Axillary artery access for combined endoaortic balloon occlusion and perfusion during robotic mitral valve surgery

Vishnu V. Ambur, Sagar S. Kadakia, Sharven Taghavi, Senthil N. Jayarajan, Mohammed Abul Kashem, James McCarthy, Akira Shiose, Grayson H. Wheatley, Yoshiya Toyoda, T. Sloane Guy

研究成果: ジャーナルへの寄稿記事

抄録

We aimed to develop a method that provides an alternative cannulation site in robotic mitral valve surgery that allows simultaneous endo-occlusion and antegrade perfusion.A71-year-old man with severe mitral regurgitation and history of coronary artery bypass grafting underwent totally endoscopic robotic mitral valve repair.A23-mmendoreturn cannula was placed through a 10-mm graft that was sewn to the left axillary artery. An endoballoon was passed through the Dacron/cannula complex and into the ascending aorta. This complex was used for simultaneous antegrade perfusion, endoballoon occlusion, and antegrade cardioplegia. Completion transesophageal echocardiography showed no evidence of mitral regurgitation. The patient had an uneventful postoperative course and was doing well at his 2-month follow-up appointment. The left axillary artery is a viable option for simultaneous endoballoon occlusion, antegrade perfusion, and antegrade cardioplegia in robotic mitral valve surgery. This has the potential benefit of providing antegrade perfusion, which some studies have shown to be associated with a decreased risk of complications when compared with retrograde perfusion specifically in patients with severe peripheral vascular disease.

元の言語英語
ページ(範囲)217-218
ページ数2
ジャーナルInnovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
11
発行部数3
DOI
出版物ステータス出版済み - 8 23 2016

Fingerprint

Axillary Artery
Balloon Occlusion
Robotics
Mitral Valve
Perfusion
Induced Heart Arrest
Mitral Valve Insufficiency
Polyethylene Terephthalates
Peripheral Vascular Diseases
Transesophageal Echocardiography
Coronary Artery Bypass
Catheterization
Aorta
Appointments and Schedules
Transplants

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

これを引用

Axillary artery access for combined endoaortic balloon occlusion and perfusion during robotic mitral valve surgery. / Ambur, Vishnu V.; Kadakia, Sagar S.; Taghavi, Sharven; Jayarajan, Senthil N.; Kashem, Mohammed Abul; McCarthy, James; Shiose, Akira; Wheatley, Grayson H.; Toyoda, Yoshiya; Guy, T. Sloane.

:: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery, 巻 11, 番号 3, 23.08.2016, p. 217-218.

研究成果: ジャーナルへの寄稿記事

Ambur, Vishnu V. ; Kadakia, Sagar S. ; Taghavi, Sharven ; Jayarajan, Senthil N. ; Kashem, Mohammed Abul ; McCarthy, James ; Shiose, Akira ; Wheatley, Grayson H. ; Toyoda, Yoshiya ; Guy, T. Sloane. / Axillary artery access for combined endoaortic balloon occlusion and perfusion during robotic mitral valve surgery. :: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery. 2016 ; 巻 11, 番号 3. pp. 217-218.
@article{331ddcf0b24e4465a041db3307a5eaee,
title = "Axillary artery access for combined endoaortic balloon occlusion and perfusion during robotic mitral valve surgery",
abstract = "We aimed to develop a method that provides an alternative cannulation site in robotic mitral valve surgery that allows simultaneous endo-occlusion and antegrade perfusion.A71-year-old man with severe mitral regurgitation and history of coronary artery bypass grafting underwent totally endoscopic robotic mitral valve repair.A23-mmendoreturn cannula was placed through a 10-mm graft that was sewn to the left axillary artery. An endoballoon was passed through the Dacron/cannula complex and into the ascending aorta. This complex was used for simultaneous antegrade perfusion, endoballoon occlusion, and antegrade cardioplegia. Completion transesophageal echocardiography showed no evidence of mitral regurgitation. The patient had an uneventful postoperative course and was doing well at his 2-month follow-up appointment. The left axillary artery is a viable option for simultaneous endoballoon occlusion, antegrade perfusion, and antegrade cardioplegia in robotic mitral valve surgery. This has the potential benefit of providing antegrade perfusion, which some studies have shown to be associated with a decreased risk of complications when compared with retrograde perfusion specifically in patients with severe peripheral vascular disease.",
author = "Ambur, {Vishnu V.} and Kadakia, {Sagar S.} and Sharven Taghavi and Jayarajan, {Senthil N.} and Kashem, {Mohammed Abul} and James McCarthy and Akira Shiose and Wheatley, {Grayson H.} and Yoshiya Toyoda and Guy, {T. Sloane}",
year = "2016",
month = "8",
day = "23",
doi = "10.1097/IMI.0000000000000251",
language = "English",
volume = "11",
pages = "217--218",
journal = "Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery",
issn = "1556-9845",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Axillary artery access for combined endoaortic balloon occlusion and perfusion during robotic mitral valve surgery

AU - Ambur, Vishnu V.

AU - Kadakia, Sagar S.

AU - Taghavi, Sharven

AU - Jayarajan, Senthil N.

AU - Kashem, Mohammed Abul

AU - McCarthy, James

AU - Shiose, Akira

AU - Wheatley, Grayson H.

AU - Toyoda, Yoshiya

AU - Guy, T. Sloane

PY - 2016/8/23

Y1 - 2016/8/23

N2 - We aimed to develop a method that provides an alternative cannulation site in robotic mitral valve surgery that allows simultaneous endo-occlusion and antegrade perfusion.A71-year-old man with severe mitral regurgitation and history of coronary artery bypass grafting underwent totally endoscopic robotic mitral valve repair.A23-mmendoreturn cannula was placed through a 10-mm graft that was sewn to the left axillary artery. An endoballoon was passed through the Dacron/cannula complex and into the ascending aorta. This complex was used for simultaneous antegrade perfusion, endoballoon occlusion, and antegrade cardioplegia. Completion transesophageal echocardiography showed no evidence of mitral regurgitation. The patient had an uneventful postoperative course and was doing well at his 2-month follow-up appointment. The left axillary artery is a viable option for simultaneous endoballoon occlusion, antegrade perfusion, and antegrade cardioplegia in robotic mitral valve surgery. This has the potential benefit of providing antegrade perfusion, which some studies have shown to be associated with a decreased risk of complications when compared with retrograde perfusion specifically in patients with severe peripheral vascular disease.

AB - We aimed to develop a method that provides an alternative cannulation site in robotic mitral valve surgery that allows simultaneous endo-occlusion and antegrade perfusion.A71-year-old man with severe mitral regurgitation and history of coronary artery bypass grafting underwent totally endoscopic robotic mitral valve repair.A23-mmendoreturn cannula was placed through a 10-mm graft that was sewn to the left axillary artery. An endoballoon was passed through the Dacron/cannula complex and into the ascending aorta. This complex was used for simultaneous antegrade perfusion, endoballoon occlusion, and antegrade cardioplegia. Completion transesophageal echocardiography showed no evidence of mitral regurgitation. The patient had an uneventful postoperative course and was doing well at his 2-month follow-up appointment. The left axillary artery is a viable option for simultaneous endoballoon occlusion, antegrade perfusion, and antegrade cardioplegia in robotic mitral valve surgery. This has the potential benefit of providing antegrade perfusion, which some studies have shown to be associated with a decreased risk of complications when compared with retrograde perfusion specifically in patients with severe peripheral vascular disease.

UR - http://www.scopus.com/inward/record.url?scp=84964370866&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84964370866&partnerID=8YFLogxK

U2 - 10.1097/IMI.0000000000000251

DO - 10.1097/IMI.0000000000000251

M3 - Article

C2 - 27093272

AN - SCOPUS:84964370866

VL - 11

SP - 217

EP - 218

JO - Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery

JF - Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery

SN - 1556-9845

IS - 3

ER -