Cell salvage processing of residual cardiopulmonary bypass volume in minimally invasive cardiac surgery

2019 ◽  
Vol 34 (8) ◽  
pp. 1280-1286
Author(s):  
Ryosuke Muraki ◽  
Toshinori Totsugawa ◽  
Kazuyuki Nagata ◽  
Kosuke Nakajima ◽  
Tomoya Oshita ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Cardiopulmonary Bypass ◽  
Minimally Invasive ◽  
Minimally Invasive Cardiac Surgery ◽  
Cell Salvage

scholarly journals Correction to: Cell salvage processing of residual cardiopulmonary bypass volume in minimally invasive cardiac surgery

2019 ◽  
Vol 34 (8) ◽  
pp. 1287-1287
Author(s):  
Ryosuke Muraki ◽  
Toshinori Totsugawa ◽  
Kazuyuki Nagata ◽  
Kosuke Nakajima ◽  
Tomoya Oshita ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Cardiopulmonary Bypass ◽  
Minimally Invasive ◽  
Minimally Invasive Cardiac Surgery ◽  
Cell Salvage

Pressure difference between radial and femoral artery pressure in minimally invasive cardiac surgery using retrograde perfusion

2018 ◽  
Vol 41 (10) ◽  
pp. 635-643 ◽  
Author(s):  
Yoshitsugu Nakamura ◽  
Sam Emmanuel ◽  
Fumiaki Shikata ◽  
Chihiro Shirai ◽  
Yujiro Ito ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Cardiopulmonary Bypass ◽  
Arterial Pressure ◽  
Minimally Invasive ◽  
Femoral Artery ◽  
Systolic Arterial Pressure ◽  
Minimally Invasive Cardiac Surgery ◽  
Pressure Differential ◽  
Artery Pressure ◽  
Retrograde Perfusion

Objective: To investigate whether radial artery pressure is a reliable surrogate measure of central arterial pressure as approximated by femoral artery pressure in minimally invasive cardiac surgery with retrograde perfusion via femoral cannulation. Method: Fifty-two consecutive patients undergoing minimally invasive cardiac surgery were prospectively included in this study. Cardiopulmonary bypass was established via a femoral artery cannulation and femoral vein. Radial and femoral arterial pressures were recorded continuously, and the pressure differential between them was calculated for both systolic and mean arterial pressures. The agreement between measurements from the two arteries was compared using Bland–Altman plots. An interval of 95% limits of agreement of less than 20 mm Hg was set as satisfactory agreement. Results: Average age was 65 ± 14 years. With respect to systolic arterial pressure, 28 patients (54%) had a peak pressure differential between radial and femoral arteries ⩾20 mm Hg. With respect to mean arterial pressure, only five patients (9%) had a peak pressure differential ⩾20 mm Hg. The pressure differential changed with time. Pressure differential in systolic arterial pressure was 5 ± 8 mm Hg until aortic declamping, then increased to a peak of 23 ± 16 mm Hg when cardiopulmonary bypass was turned off. The femoral systolic arterial pressures were significantly greater than radial systolic arterial pressures from time of aortic declamping to 20 min after cardiopulmonary bypass. The Bland–Altman plots revealed large biases and poor agreement in this period. Conclusion: Radial and femoral systolic artery pressure readings can differ significantly in minimally invasive cardiac surgery with retrograde perfusion. Intraoperative arterial pressure management based solely on radial systolic arterial pressure readings should be avoided.

scholarly journals Peripheral vascular complications following totally endoscopic cardiac surgery

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Ling-chen Huang ◽  
Qi-chen Xu ◽  
Dao-zhong Chen ◽  
Xiao-fu Dai ◽  
Liang-wan Chen
Keyword(s):  
Cardiac Surgery ◽  
Cardiopulmonary Bypass ◽  
Minimally Invasive ◽  
Femoral Artery ◽  
Femoral Vein ◽  
Vascular Complications ◽  
Minimally Invasive Cardiac Surgery ◽  
Venous Cannulation ◽  
Artery Cannulation ◽  
Short Period

Abstract Background Clinical application of minimally invasive cardiac surgery has increased annually. Cardiopulmonary bypass is established by peripheral cannulation during minimally invasive cardiac surgery. The methodology of peripheral cannulation has unique characteristics, which have associated risks and complications. Few studies have been conducted on this topic. In this study, we focused on complications of peripheral cannulation in totally endoscopic cardiac surgery. Methods Patients who underwent totally endoscopic cardiac surgery with cardiopulmonary bypass established by peripheral cannulation at our institution between January 2019 and June 2020 were reviewed. Specific cannulation strategies and related cannulation complications were noted. Results One hundred forty-eight patients underwent totally endoscopic cardiac surgery. One hundred forty-eight cannulations were performed in the femoral artery and vein, and eleven were performed in the internal jugular vein (combined with the femoral vein). The median size of the femoral artery cannula was 22Fr, and that of the venous canula was 24Fr. One patient died of retroperitoneal haematoma due to femoral artery injury. Three patients had postoperative lower limb oedema. One patient had a postoperative diagnosis of femoral vein thrombosis. Conclusions Different from cannulation in patients with aortic dissection and aneurysms, femoral artery cannulation is safe in totally endoscopic cardiac surgery. Venous cannulation is characterized by a large-bore venous cannula and a short period of use. There are few reports about complications of venous cannulation. The main complication in this study was mechanical injury, and the key to preventing this injury is meticulous manipulation during surgery.

scholarly journals Efficacy of continuous infusion of Mannitol during cardiopulmonary bypass in Minimally Invasive Cardiac Surgery

2016 ◽  
Vol 43 (4) ◽  
pp. 352-359
Author(s):  
Ryosuke Muraki ◽  
Kazuyuki Nagata ◽  
Kosuke Nakajima ◽  
Mio Masuda ◽  
Tomoya Oshita ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Cardiopulmonary Bypass ◽  
Minimally Invasive ◽  
Continuous Infusion ◽  
Minimally Invasive Cardiac Surgery

Femoral cannulation: a safe vascular access option for cardiopulmonary bypass in minimally invasive cardiac surgery

Perfusion ◽  
2015 ◽  
Vol 31 (2) ◽  
pp. 131-134 ◽  
Author(s):  
Siavash Saadat ◽  
Molly Schultheis ◽  
Anthony Azzolini ◽  
Joseph Romero ◽  
Victor Dombrovskiy ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Cardiopulmonary Bypass ◽  
Minimally Invasive ◽  
Vascular Access ◽  
Minimally Invasive Cardiac Surgery

Regional oxygen saturation change rate for detection of leg ischemia in minimally invasive cardiac surgery

Perfusion ◽  
2020 ◽  
pp. 026765912094672
Author(s):  
Fumiaki Shikata ◽  
Yoshitsugu Nakamura ◽  
Yasuhito Okuzono ◽  
Yuichi Uchigasaki ◽  
Naoya Yamauchi
Keyword(s):  
Cardiac Surgery ◽  
Cardiopulmonary Bypass ◽  
Minimally Invasive ◽  
Oxygen Saturation ◽  
Near Infrared ◽  
Minimally Invasive Cardiac Surgery ◽  
Change Rate ◽  
Regional Oxygen Saturation ◽  
Distal Perfusion ◽  
Leg Ischemia

Introduction: The criteria for placement of distal perfusion cannulas vary among reports. This cohort study aimed to establish a reproducible method to monitor critical leg ischemia during minimally invasive cardiac surgery. Methods: We included 121 patients who underwent minimally invasive cardiac surgery via right thoracotomy with right femoral arterial cannulation from 2015 to 2018. The change rate of regional oxygen saturation (ΔrSO2) was calculated as follows: rSO2 (baseline) − rSO2 (actual number)/rSO2 (baseline). Patients were divided into Group N (ΔrSO2 < 40%): 100/121 (83%) and Group H (ΔrSO2 > 40%, <10 minutes if >40%): 21/121 (17%). A distal perfusion cannula was placed when ΔrSO2 was >40% over 10 minutes. Results: No patients experienced significant leg ischemia. Significantly longer cardiopulmonary bypass and aortic cross-clamp times were observed in Group H than in Group N (cardiopulmonary bypass time, 129 ± 36 minutes (Group N) vs. 151 ± 34 minutes (Group H), p = 0.01). ΔrSO2 correlated positively with plasma creatine phosphokinase elevation (R = 0.40, p < 0.001) on postoperative day 1. Serum lactate on intensive care unit admission showed a significant positive correlation (R = 0.40, p < 0.001) with ΔrSO2. Conclusion: ΔrSO2 measurement by near-infrared spectroscopy can facilitate distal leg perfusion monitoring and assist surgeons in preventing critical leg ischemia during minimally invasive cardiac surgery.

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