• J Cardiovasc Surg · Dec 1996

    A simple technique for the prevention of lower limb ischemia during femoral veno-arterial cardiopulmonary support.

    • 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.

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