Peripheral vs. central cannulation in cardiac reoperations: Technical considerations and outcomes

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dc.authorid0000-0002-9997-9364
dc.authorid0000-0001-6182-5055
dc.authorid0000-0001-9919-8392
dc.authorid0000-0001-5485-5440
dc.authorid0000-0003-4856-0974
dc.contributor.authorAta, Emin Can
dc.contributor.authorErkanlı, Korhan
dc.contributor.authorUlukan, Mustafa Özer
dc.contributor.authorYıldız, Yahya
dc.contributor.authorTürkoğlu, Halil
dc.contributor.authorPaslı, Sedat
dc.date.accessioned2020-09-11T05:36:37Z
dc.date.available2020-09-11T05:36:37Z
dc.date.issued2020
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.description.abstractObjective: To compare peripheral and central cannulation techniques in cardiac reoperation.Methods: This retrospective study included 258 patients undergoing cardiac reoperation between January 2013 and July 2018. Patients were divided into two groups according to the cannulation type. The first group included 145 (56.2%) patients operated with standard central cannulation through aorta and right atrium or bicaval cannulation. In this group, cardiopulmonary bypass was instituted after sternotomy. The second group consisted of 113 (43.8%) patients operated with peripheral cannulation through femoral artery, vein, and internal jugular vein. In this group, cardiopulmonary bypass was started before sternotomy and after systemic heparinisation. The two groups' operative complications and postoperative outcomes were compared.Results: Procedure-related injury was higher in the central cannulation group than in the peripheral cannulation group (8.3% vs. 1.8%, respectively, P=0.038). Cardiopulmonary bypass time was shorter in the central cannulation group (P=0.008) and total operation time was similar between the groups (P=0.115). Postoperative red blood cell requirement was higher with central cannulation (P=0.004). Operative mortality (2.8% vs. 0, P=0.186), hospital mortality (4.3% vs. 2.7%, P=0.523), and one-year survival rate (90.3% vs. 94.7%, P=0.202) were similar between the groups.Conclusion: Peripheral cannulation reduces cardiac injury and blood transfusion in cardiac reoperation. The cannulation type does not affect postoperative complication, mortality, and one-year survival.
dc.identifier.citationAta, E. C., Erkanlı, K., Ulukan, M. Ö., Yıldız, Y., Türkoğlu, H. ve Paslı, S. (2020). Peripheral vs. central cannulation in cardiac reoperations: Technical considerations and outcomes. Brazilian Journal of Cardiovascular Surgery, 35(4), 420-426. https://dx.doi.org/10.21470/1678-9741-2019-0445
dc.identifier.doi10.21470/1678-9741-2019-0445
dc.identifier.endpage426
dc.identifier.issn0102-7638
dc.identifier.issn1678-9741
dc.identifier.issue4
dc.identifier.scopusqualityQ3
dc.identifier.startpage420
dc.identifier.urihttps://dx.doi.org/10.21470/1678-9741-2019-0445
dc.identifier.urihttps://hdl.handle.net/20.500.12511/5779
dc.identifier.volume35
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSociedade Brasileira de Cirurgia Cardiovascular: SBCCV
dc.relation.ispartofBrazilian Journal of Cardiovascular Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectCardiopulmonary Bypass
dc.subjectSurvival Rate
dc.subjectRetrospective Studies
dc.subjectReoperation
dc.subjectSternotomy
dc.subjectHeparin
dc.subjectJugular Veins
dc.subjectFemoral Vein
dc.subjectAorta
dc.subjectHeart Atria
dc.subjectCatheterization
dc.subjectErythrocytes
dc.titlePeripheral vs. central cannulation in cardiac reoperations: Technical considerations and outcomes
dc.typeArticle

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