYEROQtgAcC5iOCajOBU85kk8JvncUWUb7Z1qNFV17SuF79f0SXtsG-V01QaqPo21yncUlXOtVY2pHC0rT7fGma2ytqPG7VQwO90jvjAKaWj9m_bdKTkqlQ367OdPyOvtzcviPlqu7h4W82WEXDKImEwRQSYyTYGDjAVyrQqtEUuY8XWJLMZsJkEnScJQ8FQzJkvBFRYyWwsRT8jl4EVfheB1mde-n-a7nEG-r5TvK-XflXr4YoDrdr3VxR_6m6UH2AB8GKu7f1T542rxPEi_ACocc_s</recordid><startdate>202212</startdate><enddate>202212</enddate><creator>Mandel, Jenna L.</creator><creator>Yost, Colin C.</creator><creator>Rosen, Jake L.</creator><creator>Prochno, Kyle W.</creator><creator>Round, Kellen J.</creator><creator>Komlo, Caroline M.</creator><creator>Guy, Thomas Sloane</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0001-9994-6469</orcidid></search><sort><creationdate>202212</creationdate><title>An alternate approach: Percutaneous axillary cannulation for minimally invasive cardiac surgery</title><author>Mandel, Jenna L. ; Yost, Colin C. ; Rosen, Jake L. ; Prochno, Kyle W. ; Round, Kellen J. ; Komlo, Caroline M. ; Guy, Thomas Sloane</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2910-196cc095966020934c2eadeeccf072bfc13c8790e5551c426e119f42acd98b443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>aorta and great vessels</topic><topic>Aortic Diseases - surgery</topic><topic>Axillary Artery</topic><topic>Cardiac Surgical Procedures</topic><topic>Cardiopulmonary Bypass</topic><topic>Catheterization</topic><topic>Heart</topic><topic>Humans</topic><topic>Minimally Invasive Surgical Procedures</topic><topic>perfusion</topic><topic>Retrospective Studies</topic><topic>valve repair/replacement</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mandel, Jenna L.</creatorcontrib><creatorcontrib>Yost, Colin C.</creatorcontrib><creatorcontrib>Rosen, Jake L.</creatorcontrib><creatorcontrib>Prochno, Kyle W.</creatorcontrib><creatorcontrib>Round, Kellen J.</creatorcontrib><creatorcontrib>Komlo, Caroline M.</creatorcontrib><creatorcontrib>Guy, Thomas Sloane</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Journal of cardiac surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mandel, Jenna L.</au><au>Yost, Colin C.</au><au>Rosen, Jake L.</au><au>Prochno, Kyle W.</au><au>Round, Kellen J.</au><au>Komlo, Caroline M.</au><au>Guy, Thomas Sloane</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An alternate approach: Percutaneous axillary cannulation for minimally invasive cardiac surgery</atitle><jtitle>Journal of cardiac surgery</jtitle><addtitle>J Card Surg</addtitle><date>2022-12</date><risdate>2022</risdate><volume>37</volume><issue>12</issue><spage>5622</spage><epage>5625</epage><pages>5622-5625</pages><issn>0886-0440</issn><eissn>1540-8191</eissn><notes>Presentation Details: ISMICS 2022 Annual Meeting.</notes><abstract>Background
Percutaneous axillary artery cannulation for cardiopulmonary bypass (CPB) offers a novel alternate approach to mechanical circulatory support for patients with contraindications to femoral perfusion. To our knowledge, this has not yet been reported in minimally invasive cardiac surgery (MICS).
Aim
We aim to highlight our experience using percutaneous axillary artery cannulation to safely facilitate CPB for minimally invasive cardiac surgery MICS.
Methods
Four patients who underwent robotic cardiac surgery utilizing the axillary artery for percutaneous cannulation between November 2019 and August 2021 at a single center were identified and included in the analysis. Preoperative, intraoperative, and postoperative data were collected and analyzed to support this case series.
Results
There were no perioperative hematomas, brachial plexus injuries, or neurovascular injuries. Within 30‐days postoperatively there was no mortality, vessel injury, stroke, new onset atrial fibrillation, or other life‐threatening bleeding.
Conclusion
Percutaneous cannulation of the axillary artery is a novel and promising CPB modality for robotic cardiac surgery in patients with extensive peripheral and aortic atherosclerotic disease.</abstract><cop>United States</cop><pmid>36423253</pmid><doi>10.1111/jocs.17220</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0001-9994-6469</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0886-0440 |
| ispartof | Journal of cardiac surgery, 2022-12, Vol.37 (12), p.5622-5625 |
| issn | 0886-0440 1540-8191 |
| language | eng |
| recordid | cdi_crossref_primary_10_1111_jocs_17220 |
| source | Wiley-Blackwell Journals |
| subjects | aorta and great vessels Aortic Diseases - surgery Axillary Artery Cardiac Surgical Procedures Cardiopulmonary Bypass Catheterization Heart Humans Minimally Invasive Surgical Procedures perfusion Retrospective Studies valve repair/replacement |
| title | An alternate approach: Percutaneous axillary cannulation for minimally invasive cardiac surgery |
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