How to ensure a good flow to the arm during direct axillary artery cannulation

Capuano, Fabio; Danesi, Tommaso Hinna; Roscitano, Antonino; Sinatra, Riccardo
August 2011
European Journal of Cardio-Thoracic Surgery;Aug2011, Vol. 40 Issue 2, p520
Academic Journal
Abstract: We herein describe a simple and safe technique to avoid compartment syndrome/arm ischemia during direct right axillary artery cannulation, especially in patients who require long-term extracorporeal membrane oxygenation support.


Related Articles

  • Extracorporeal life support. Gaffney, Alan M.; Wildhirt, Stephen M.; Griffin, Michael J.; Annich, Gail M.; Radomski, Marek W. // BMJ: British Medical Journal (Overseas & Retired Doctors Edition;11/6/2010, Vol. 341 Issue 7780, p982 

    The article offers information on extracorporeal life support (ECLS), a variation of cardiopulmonary bypass. ECLS can be undertaken either by venous-venous cannulation for isolated respiratory failure, or venous-arterial cannulation for cardiac failure with or without failure. It is said to be...

  • The science and practice of cardiopulmonary bypass: From cross circulation to ECMO and SIRS. Punjabi, Prakash P.; Taylor, K. M. // Global Cardiology Science & Practice;2013, Vol. 2013 Issue 3, p1 

    The article focuses on the science and practice of cardiopulmonary bypass (CPB), considering the cross circulation to systemic inflammatory response syndrome (SIRS) and extracorporeal membrane oxygenation (ECMO). It provides information on the history of CPB, oxygenation, the principles of...

  • Extracorporeal membrane oxygenation for refractory cardiogenic shock after cardiac surgery: predictors of early mortality and outcome from 51 adult patients Hsu, Po-Shun; Chen, Jia-Lin; Hong, Guo-Jieng; Tsai, Yi-Ting; Lin, Chih-Yuan; Lee, Chung-Yi; Chen, Yu-Guang; Tsai, Chien-Sung // European Journal of Cardio-Thoracic Surgery;Feb2010, Vol. 37 Issue 2, p328 

    Abstract: Objective: Extracorporeal membrane oxygenation (ECMO) offers temporary haemodynamic support for those with refractory cardiogenic shock after cardiac surgery. We review our 5-year experience regarding ECMO use on those who cannot be weaned from cardiopulmonary bypass after cardiac...

  • Open and closed chest extrathoracic cannulation for cardiopulmonary bypass and extracorporeal life support: methods, indications, and outcomes. Field, M. L.; Al-Alao, B.; Mediratta, N.; Sosnowski, A. // Postgraduate Medical Journal;May2006, Vol. 82 Issue 967, p323 

    Extrathoracic cannulation to establish cardiopulmonary bypass has been widely applied in recent years and includes: (a) repeat surgery, (b) minimally invasive surgery, and (c) cases with diseased vessels such as porcelain, aneurysmal, and dissecting aorta. In addition, the success and relative...

  • High risk of intraoperative awareness during cardiopulmonary bypass with isoflurane administration via diffusion membrane oxygenators. Philipp, A; Wiesenack, C; Behr, R; Schmid, FX; Birnbaum, DE // Perfusion;May2002, Vol. 17 Issue 3, p175 

    In cardiac surgery with the aid of extracorporeal circulation (ECC), inhalation anaesthetics can be administered via the oxygenator. Until the recent advent of a new type of diffusion membrane oxygenator, we routinely added the inhalation agent, isoflurane, to the gas flow of a microporous...

  • Veno-Arterial Extracorporeal Membrane Oxygenation for High-Risk Cardiac Catheterisation Procedures Spina, Roberto; Forrest, A.P.; Adams, Mark R.; Wilson, Michael K.; Ng, Martin K.; Vallely, Michael P. // Heart, Lung & Circulation;Dec2010, Vol. 19 Issue 12, p736 

    Extracorporeal membrane oxygenation (ECMO) provides circulatory or respiratory support, or both, to patients with severe but potentially reversible cardiac or respiratory failure refractory to standard therapy. The use of ECMO in the paediatric cardiac surgical population is established....

  • Extra Corporeal Membrane Oxygenation as Right Heart Support Following Left Ventricular Assist Device Placement: A New Cannulation Technique De Silva, Ravi J.; Soto, Claude; Spratt, Phillip // Heart, Lung & Circulation;Apr2012, Vol. 21 Issue 4, p218 

    Extracorporeal membrane oxygenation is an established treatment for acute respiratory failure, or low cardiac output syndrome. This can be veno-venous, in which de-oxygenated blood is drained from the venous system and oxygenated before being returned to the venous system, and veno-arterial...

  • Superior venous drainage in the “LifeBox”: a portable extracorporeal oxygenator with a self-expanding venous cannula. Berdajs, Denis; Born, Frank; Crosset, Monique; Horisberger, Judith; Künzli, Andreas; Ferrari, Enrico; Tozzi, Piergiorgo; von Segesser, Ludwig K. // Perfusion;Jul2010, Vol. 25 Issue 4, p211 

    Background: In an experimental setting, the performance of the LifeBox, a new portable extracorporeal membrane oxygenator (ECMO) system suitable for patient transport, is presented. Standard rectilinear percutaneous cannulae are normally employed for this purpose, but have limited flow and...

  • New prototype of femoral arterial SmartCannula with anterograde and retrograde flow. Berdajs, Denis; Ferrari, Enrico; Michalis, Alexandre; Burki, Marco; Pieterse, Christian W.; Horisberger, Judith; von Segesser, Ludwig K. // Perfusion;Jul2011, Vol. 26 Issue 4, p271 

    Objectives: Femoral artery cannulation is routinely used in circulatory support scenarios for cardiorespiratory support in patients with acute cardiac and/or pulmonary decompensation. During prolonged perfusion, this may cause acute ischemia of the leg and, in the worst case, even amputation....


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics