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
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Aorta Torácica
/
Artéria Axilar
/
Cateterismo
/
Tronco Braquiocefálico
Tipo de estudo:
Ensaio Clínico Controlado
/
Estudo prognóstico
/
Revisões Sistemáticas Avaliadas
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Rev. bras. cir. cardiovasc
Assunto da revista:
Cardiologia
/
Cirurgia Geral
Ano de publicação:
2019
Tipo de documento:
Artigo
País de afiliação:
Alemanha
/
Reino Unido
Instituição/País de afiliação:
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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