Open and Closed Chest Extrathoracic Cannulation for Cardiopulmonary Bypass and Extracorporeal Life Support: Methods, Indications, and Outcomes

Overview

Journal Postgrad Med J

Publisher Oxford University Press

Specialty General Medicine

Date 2006 May 9

PMID 16679471

Citations 5

Authors

M L Field

B Al-Alao

N Mediratta

A Sosnowski

Affiliations

Soon will be listed here.

Abstract

Extrathoracic cannulation to establish cardiopulmonary bypass has been widely applied in recent years and includes: (a) repeat surgery, (b) minimally invasive surgery, and (c) cases with diseased vessels such as porcelain, aneurysmal, and dissecting aorta. In addition, the success and relative ease of peripheral cannulation, among other technological advances, has permitted the development of closed chest extracorporeal life support, in the form of cardiopulmonary support and extracorporeal membrane oxygenation. With this development have come applications for cardiopulmonary bypass based support outside the traditional cardiac theatre setting, including emergency circulatory support for patients in cardiogenic shock and respiratory support for patients with severely impaired gas exchange. This review summarises the approach to extrathoracic cannulation for the generalist.

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Open and closed chest extrathoracic cannulation for cardiopulmonary bypass and extracorporeal life support: methods, indications, and outcomes.

Field M, Al-Alao B, Mediratta N, Sosnowski A Postgrad Med J. 2006; 82(967):323-31.

PMID: 16679471 PMC: 2563780. DOI: 10.1136/pgmj.2005.037929.

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