Retrospective study of right axillary and femoral artery cannulation in Sun’s operation
10.3760/cma.j.issn.1001-4497.2019.11.009
- VernacularTitle: 腋股动脉联合插管在主动脉夹层孙氏手术中的应用
- Author:
Kaiyue JIN
1
;
Huanyu QIAO
1
;
Xiaonan LI
1
;
Yifan FENG
1
;
Lin LI
1
;
Yongmin LIU
1
;
Junming ZHU
1
;
Lizhong SUN
1
Author Information
1. Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
- Publication Type:Journal Article
- Keywords:
Stanford A aortic dissection;
Right axillary and femoral artery cannulation;
Organ malperfusion
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2019;35(11):680-683
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Summarize the anatomical features of the aortic dissection of right axillary and femoral artery cannulation in Sun's surgery. Exploring whether right axillary and femoral artery cannulation can reduce the incidence of organ malperfusion and improve patient prognosis.
Methods:From January 2015 to December 2017, 181 cases with aortic dissection were treated in Beijing Anzhen Hospital affiliated to Capital Medical University, Beijing Great Blood Vessel Research and Treatment Center, 122 patients were enrolled in the right axillary and femoral artery cannulation group, and 59 patients in control group were enrolled. Retrospective analysis the data of two groups, intraoperative, and postoperative univariate were compared between the two groups.
Results:A total of 17 patients died in the postoperative group, with 9 (7.38%) in the combined perfusion group and 8 (13.56%) in the control group, P=0.181. Among the complications of the two groups, 18 patients(14.75%) in combined perfusion group had renal insufficiency and 17 patients (28.81%) in the control group, P= 0.025. 0 case had stransient spinal cord injury in combined perfusion group , 3 cases(5.08%) in control group , P=0.033.
Conclusion:Right axillary and femoral artery cannulation can reduce the incidence of complications of postoperative organ dysfunction and improve patient prognosis.
