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J Card Surg. 2006 Mar-Apr;21(2):168-9.

A simple technique of distal limb perfusion during prolonged femoro-femoral cannulation.

Author information

1
Department of Cardiothoracic and Vascular Surgery, Friedrich-Schiller University, Jena, Germany. Navid.Madershahian@med.uni-jena.de

Abstract

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.

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