Innominate vs. axillary artery cannulation in aortic surgery: a systematic review and meta-analysis
Rev. bras. cir. cardiovasc
;
34(2): 213-221, Mar.-Apr. 2019. tab, graf
Article
in English
| LILACS
| ID: biblio-990580
ABSTRACT
Abstract Objective:
To investigate whether axillary artery cannulation has supremacy over innominate artery cannulation in thoracic aortic surgery.Methods:
A comprehensive search was undertaken among the four major databases (PubMed, Excerpta Medica dataBASE [EMBASE], Scopus, and Ovid) to identify all randomized and nonrandomized controlled trials comparing axillary to innominate artery cannulation in thoracic aortic surgery. Databases were evaluated and assessed up to March 2017.Results:
Only three studies fulfilled the criteria for this meta-analysis, including 534 patients. Cardiopulmonary bypass time was significantly shorter in the innominate group (P=0.004). However, the innominate group had significantly higher risk of prolonged intubation > 48 hours (P=0.04) than the axillary group. Further analysis revealed no significant difference between the innominate and axillary groups for deep hypothermic circulatory arrest time (P=0.06). The relative risks for temporary and permanent neurological deficits as well as in-hospital mortality were not significantly different for both groups (P=0.90, P=0.49, and P=0.55, respectively). Length of hospital stay was similar for both groups.Conclusion:
There is no superiority of axillary over innominate artery cannulation in thoracic aortic surgery in terms of perioperative outcomes; however, as the studies were limited, larger scale comparative studies are required to provide a solid evidence base for choosing optimal arterial cannulation site.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Aorta, Thoracic
/
Axillary Artery
/
Catheterization
/
Brachiocephalic Trunk
Type of study:
Controlled clinical trial
/
Prognostic study
/
Systematic reviews
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Rev. bras. cir. cardiovasc
Journal subject:
Cardiology
/
General Surgery
Year:
2019
Type:
Article
Affiliation country:
Germany
/
United kingdom
Institution/Affiliation country:
Countess of Chester/GB
/
Hammersmith Hospital/GB
/
Heinrich-Heine-University/DE
/
Manchester Royal Infirmary/GB
/
The Chinese University of Hong Kong/Region of the People's Republic of China
/
University of Liverpool/GB
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