中国体外循环杂志2018，Vol.16Issue(1)：25-28,4.DOI:10.13498/j.cnki.chin.j.ecc.2018.01.07
经皮股静脉插管在微创主动脉瓣置换术中的应用效果
Effects of percutaneous femoral venous cannulation in minimally invasive aortic valve replacement
王现强 1王德 1刘凯飏 1孙志强 1田美策 1吉冰洋 2胡盛寿1
作者信息
- 1. 100037 北京,北京协和医学院,中国医学科学院,国家心血管病中心,阜外医院心血管外科
- 2. 100037 北京,北京协和医学院,中国医学科学院,国家心血管病中心,阜外医院体外循环科
- 折叠
摘要
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.关键词
主动脉瓣置换术/微创性/股静脉插管/安全性Key words
Aortic valve replacement/Minimally invasive/Femoral vein catheter/Safety引用本文复制引用
王现强,王德,刘凯飏,孙志强,田美策,吉冰洋,胡盛寿..经皮股静脉插管在微创主动脉瓣置换术中的应用效果[J].中国体外循环杂志,2018,16(1):25-28,4.
