Femoral artery anatomy is a risk factor for limb ischemia in minimally invasive cardiac surgery

Objective In minimally invasive cardiac surgery (MICS), femoral artery cannulation during cardiopulmonary bypass (CPB) can cause limb ischemia. This study evaluated the association between femoral artery anatomy and the risk of limb ischemia in MICS. Methods Eighty-one patients who underwent MICS wi...

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Bibliographic Details
Published in:General thoracic and cardiovascular surgery 2021-02, Vol.69 (2), p.246-253
Main Authors: Kawashima, Takayuki, Okamoto, Keitaro, Wada, Tomoyuki, Shuto, Takashi, Umeno, Tadashi, Miyamoto, Shinji
Format: Article
Language:English
Subjects:
Cardiac Surgery
Cardiac Surgical Procedures
Cardiology
Classification
Femoral Artery - diagnostic imaging
Femoral Artery - surgery
Heart surgery
Humans
Ischemia
Ischemia - etiology
Medicine
Medicine & Public Health
Minimally Invasive Surgical Procedures
Original Article
Ostomy
Patients
Risk Factors
Statistical analysis
Surgical Oncology
Sutures
Thoracic Surgery
Veins & arteries
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Description
Summary:Objective In minimally invasive cardiac surgery (MICS), femoral artery cannulation during cardiopulmonary bypass (CPB) can cause limb ischemia. This study evaluated the association between femoral artery anatomy and the risk of limb ischemia in MICS. Methods Eighty-one patients who underwent MICS with CPB using single femoral artery cannulation between 2010 and 2018 were included. The patients were stratified by their femoral artery diameter and anatomy of ectopic side branch, i.e., medial or lateral femoral circumflex arteries: Type A, deep femoral artery (DFA) ≥ superficial femoral artery (SFA); type B, DFA 
ISSN:1863-6705
1863-6713
DOI:10.1007/s11748-020-01442-y