Akademik Veri Yönetim Sistemi
Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, cilt.25, sa.3, ss.175-180, 2019 (Hakemli Dergi)
Objective: The most preferred arterial cannulation region during cardiopulmonary bypass is ascendingaorta. However, alternative arterial cannulation regions may be needed in the surgical treatment ofpathologies involving proximal thoracic aortic segments. For this purpose, femoral artery is frequentlyused in the past years, but nowadays axillary artery cannulation is very prevalently used. Axillary arterycannulation can be performed either directly or /indirectly using side graft technique. In this study, weaimed to evaluate the outcomes of our patients who were operated due to proximal thoracic aorticpathology with side graft axillary artery cannulation.Method: Forty-six patients who were operated due to proximal thoracic aortic pathologies with sidegraft axillary cannulation technique between January 2008 - December 2018 in our hospital wereevaluated retrospectively.Results: Side graft axillary cannulation technique was successfully applied in all of these 46 patients.Axillary artery injury did not occur in any patient. No permanent neurological deficit developed at theright upper extremity and there was no infection at cannulation region in any patient. Inpatientmortality. There were 10 (21.7%) patients with hospital mortality.Conclusion: Nowadays, axillary artery cannulation is increasingly preferred peripheral cannulationmethod for proximal thoracic aortic operations. The most important advantages of this method areachievement of antegrade cerebral/systemic perfusion and absence of retrograde embolization risk.Local complications (e.g. brachial plexus/axillary artery injury) due to axillary artery cannulation mayoccur. Using side graft axillary cannulation technique can reduce risk of developing these complications.In our study, we did not encounter any local/ systemic complications related to preferred cannulationregion in our patients who were operated by side graft axillary artery cannulation technique.