Canulación de arteria axilar para circulación extracorpórea

Background: When the ascending aorta and the femoral artery cannot be used for extracorporeal circulation, an emerging alternative is the use of axillary artery. Aim: To report the experience using the axillary artery for extracorporeal circulation. Patients and methods: Between November 1998 and Ma...

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Autores principales:	Zalaquett S,Ricardo, Bahamondes S,Juan C, Mertens M,Renato, Morán V,Sergio, Irarrázaval Ll,Manuel J, Becker R,Pedro, Maturana B,Gustavo, Arretz V.,Claudio
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2003
Materias:	Aortic aneurism thoracic Aortic coarctation Axillary artery Extracorporeal circulation
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000400006
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spelling	oai:scielo:S0034-988720030004000062004-12-13Canulación de arteria axilar para circulación extracorpóreaZalaquett S,RicardoBahamondes S,Juan CMertens M,RenatoMorán V,SergioIrarrázaval Ll,Manuel JBecker R,PedroMaturana B,GustavoArretz V.,Claudio Aortic aneurism thoracic Aortic coarctation Axillary artery Extracorporeal circulation Background: When the ascending aorta and the femoral artery cannot be used for extracorporeal circulation, an emerging alternative is the use of axillary artery. Aim: To report the experience using the axillary artery for extracorporeal circulation. Patients and methods: Between November 1998 and May 2002, 22 patients (14 male) were operated with extracorporeal circulation, cannulating the axillary artery. Briefly, an incision is made below the middle third of the clavicle and a cut is made on major pectoris muscle. Minor pectoris muscle is retracted and axillary artery is exposed. It is cannulated directly or with the aid of a prosthesis. Results: Right axillary artery was used in 21 patients and in 20 it was cannulated with the aid of a prosthesis. Mean flow was 4.5 + 0.6 l/min. The most common indications were aortic dissection or aneurysms. The most common procedures done, were ascending aorta replacement in 8 cases and replacement of ascending aorta and aortic arch in 5. Thirty five percent of operations were emergencies and 32% were reoperations. In 15 patients (68%), a circulatory arrest was done. Of these, retrograde brain perfusion was used in 9, antegrade brain perfusion through the same axillary artery was used in 2 and mixed perfusion was used in 2. One patient had a complication related to the axillary cannulation. None had cerebrovascular accidents or thromboembolic complications. Two patients died in the postoperative period. Patients were followed up to 42 months after the procedure and no secondary complications of the cannulation were detected. Conclusions: When the ascending aorta and the femoral artery cannot be used, axillary artery is a good alternative for extracorporeal circulation (Rev Méd Chile 2003; 131: 390-6).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.4 20032003-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000400006es10.4067/S0034-98872003000400006
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Aortic aneurism thoracic Aortic coarctation Axillary artery Extracorporeal circulation
spellingShingle	Aortic aneurism thoracic Aortic coarctation Axillary artery Extracorporeal circulation Zalaquett S,Ricardo Bahamondes S,Juan C Mertens M,Renato Morán V,Sergio Irarrázaval Ll,Manuel J Becker R,Pedro Maturana B,Gustavo Arretz V.,Claudio Canulación de arteria axilar para circulación extracorpórea
description	Background: When the ascending aorta and the femoral artery cannot be used for extracorporeal circulation, an emerging alternative is the use of axillary artery. Aim: To report the experience using the axillary artery for extracorporeal circulation. Patients and methods: Between November 1998 and May 2002, 22 patients (14 male) were operated with extracorporeal circulation, cannulating the axillary artery. Briefly, an incision is made below the middle third of the clavicle and a cut is made on major pectoris muscle. Minor pectoris muscle is retracted and axillary artery is exposed. It is cannulated directly or with the aid of a prosthesis. Results: Right axillary artery was used in 21 patients and in 20 it was cannulated with the aid of a prosthesis. Mean flow was 4.5 + 0.6 l/min. The most common indications were aortic dissection or aneurysms. The most common procedures done, were ascending aorta replacement in 8 cases and replacement of ascending aorta and aortic arch in 5. Thirty five percent of operations were emergencies and 32% were reoperations. In 15 patients (68%), a circulatory arrest was done. Of these, retrograde brain perfusion was used in 9, antegrade brain perfusion through the same axillary artery was used in 2 and mixed perfusion was used in 2. One patient had a complication related to the axillary cannulation. None had cerebrovascular accidents or thromboembolic complications. Two patients died in the postoperative period. Patients were followed up to 42 months after the procedure and no secondary complications of the cannulation were detected. Conclusions: When the ascending aorta and the femoral artery cannot be used, axillary artery is a good alternative for extracorporeal circulation (Rev Méd Chile 2003; 131: 390-6).
author	Zalaquett S,Ricardo Bahamondes S,Juan C Mertens M,Renato Morán V,Sergio Irarrázaval Ll,Manuel J Becker R,Pedro Maturana B,Gustavo Arretz V.,Claudio
author_facet	Zalaquett S,Ricardo Bahamondes S,Juan C Mertens M,Renato Morán V,Sergio Irarrázaval Ll,Manuel J Becker R,Pedro Maturana B,Gustavo Arretz V.,Claudio
author_sort	Zalaquett S,Ricardo
title	Canulación de arteria axilar para circulación extracorpórea
title_short	Canulación de arteria axilar para circulación extracorpórea
title_full	Canulación de arteria axilar para circulación extracorpórea
title_fullStr	Canulación de arteria axilar para circulación extracorpórea
title_full_unstemmed	Canulación de arteria axilar para circulación extracorpórea
title_sort	canulación de arteria axilar para circulación extracorpórea
publisher	Sociedad Médica de Santiago
publishDate	2003
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000400006
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Canulación de arteria axilar para circulación extracorpórea

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