ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
José L. Navia
Fernando A. Atik
Erik A. Beyer
Pablo Ruda Vega
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Navia, J. L.
Right arrow Articles by Ruda Vega, P.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Navia, J. L.
Right arrow Articles by Ruda Vega, P.
Related Collections
Right arrow Extracorporeal circulation

Ann Thorac Surg 2005;79:2163-2165
© 2005 The Society of Thoracic Surgeons

How to do it

Extracorporeal Membrane Oxygenation With Right Axillary Artery Perfusion

José L. Navia, MD*, Fernando A. Atik, MD, Erik A. Beyer, MD, Pablo Ruda Vega, MD

Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio

Accepted for publication January 14, 2004.

* Address reprint requests to Dr Navia, Department of Thoracic and Cardiovascular Surgery, F25, The Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH44195 (E-mail: naviaj{at}ccf.org).

Extracorporeal membrane oxygenation can be instituted through various cannulation sites. This paper describes a technique for axillary artery cannulation for inflow perfusion in extracorporeal membrane oxygenation and discusses both potential advantages and limitations. Exposure of the artery was achieved through the deltoid-pectoral approach. Both direct cannulation and interposition graft cannulation are possible, but the latter is preferred. Advantages of axillary artery cannulation are related mainly to the establishment of "central" support with antegrade flow and excellent upper body oxygenation. It also affords chest closure after postcardiotomy shock, and easy control of any mediastinal bleeding. These cannulation sites may be options for the institution of venoarterial extracorporeal membrane oxygenation, especially in postcardiotomy and respiratory failure patients and in patients with significant peripheral vascular disease.




This article has been cited by other articles:


Home page
 Eur J Cardiothorac SurgHome page
F. Capuano, T. H. Danesi, A. Roscitano, and R. Sinatra
How to ensure a good flow to the arm during direct axillary artery cannulation
Eur J Cardiothorac Surg, August 1, 2011; 40(2): 520 - 521.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
F. A. Atik and J. L. Navia
Reply
Ann. Thorac. Surg., March 1, 2006; 81(3): 1178 - 1178.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. Pocar, A. Moneta, R. Mattioli, and F. Donatelli
Closed-Chest Transaxillary Venoarterial ECMO
Ann. Thorac. Surg., March 1, 2006; 81(3): 1177 - 1178.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2005 by The Society of Thoracic Surgeons.