Effects of percutaneous femoral venous cannulation in minimally invasive aortic valve replacement
Wang Xianqiang
Wang De
Liu Kaiyang
Sun Zhiqiang
Tian Meice
Ji Bingyang
Hu Shengshou
Abstract：Objective To study the effect of percutaneous femoral venous cannulation in aortic valve replacement (AVR) through upper hemisternotomy. Methods This was a retrospective study of 65 consecutive AVR patients through upper hemisternotomy between May 2012 and January 2017 at Fuwai Hospital. The patients were divided into femoral vein group (n = 26) and right auricle group (n = 39). Outcomes of the two groups were compared to study the effects of different cannulation methods. Results There was no in -hospital death in the two groups. There was a reoperation for bleeding in the femoral vein group, but no complications at the catheter site and no thrombosis in the femoral vein or pulmonary embolism happened. In the right auricle group, there was an intraoperative convertion to conventional sternotomy due to perivalvular leakage. No other severe complications were observed in both groups. There was no significant difference in cardiopulmanary bypass time, aortic cross-clamp time, operation time, mechanical ventilation time, length of ICU stay, hospitalization costs, length of postoperative hospital stay, blood loss and blood transfusion rate between the two groups. Conclusions Percutaneous femoral venous cannulation is safe and feasible in AVR through upper hemisternotomy. This method is a useful alternative to the right auricle cannulation for patients whose right auricle is difficult to expose or those who are concerned about the cosmetic result.
Keywords：Aortic valve replacementMinimally invasiveFemoral vein catheterSafety
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 25-28 )