-
- N Yoshimura, K Ataka, K Nakagiri, T Azami, M Yoshida, C Yamashita, and M Okada.
- Department of Surgery, Kobe University School of Medicine, Kusunoki-cho, Chuo-ku, Japan.
- J Cardiovasc Surg. 1996 Dec 1;37(6):557-9.
ObjectiveWe describe a simple technique to prevent the lower limb ischemia during femoral veno-arterial cardiopulmonary support (CPS).PatientsBetween July 1994 and September 1995, five patients underwent the insertion of femoral veno-arterial CPS with distal limb perfusion for the treatment of circulatory collapse after cardiac surgery.MethodsAfter CPS is established, the ipsilateral superficial femoral artery (SFA) is punctured downward with a 14-gauge Teflon catheter and connected to the side port of the membrane oxygenator.ResultsNone of the patients were complicated by lower limb ischemia for up to 77 hrs on CPS with distal limb perfusion.ConclusionsActive perfusion through a 14-gauge Teflon catheter downstream to the ipsilateral SFA is effective in preventing lower limb ischemia during prolonged femoral veno-arterial CPS after cardiac surgery.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*,_underline_or**bold**. - Superscript can be denoted by
<sup>text</sup>and subscript<sub>text</sub>. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3., hyphens-or asterisks*. - Links can be included with:
[my link to pubmed](http://pubmed.com) - Images can be included with:
 - For footnotes use
[^1](This is a footnote.)inline. - Or use an inline reference
[^1]to refer to a longer footnote elseweher in the document[^1]: This is a long footnote..