Innominate vein cannulation for venous drainage in minimally invasive aortic valve replacement
Minimally invasive aortic valve or aortic root replacement may be carried out through a mini-hemisternotomy. Venous cannulation of the right atrium may be difficult, at best, and obstruct the limited operative field. We have carried out cannulation of the innominate vein with 25F or 27F thin-walled...
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| Veröffentlicht in: | The Annals of thoracic surgery 1999-03, Vol.67 (3), p.864-865 |
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| container_title | The Annals of thoracic surgery |
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| creator | Zlotnick, Amnony Y Gilfeather, Michael S Adams, David H Cohn, Lawrence H Couper, Gregory S |
| description | Minimally invasive aortic valve or aortic root replacement may be carried out through a mini-hemisternotomy. Venous cannulation of the right atrium may be difficult, at best, and obstruct the limited operative field. We have carried out cannulation of the innominate vein with 25F or 27F thin-walled femoral venous cannulae in 20 patients. Transesophageal echocardiographic guidance is invaluable in safely passing the guidewire and subsequently the cannula into the right atrium. This approach results in an unobtrusive method of complete intrathoracic cannulation through a mini-hemisternotomy with the risks of femoral cannulation. |
| doi_str_mv | 10.1016/S0003-4975(99)00071-5 |
| format | Article |
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Venous cannulation of the right atrium may be difficult, at best, and obstruct the limited operative field. We have carried out cannulation of the innominate vein with 25F or 27F thin-walled femoral venous cannulae in 20 patients. Transesophageal echocardiographic guidance is invaluable in safely passing the guidewire and subsequently the cannula into the right atrium. 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Venous cannulation of the right atrium may be difficult, at best, and obstruct the limited operative field. We have carried out cannulation of the innominate vein with 25F or 27F thin-walled femoral venous cannulae in 20 patients. Transesophageal echocardiographic guidance is invaluable in safely passing the guidewire and subsequently the cannula into the right atrium. This approach results in an unobtrusive method of complete intrathoracic cannulation through a mini-hemisternotomy with the risks of femoral cannulation.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aortic Valve - surgery</subject><subject>Biological and medical sciences</subject><subject>Brachiocephalic Veins</subject><subject>Cardiac Catheterization - instrumentation</subject><subject>Cardiac Catheterization - methods</subject><subject>Cardiopulmonary Bypass - methods</subject><subject>Catheterization, Central Venous - instrumentation</subject><subject>Catheterization, Central Venous - methods</subject><subject>Echocardiography, Transesophageal</subject><subject>Heart Valve Prosthesis Implantation</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures</subject><subject>Sternum - surgery</subject><subject>Surgery (general aspects). 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Graft diseases</subject><subject>Surgery of the heart</subject><subject>Ultrasonography, Interventional</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMFO3DAQhq2KqrssfYSiHBCih4CdrOPkVFUIWiQkDm2vtSb2BBk5zmInkXh7ZtkVcONk__Y34_HH2DfBzwUX1cUfznmZrxslz5rmOwUlcvmJLYWURV4Vsjlgy1dkwQ5TeqBY0PUXthDbTSHVkv2_CWHoXYARsxldyAyEMHkY3RCyboh0GIYpZTYCQfeYEUK468H7JwozJDdjBkMcnclm8BQibjwY7DGMR-xzBz7h1_26Yv-ur_5e_s5v737dXP68zY0s-JhXUkhorTWtWpdtq6SVaBtrq1IoW5pO1XWlgCNUwqxFyW0HFQIWHXFyXUC5Yqe7vps4PE6YRt27ZNB7CEjj66pRvK5VSaDcgSYOKUXs9CbSZ-KTFlxvxeoXsXprTTeNfhGrJdUd7x-Y2h7tu6qdSQJO9gAkA76LEIxLb5ySXMmasB87DMnG7DDqZBwGg9ZFNKO2g_tgkmev55cd</recordid><startdate>19990301</startdate><enddate>19990301</enddate><creator>Zlotnick, Amnony Y</creator><creator>Gilfeather, Michael S</creator><creator>Adams, David H</creator><creator>Cohn, Lawrence H</creator><creator>Couper, Gregory S</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19990301</creationdate><title>Innominate vein cannulation for venous drainage in minimally invasive aortic valve replacement</title><author>Zlotnick, Amnony Y ; Gilfeather, Michael S ; Adams, David H ; Cohn, Lawrence H ; Couper, Gregory S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c520t-6515abddcb743bb75d5ed9dd6317d3cf78867a0ea61c4130dfa6eae2fd5e542a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aortic Valve - surgery</topic><topic>Biological and medical sciences</topic><topic>Brachiocephalic Veins</topic><topic>Cardiac Catheterization - instrumentation</topic><topic>Cardiac Catheterization - methods</topic><topic>Cardiopulmonary Bypass - methods</topic><topic>Catheterization, Central Venous - instrumentation</topic><topic>Catheterization, Central Venous - methods</topic><topic>Echocardiography, Transesophageal</topic><topic>Heart Valve Prosthesis Implantation</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures</topic><topic>Sternum - surgery</topic><topic>Surgery (general aspects). 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Venous cannulation of the right atrium may be difficult, at best, and obstruct the limited operative field. We have carried out cannulation of the innominate vein with 25F or 27F thin-walled femoral venous cannulae in 20 patients. Transesophageal echocardiographic guidance is invaluable in safely passing the guidewire and subsequently the cannula into the right atrium. This approach results in an unobtrusive method of complete intrathoracic cannulation through a mini-hemisternotomy with the risks of femoral cannulation.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>10215257</pmid><doi>10.1016/S0003-4975(99)00071-5</doi><tpages>2</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0003-4975 |
| ispartof | The Annals of thoracic surgery, 1999-03, Vol.67 (3), p.864-865 |
| issn | 0003-4975 1552-6259 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adult Aged Aged, 80 and over Aortic Valve - surgery Biological and medical sciences Brachiocephalic Veins Cardiac Catheterization - instrumentation Cardiac Catheterization - methods Cardiopulmonary Bypass - methods Catheterization, Central Venous - instrumentation Catheterization, Central Venous - methods Echocardiography, Transesophageal Heart Valve Prosthesis Implantation Humans Medical sciences Middle Aged Minimally Invasive Surgical Procedures Sternum - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart Ultrasonography, Interventional |
| title | Innominate vein cannulation for venous drainage in minimally invasive aortic valve replacement |
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