A simple bypass technique for superior vena cava reconstruction.

Détails

ID Serval
serval:BIB_AE5DE4680F7A
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
A simple bypass technique for superior vena cava reconstruction.
Périodique
Interactive Cardiovascular and Thoracic Surgery
Auteur⸱e⸱s
Perentes J.Y., Erling C.C., Ris H.B., Corpataux J.M., Magnusson L.
ISSN
1569-9285[electronic], 1569-9285[linking]
Statut éditorial
Publié
Date de publication
2011
Peer-reviewed
Oui
Volume
12
Numéro
1
Pages
15-19
Langue
anglais
Notes
Publication types: Journal Article
Résumé
Superior vena cava (SVC) clamping can be required during thoracic surgery for SVC replacement or repair. In such cases, bypass techniques can be necessary to avoid hemodynamic instability, cerebral venous hypertension and hypoperfusion. Here, we report a novel and simple SVC bypass technique which does not require full systemic heparinization, specialized cannulation techniques or pumping devices and which can be applied percutaneously in the preoperative phase or intraoperatively. The preoperative shunt consisted in two Swan-Ganz catheters inserted in the jugular and femoral veins and connected by perfusion tubing with a three way stopcock. The intraoperative shunt consisted of a Pruitt(®)-catheter inserted in the left innominate vein and connected to a femoral Swan-Ganz catheter by perfusion tubing. We validated our system in seven patients undergoing SVC reconstruction. We monitored the systemic arterial blood pressures, the heart rate and vasoactive peptide requirements throughout the procedure. We also determined the neurological status and the in-hospital morbidity and mortality for each patient. Using this bypass, SVC clamping caused no hemodynamic instability, no neurological impairments and no in-hospital complications or deaths. This simple temporary SVC bypass procedure is safe and avoids hemodynamic instability and cerebral venous hypertension.
Pubmed
Web of science
Open Access
Oui
Création de la notice
11/03/2011 11:33
Dernière modification de la notice
20/08/2019 15:18
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