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Ann Thorac Surg 1998;65:1807-1808
© 1998 The Society of Thoracic Surgeons


How to Do It

A Method for Perfusion of the Leg During Cardiopulmonary Bypass via Femoral Cannulation

Steven C. Hendrickson, MDa, Donald D. Glower, MDa

a Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA

Accepted for publication February 23, 1998.

Address reprint requests to Dr Glower, Department of Surgery, Duke University Medical Center, Box 3851, Durham, NC 27710
e-mail: (glowe001{at}mc.duke.edu)

Minimally invasive approaches for cardiac operations currently are gaining increasing attention. Some of these approaches require cannulation of the femoral vessels for cardiopulmonary bypass. A potential complication of femoral cannulation is ischemic injury to the lower extremity in some cases that require long bypass times. To minimize this risk we have begun cannulating the common femoral artery distally, as well as proximally. This technique perfuses the leg for the duration of cardiopulmonary bypass, and it can be accomplished with minimal increases in cost and operative time.




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