Temporary Right Heart Support With Percutaneous Jugular Access
| Autor: | Elmar Berendes, Stefan Wirtz, Hugo Van Aken, Dieter Hammel, Hans H. Scheld, Christoph Schmidt, Gerd Brodner |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Percutaneous medicine.medical_treatment Revascularization law.invention Postoperative Complications law medicine.artery Jugular vein medicine Cardiopulmonary bypass Humans Aged business.industry Heart Bypass Right Hemodynamics Middle Aged Cannula Surgery Right Ventricular Assist Device Treatment Outcome Blood pressure Pulmonary artery cardiovascular system Female Heart-Assist Devices Jugular Veins Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Annals of Thoracic Surgery. 81:701-705 |
| ISSN: | 0003-4975 |
| Popis: | Purpose. Temporary right heart bypass has shown to improve hemodynamic stability and safety in beating heart revascularization. We sought to evaluate feasibility and safety of a right ventricular assist device percutaneously implanted in the right jugular vein. Description. The A-Med jugular coaxial cannula (A-Med Systems Inc, West Sacramento, CA) is designed for percutaneous implantation. Blood from the right heart is drained through the outer tube of this two-cannula device to a microcentrifugal pump and returned into the pulmonary artery through the inner tube. Evaluation. In 10 patients scheduled for elective coronary bypass grafting without cardiopulmonary bypass, a total of 27 coronary anastomoses were performed with right heart support. Arterial pressure was significantly higher with right heart support when the heart was dislocated to access posterior and posterolateral anastomosis sites. Implantation through the right internal jugular vein was feasible without complications in all patients and facilitated the procedure. Conclusions. This initial study suggests safety and feasibility of temporary right heart support using percutaneous jugular access for posterior and posterolateral coronary bypass grafting. |
| Databáze: | OpenAIRE |
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