Taguchi K, Mochizuki T, Takamura K, Matsumura M, Tsuchiya T
Jpn J Surg. 1977 Mar;7(1):44-7. doi: 10.1007/BF02469406.
The surgical technique and complications of aortic cannulation for arterial return in total body perfusion utilizing oxygenator were presented based on our experience of 400 patients. Major complications encountered were laceration and bleeding (1 case), hematoma formation and bleeding (2 cases), and malpositioning of the catheter resulting in mild brain damage (1 case). All underwent re-operation with 4 survivals. Aortic cannulation is simple to perform, easy to maintian stability in cardiopulmonary bypass and with much less risk of retrograde dissection in all ages.
基于我们对400例患者的经验,介绍了在使用氧合器进行全身灌注时动脉回血的主动脉插管手术技术及并发症。遇到的主要并发症有撕裂和出血(1例)、血肿形成和出血(2例)以及导管位置不当导致轻度脑损伤(1例)。所有患者均接受了再次手术,4例存活。主动脉插管操作简单,在体外循环中易于保持稳定,且各年龄段发生逆行夹层的风险都低得多。