Department of Cardiac Surgery, Central Clinical Hospital of the President Administration, Moscow, Russia.
Department of Cardiothoracic and Vascular Surgery, The University of Texas Health Science Center at Houston, McGovern Medical School, USA.
Innovations (Phila). 2020 Jul/Aug;15(4):369-371. doi: 10.1177/1556984520925549. Epub 2020 May 22.
There are several approaches to venous cannulation in minimally invasive aortic valve surgery. Frequently used options include central dual-stage right atrial cannulation, or peripheral femoral venous cannulation. During minimally invasive aortic surgery via an upper hemisternotomy, central venous cannulas may obstruct the surgeon's visualization of the aortic valve and root, or require extension of the skin incision, while femoral venous cannulation requires an additional incision, time and resources. Here we describe a technique for central venous cannulation during minimally invasive aortic surgery, utilizing a novel device, to facilitate simple, convenient, and expedient central cannulation with a cannula-free surgical working space.
在微创主动脉瓣手术中有几种静脉插管方法。常用的方法包括中心双级右心房插管或外周股静脉插管。在上半身正中切开微创主动脉手术中，中心静脉插管可能会阻碍外科医生对主动脉瓣和根部的可视化，或者需要延长皮肤切口，而股静脉插管则需要额外的切口、时间和资源。在这里，我们描述了一种在微创主动脉手术中使用新型装置进行中心静脉插管的技术，以方便使用无插管的手术工作空间进行简单、方便和快捷的中心插管。
