Journals / Damar Cerrahi Dergisi / 2015 / Cilt: 24 - Sayı: 2

Local Complications Due to Right Proximal Brachial Artery Cannulation in Aortic Surgery

Aort Cerrahisinde Sağ Proksimal Brakiyal Arter Kanülasyonuna Bağlı Lokal Komplikasyonlar

Pages
87–91
Publication Date
2022-10-10
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

As vascular complications, thromboembolism was observed in three patients, vascular damage in three patients, and thromboembolism and vascular damage in one patient.Conclusion: This observational study indicated that right proximal brachial artery cannulation, with its low complication and low long-term morbidity rates, is a safe method.

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Objective & Hypothesis:Objective: This study aimed to analyze the types and frequencies of the complications observed after right proximal brachial artery cannulation in aortic surgery.Material and Methods: The data of 273 patients (153 males, 120 females; mean age 53.5 ± 11.6 years) who has ascending aorta and aortic arch procedures with antegrade cerebral perfusion by means of proximal brachial artery cannulation in our hospital between January 2000 and August 2010 were retrospectively analyzed.Results: The complications associated with proximal brachial artery cannulation were observed in 21 patients (7.6%).
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Key Findings & Data:Of those complications, 14 (5.1%) were neurologic and 7 (2.6%) were vascular.
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Conclusion & Impact:As vascular complications, thromboembolism was observed in three patients, vascular damage in three patients, and thromboembolism and vascular damage in one patient.Conclusion: This observational study indicated that right proximal brachial artery cannulation, with its low complication and low long-term morbidity rates, is a safe method.
🔬Design:Research Article
📍Scope:2000 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: This study aimed to analyze the types and frequencies of the complications observed after right proximal brachial artery cannulation in aortic surgery.Material and Methods: The data of 273 patients (153 males, 120 females; mean age 53.5 ± 11.6 years) who has ascending aorta and aortic arch procedures with antegrade cerebral perfusion by means of proximal brachial artery cannulation in our hospital between January 2000 and August 2010 were retrospectively analyzed.Results: The complications associated with proximal brachial artery cannulation were observed in 21 patients (7.6%). Of those complications, 14 (5.1%) were neurologic and 7 (2.6%) were vascular. The neurologic complications were paresthesia and paresis in the right hand. Clinical improvement was achieved in all patients within 6 months. One patient had mild paresthesia. As vascular complications, thromboembolism was observed in three patients, vascular damage in three patients, and thromboembolism and vascular damage in one patient.Conclusion: This observational study indicated that right proximal brachial artery cannulation, with its low complication and low long-term morbidity rates, is a safe method.

Özet

Amaç: Bu çalışmadaki hedefimiz, aort cerrahisinde uygulanan sağ proksimal brakiyal arter kanülasyonunda gözlenen komplikasyonların tipleri ve sıklığının incelenmesidir.Gereç ve Yöntemler: Ocak 2000-Ağustos 2010 tarihleri arasında hastanemizde proksimal brakiyal arter kanülasyonu yoluyla antegrad serebral perfüzyon ile asendan ve arkus aorta cerrahisi uygulanan 273 hastanın (153 erkek, 120 kadın; ortalama yaş 53,5±11,6 yıl) verileri retrospektif olarak değerlendirildi.Bulgular: Yirmi bir hastada (%7,6) proksimal brakiyal arter kanülasyonuyla ilişkili komplikasyon görüldü. Bu komplikasyonlardan 14'ü (%5,1) nörolojik ve 7'si (%2,6) vasküler komplikas- yonlardı. Nörolojik komplikasyonların tamamı sağ elde parestezi ve parezi şeklindeydi. Bu hastaların tamamında altı ay içinde klinik düzelme sağlandı. Bir hastada hafif parestezi vardı. Vasküler komplikasyon olarak üç hastada tromboemboli, üç hastada vasküler hasar ve bir hastada tromboemboli ve vasküler hasar görüldü.Sonuç: Bu gözlemsel çalışma, düşük komplikasyon ve uzun dönemde düşük morbidite oranı ile aort cerrahisinde sağ proksimal brakiyal arter kanülasyonunun güvenli bir yöntem olduğunu göstermektedir.

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Cite This Article

AKSÖYEK, A., SARITAŞ, A., SONGUR, Ç. M., ÜNAL, E. U., ÖZEN, A., SORAN, B. T., ÇALIŞKAN, A., KİRİŞ, E. S., KUBAT, E. (2022). Local Complications Due to Right Proximal Brachial Artery Cannulation in Aortic Surgery. Damar Cerrahi Dergisi, Cilt: 24 - Sayı: 2, 87–91. https://ajindex.com/articles/486709

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