Aksiller arter kanülasyonu femoral arter kanülasyonundan daha mı iyidir?

Key Findings & Data:Methods: Femoral artery cannulation (group F) was used in 88 (51.2%) and axillary artery cannulation (group A) was used in 84 (48.8%) of 192 patients.

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Conclusion & Impact:Patients have less intensive care and hospital stays and also pulmonary and infectious complications and postoperative bleeding are reduced.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Background: This study aims to compare axillary and femoral arterial cannulation strategies in aortic surgery. Methods: Femoral artery cannulation (group F) was used in 88 (51.2%) and axillary artery cannulation (group A) was used in 84 (48.8%) of 192 patients. All patients had their aortic roots or one segment of their aortae replaced and/or repaired. Results: The mean degree of hypothermia, mean duration of intensive care and length of hospital stay were lower in group A patients. The mortality rate was 8% (n=7) in group F and 3.6% (n=3) in group A (p=0.330). Seven patients (8%) in group F and 10 patients (11.9%) in group A had neurologic complications following surgery. Postoperative incidences of bleeding, pulmonary complications and infections were higher in group F. Logistic regression analysis showed that previous cardiac surgery and postoperative neurologic complications were independently related to the postoperative mortality. Conclusion: Axillary artery cannulation is useful to decrease the operation time and use lesser degrees of hypothermia. Patients have less intensive care and hospital stays and also pulmonary and infectious complications and postoperative bleeding are reduced.

Özet

Amaç: Bu çalışmanın amacı, aort cerrahisinde kullanılan aksiller ve femoral arter kanülasyon stratejilerinin sonuçlarını karşılaştırmaktır. Çalışma planı: Çalışmaya alınan 192 hastanın 88’inde (%51.2) femoral arter kanülasyonu (grup F), 84’ünde (%48.8) ise aksiller arter kanülasyonu (grup A) kullanıldı. Tüm hastaların aort kökleri ve aortun en az bir segmentinin replasman veya onarım işlemleri uygulandı. Bulgular: Ortalama hipotermi derecesi, yoğun bakım ve hastane kalış süreleri grup A’daki hastalarda daha düşük bulundu. Mortalite oranı grup F’de %8 (n=7) ve grup A’da %3.6 (n=3) oldu (p=0.330). Grup F’de yedi hastada (%8), grup A’da ise 10 hastada (%11.9) cerrahi sonrasında nörolojik komplikasyon gözlemlendi. Ameliyat sonrası kanama, pulmoner komplikasyon ve enfeksiyon oranları grup F’de daha yüksekti. Lojistik regresyon analizinde geçirilmiş kardiyak cerrahi ve ameliyat sonrası nörolojik komplikasyon görülmesi ameliyat sonrası mortaliteyle ilişkili bulundu. Sonuç: Aksiller kanülasyon uygulamaları ameliyat süresinin kısalması ve daha az derinlikte hipotermi kullanılabilmesi açısından fayda sağlamaktadır. Hastaların yoğun bakım ve hastane kalış süreleri kısalmakta, ameliyat sonrası görülen kanama, enfeksiyon ve pulmoner komplikasyon oranı azalmaktadır.

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Cite This Article

KARA, İ., MATARACI, İ., POLAT, A., TUNCER, A., KELEŞ, C., TUNCER, E. Y., AULASALEH, S., BOYACIOĞLU, K. (2022). Aksiller arter kanülasyonu femoral arter kanülasyonundan daha mı iyidir?. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 20 - Sayı: 2, 186–193. https://ajindex.com/articles/424748

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