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Eur J Cardiothorac Surg 2002;22:313-315
© 2002 Elsevier Science NL

How-to-do-it

Axillary artery cannulation for arterial inflow in patients with acute dissection of the ascending aorta

Department of Cardiovascular Surgery, Bursa Yüksek Ihtisas Teaching and Research Hospital, Duacinari-16330, Bursa, Turkey

Received 28 December 2001; received in revised form 7 April 2002; accepted 10 April 2002.

* Corresponding author. Tel.: +90-224-360-5050; fax: +90-224-360-5055
e-mail: syavuz64{at}yahoo.com

The axillary artery is an alternative site for arterial cannulation that avoids manipulation of the ascending aorta or aortic arch and provides antegrade blood flow during surgery for acute type A aortic dissection. Right axillary artery cannulation has been used in 27 patients for arterial perfusion. There were no complications related to the technique of axillary cannulation. All patients but one awoke neurologically intact from operation and suffered no complications. Hospital mortality occurred in two (7.4%) patients. Axillary cannulation is easy to establish and may safely be used for arterial inflow during surgery for acute type A dissection of the ascending aorta.

Key Words: Aortic dissection • Axillary artery • Cannulation • Arterial inflow • Cardiopulmonary bypass

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