Novel Choices of Cannula for Blood Delivery via Femoral Artery in Pediatric PatientsFunding None.
We previously presented a cardiopulmonary bypass (CPB) method with blood delivery via femoral artery cannulation for pediatric aortic arch repair operations using the Radifocus Introducer sheath. However, the flow rate with the Radifocus Introducer sheath is limited by accessory parts with the same structure having a smaller inner diameter among different sizes, rather than the sheath body. Therefore, we further devised a combination of the JELCO IV catheter, an extension tube, and a three-way stopcock with a larger opening to obtain more flow rate keeping the CPB circuit pressure significantly lower than when using the Radifocus Introducer sheath successfully.
Keywordscardiopulmonary bypass CPB - femoral artery cannulation - flow rate - CPB circuit pressure - alternative cannula system
The German Society for Thoracic and Cardiovascular Surgery (DGTHG) and The Thoracic and Cardiovascular Surgeon neither endorse nor discourage the use of the technology described in this publication.
T.Y. (corresponding author) wrote the first draft of the manuscript. T.S. performed the experiments on different cannulae with cardiopulmonary bypass and helped in writing the first draft of the manuscript. S.S., B.A., V.H., and E.S. helped in writing the first draft of the manuscript.
Eingereicht: 13. Juni 2020
Angenommen: 06. Juli 2020
30. September 2020 (online)
Georg Thieme Verlag KG
Stuttgart · New York
- 1 Yamamoto T, Schindler E, Asfour B, Hraska V. Cardiopulmonary bypass method with blood delivery via femoral artery cannulation for pediatric aortic arch repair. Paediatr Anaesth 2019; 29 (08) 885-886
- 2 Jayanthi NV, Dabke HV. The effect of IV cannula length on the rate of infusion. Injury 2006; 37 (01) 41-45
- 3 Seldinger SI. Catheter replacement of the needle in percutaneous arteriography: a new technique. Acta Radiol 1953; 39 (05) 368-376
- 4 Schindler E, Schears GJ, Hall SR, Yamamoto T. Ultrasound for vascular access in pediatric patients. Paediatr Anaesth 2012; 22 (10) 1002-1007
- 5 Rand PW, Lacombe E, Hunt HE, Austin WH. Viscosity of normal human blood under normothermic and hypothermic conditions. J Appl Physiol 1964; 19: 117-122