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微创先天性心脏手术中的外周插管技术

The peripheral cannulation technique in minimally invasive congenital cardiac surgery.

作者信息

Vida Vladimiro L, Tessari Chiara, Putzu Alessandro, Tiberio Ivo, Guariento Alvise, Gallo Michele, Stellin Giovanni

机构信息

Pediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padua - Italy.

Department of Cardiac Anesthesia and Intensive Care, Fondazione Cardiocentro Ticino, Lugano - Switzerland.

出版信息

Int J Artif Organs. 2016 Aug 19;39(6):300-3. doi: 10.5301/ijao.5000505. Epub 2016 Jun 8.

Abstract

Congenital minimally invasive cardiac surgery has gained wide acceptance thanks to its favorable outcomes. The introduction of peripheral cannulation for cardiopulmonary bypass further reduces surgical trauma by decreasing surgical access and allowing the spectrum of surgical access for the correction of simple congenital heart defects to be widened. Right internal jugular vein percutaneous cannulation, together with the direct surgical cannulation of femoral vessels, proves to be a safe and effective tool in patients with body weight above 15 kg.

摘要

先天性心脏病的微创心脏手术因其良好的治疗效果而得到广泛认可。体外循环外周插管技术的引入,通过减少手术切口并拓宽了简单先天性心脏病矫治手术的切口范围,进一步降低了手术创伤。对于体重超过15kg的患者,经皮右颈内静脉插管联合股血管直接手术插管是一种安全有效的方法。

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