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Innominate vs. axillary artery cannulation in aortic surgery: a systematic review and meta-analysis
Harky, Amer; Chan, Jeffrey SK; Bithas, Christiana; Hof, Alexander; Sharif, Monira; Froghi, Saied; Bashir, Mohamad.
  • Harky, Amer; Countess of Chester. Department of Vascular Surgery. Chester. GB
  • Chan, Jeffrey SK; The Chinese University of Hong Kong. Faculty of Medicine. Hong Kong. Region of the People's Republic of China
  • Bithas, Christiana; Countess of Chester. Department of Vascular Surgery. Chester. GB
  • Hof, Alexander; Heinrich-Heine-University. Medical Faculty. Department of Cardiovascular Surgery. Dusseldrof. DE
  • Sharif, Monira; University of Liverpool. School of Medicine. Liverpool. GB
  • Froghi, Saied; Hammersmith Hospital. Imperial College NHS Trust. Department of Surgery. London. GB
  • Bashir, Mohamad; Manchester Royal Infirmary. GB
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.
Subject(s)


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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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