Femoral or Axillary Cannulation for Extracorporeal Circulation during Minimally Invasive Heart Valve Surgery (FAMI): Protocol for a Multi-Center Prospective Randomized Trial.
Jacqueline KruseMiriam SilaschiMarkus VeltenWittmann MariaEissa AlajAli El-Sayed AhmadSebastian ZimmerMichael A BorgerFarhad BakhtiaryPublished in: Journal of clinical medicine (2023)
To date, evidence on the best access for peripheral artery cannulation during minimally invasive heart valve surgery has been scarce. Patients may benefit from axillary cannulation for extracorporeal circulation in terms of stroke risk and other neurological and vascular complications, though femoral cannulation is the gold standard. The aim of this study is to determine the risks of peri-operative stroke in a prospective randomized comparison of femoral vs. axillary cannulation.
Keyphrases
- ultrasound guided
- minimally invasive
- extracorporeal membrane oxygenation
- atrial fibrillation
- lymph node
- aortic valve
- robot assisted
- mitral valve
- ejection fraction
- end stage renal disease
- heart failure
- neoadjuvant chemotherapy
- aortic stenosis
- sentinel lymph node
- coronary artery bypass
- newly diagnosed
- prognostic factors
- chronic kidney disease
- radiation therapy
- peritoneal dialysis
- cerebral ischemia
- risk factors
- acute coronary syndrome
- transcatheter aortic valve replacement
- patient reported outcomes
- brain injury
- subarachnoid hemorrhage