At open heart surgery; is the side graft axillary artery canulation technique safe?
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Dosyalar
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Çalışmadaki amacımız, çıkan aorta ve arkus aortayı (proksimal aorta) içine alan patolojilerinde yan greft tekniği ile yapılan sağ aksiller arter kanülasyonun (AAK) postoperatif erken dönem mortalite, morbidite sonuçları ve sağ AAK yerinde gelişen orta-geç dönem komplikasyonların araştırılmasıdır. Gereç ve Yöntemler: Kliniğimizde yan greft tekniği-sağ AAK ile proksimal aortaya müdahele edilen 45 hasta çalışmaya dâhil edildi. Hastaların postoperatif erken dönem mortalite, morbidite, aksiller arter, aksiller ven, brakial pleksus yaralanması retrospektif olarak araştırıldı. Toplam 32 hastanın sağ AAK bölgesindeki değişiklikler Doppler ultrasonografi ile incelendi. Bulgular: Hastaların, yaş ortalaması 59,25±13,7, 34’ü (%75,5) erkek idi. Erken dönem mortalite 7 (%15,55), geçici nörolojik disfonksiyon 2 (%4,44), erken inme 1 (%2,22), ortalama yoğun bakımda kalma süresi 3,35±1,61 gün, hastanede kalış süresi 13,44±4,5 gün olarak tespit edildi. Ortalama 24±18,5 (1-52) aylık orta dönem takiplerde, hastaların hiç birinde sağ AAK yerinde stenoza rastlanmazken, 4 (%16,66) hastada sağ AAK yerinde en büyüğü 4,6 mm, en küçüğü 1,4 mm olan sakküler anevrizma tespit edildi. Sonuç: Proksimal aorta patolojilerinde yan greft tekniği ile sağ AAK düşük morbidite ve mortalitesi nedeni ile güvenlidir. Dekanülasyon sonrası yan greftin kapatılması sırasında aksiller arterde anevrizmatik kese bırakılmamasına dikkat edilmelidir.
Objective: To investigate both postoperative early-mid term mortality and morbidity results of right axillary artery cannulation (AAC) that is done with the side graft technique in the pathologies including ascending aorta, aortic arch (proximal aorta) and late term complications occuring in the place of AAC. Material and Methods: Forty-five patients whose proximal aorta was intervened by using side graft-right AAC. Injury of axillary vein and brachial plexus and early postoperative mortality and morbidity were retrospectively investigated via patient file. The changes in the place of right AAC were analyzed with Doppler ultrasonography after calling tha patients whose addresses were available. Results: We recruited 45 patients (34 males and 11 females; age, 59.2±13.7years) who underwent aortic surgery. Early postoperative mortality was 7 (15.55%), transient neurologic disfunction was 2 (4.44%), early stroke was 1 (2.22%), the average length of intensive care unit was 3.35±1.61 days, length of discharge was 13.44±4.5 days. While stenosis was not encountered in the place of right AAC in none of the patients at the averagely 24±18.5 (1-52) monthly follow-up, saccular enlargement of which the smallest was 1.4 mm and the biggest was 4.6 mm in the place of right AAC was detected in 4 (16.66%) patients. Conclusion: Right AAC with side graft technique in proximal aorta pathologies is safe because of low morbidity and mortality. Not to create aneurysmal sac in axillary artery while closing the side graft after decanulation is a remarkable matter.
Objective: To investigate both postoperative early-mid term mortality and morbidity results of right axillary artery cannulation (AAC) that is done with the side graft technique in the pathologies including ascending aorta, aortic arch (proximal aorta) and late term complications occuring in the place of AAC. Material and Methods: Forty-five patients whose proximal aorta was intervened by using side graft-right AAC. Injury of axillary vein and brachial plexus and early postoperative mortality and morbidity were retrospectively investigated via patient file. The changes in the place of right AAC were analyzed with Doppler ultrasonography after calling tha patients whose addresses were available. Results: We recruited 45 patients (34 males and 11 females; age, 59.2±13.7years) who underwent aortic surgery. Early postoperative mortality was 7 (15.55%), transient neurologic disfunction was 2 (4.44%), early stroke was 1 (2.22%), the average length of intensive care unit was 3.35±1.61 days, length of discharge was 13.44±4.5 days. While stenosis was not encountered in the place of right AAC in none of the patients at the averagely 24±18.5 (1-52) monthly follow-up, saccular enlargement of which the smallest was 1.4 mm and the biggest was 4.6 mm in the place of right AAC was detected in 4 (16.66%) patients. Conclusion: Right AAC with side graft technique in proximal aorta pathologies is safe because of low morbidity and mortality. Not to create aneurysmal sac in axillary artery while closing the side graft after decanulation is a remarkable matter.
Açıklama
Anahtar Kelimeler
Aortic Surgery, Axillary Artery, Cannulation, Aortik Cerrahi, Aksiller Arter, Kanülasyon
Kaynak
Erciyes Tıp Dergisi
WoS Q Değeri
N/A
Scopus Q Değeri
N/A
Cilt
35
Sayı
4
