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Thorac Cardiovasc Surg 2024; 72(05): 375-378
DOI: 10.1055/s-0042-1755206
Short Communication

Femoral Artery Cannulation Timing for a Pediatric Aortic Arch Repair

Tomohiro Yamamoto 
1   Division of Anesthesiology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
,
Ehrenfried Schindler 
2   Department of Anesthesiology and Intensive Care Medicine, University Hospital Bonn, Bonn, Germany
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Abstract

We have previously introduced a blood delivery method via femoral artery cannulation to provide perfusion to the organs in the lower part of the body during pediatric aortic arch repair surgeries. In the original procedure, the femoral artery cannulation was performed after the patient had been covered with a sterile drape. Here, we suggest that the femoral artery cannulation should be performed before the patient is draped to allow optimal visibility of the target artery and puncture needle via aseptic real-time ultrasound-guided technique by reducing the inclusions between the patient's skin and ultrasound probe which attenuate the ultrasound beam.

Keywords

blood delivery method - femoral artery cannulation - cardiopulmonary bypass - aortic arch repair surgery - puncture needle - real-time ultrasound-guided vascular access technique

Authors' Contribution

T.Y. devised the idea for the improvement of the cannulation procedure, wrote the first draft of the manuscript, and made figures and [Video 1] (available in the online version). E.S. devised the idea for the improvement of the cannulation procedure and helped to write the first draft of the manuscript.




Publication History

Received: 18 February 2022

Accepted: 20 June 2022

Article published online:
22 August 2022

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