Choice of venous cannulation for bypass during repair of traumatic rupture of the aorta.
Choice of venous cannulation for bypass during repair of traumatic rupture of the aorta.
复制标题
主动脉创伤性破裂修复期间静脉插管的选择。
DOI：
10.1016/s0003-4975(00)02067-1
复制
发表时间：
2001
期刊：
影响因子：
--
通讯作者：
M. Mulligan
中科院分区：
文献类型：
--
作者：
R. Karmy;Y. Carter;M. Meissner;M. Mulligan
BackgroundChoice for venous cannulation for left heart bypass，to assist repair of traumatic rupture of the thoracic aorta，are between the left atrial appendage and pulmonary veines.MethodsA retrospective chart review was performed of patients who experienced operative repair of ruptured aoractic.ResultsOver a 15 years period between March 1985 and February 2000，133名患者因主动脉破裂入住一级创伤中心。在50例左心转流手术中，19例左心耳插管，31例肺静脉插管（上级4例，27例下）。19例经心耳静脉插管的患者中有7例发生并发症（2例室颤、3例房颤、1例心包积液导致心包填塞和1例膈神经损伤）。并发症发生在2例患者接受插管通过肺静脉（房颤，心包积液，需要tapping）（p = 0.02）。ConclusionsCannulation通过肺静脉与并发症发生率降低相比，插管的心耳。
BackgroundChoices for venous cannulation for left heart bypass, to assist repair of traumatic rupture of the thoracic aorta, are between the left atrial appendage and pulmonary veins.MethodsA retrospective chart review was performed of patients who underwent operative repair of ruptured aorta.ResultsOver a 15-year period between March 1985 and February 2000, 133 patients were admitted to a level I trauma center with aortic rupture. Of the 50 procedures performed with left heart bypass, the left atrial appendage was cannulated in 19 and pulmonary veins in 31 (four superior, 27 inferior). Complications occurred in 7 of the 19 patients who underwent venous cannulation via the atrial appendage (two ventricular fibrillation, three atrial fibrillation, one pericardial effusion leading to tamponade, and one phrenic nerve injury). Complications occurred in 2 patients who underwent cannulation via pulmonary vein (one atrial fibrillation, one pericardial effusion requiring tapping) (p = 0.02).ConclusionsCannulation via the pulmonary veins is associated with a decrease in complication rates compared with cannulation of the atrial appendage.