A simple technique of distal limb perfusion during prolonged femoro-femoral cannulation
A simple technique of distal limb perfusion during prolonged femoro-femoral cannulation
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DOI：
10.1111/j.1540-8191.2006.00201.x
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发表时间：
2006-03-01
影响因子：
1.6
通讯作者：
Wahlers, T
中科院分区：
文献类型：
--
作者：
Madershahian, N;Nagib, R;Wahlers, T
目的：股血管插管用于心肺支持是许多心脏手术的常用方法，也是许多紧急旁路系统（如体外膜氧合）的首选途径。长时间股骨插管的一个严重并发症是远端肢体的缺血性损伤。研究对象：为了尽量减少腿部缺血的发生率，我们已经开始通过在动脉插管远端经皮放置血管引入器进入股浅动脉并将其连接到动脉线的侧口来提供顺行股血流。结论：下肢远端灌注技术是预防长时间股骨插管体外循环支持患者下肢缺血安全有效的方法。
Objective: Cannulation of the femoral vessels for cardiopulmonary support is a common approach for many cardiac procedures as well as access of choice for many emergency bypass systems such as extracorporeal membrane oxygenation. A serious complication of prolonged femoral cannulation remains the ischemic injury of the distal limb. Subjects: To minimize the incidence of ischemia in the cannulated leg, we have begun to provide antegrade femoral blood flow by placing a vascular introducer percutaneously distal to the arterial cannula into the superficial femoral artery and connecting it to the side port of the arterial line. Conclusion: This technique of distal limb perfusion was found to be safe and effective in preventing lower limb ischemia for patients with prolonged femoral cannulation for extracorporeal circulatory support.