Perfusion techniques for minimally invasive valve procedures
| Autor: | S Simonini, A. De Jong, BA Popa, U. F. Tesler, M Diena, L Karazanishvili, E Stelian, G. Lanzillo, L Renzi |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Percutaneous Femoral vein law.invention Gravity drainage law medicine.artery Ascending aorta Cardiopulmonary bypass Humans Minimally Invasive Surgical Procedures Medicine Radiology Nuclear Medicine and imaging Aorta Advanced and Specialized Nursing Cardiopulmonary Bypass Skin incision business.industry Crystalloid Solutions General Medicine Heart Valves Surgery medicine.anatomical_structure Anesthesia Heart Arrest Induced Isotonic Solutions Intercostal space Cardiology and Cardiovascular Medicine business Safety Research Perfusion |
| Zdroj: | Perfusion. 30:270-276 |
| ISSN: | 1477-111X 0267-6591 |
| DOI: | 10.1177/0267659114550326 |
| Popis: | In this paper, we present, in detail, the simplified perfusion technique that we have adopted since January 2009 and that we have utilized in 200 cases for cardiac minimally invasive valvular procedures that were performed through a right lateral mini-thoracotomy in the 3rd-4th intercostal space. Cardiopulmonary bypass was achieved by means of the direct cannulation of the ascending aorta and the insertion of a percutaneous venous cannula in the femoral vein. A flexible aortic cross-clamp was applied through the skin incision and cardioplegic arrest was obtained with the antegrade delivery of a crystalloid solution. Gravity drainage was enhanced by vacuum-assisted aspiration. There were no technical complications related to this perfusion technique that we have adopted in minimally invasive surgical procedures. |
| Databáze: | OpenAIRE |
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