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Perfusion
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Single, percutaneous, femoral venous cannulation for cardiopulmonary bypass

William Riley

Brigham and Women's Hospital, Boston, MA, wriley1{at}partners.org

Daniel FitzGerald

Brigham and Women's Hospital, Boston, MA

Lawrence Cohn

Brigham and Women's Hospital, Boston, MA

Percutaneous femoral venous cannulation for cardiopulmonary bypass has emerged as an indispensable technique in the management of cardiac surgical procedures requiring cardiopulmonary bypass. A review of cases at Brigham and Women's Hospital (Boston, MA, USA) relying solely on percutaneous femoral venous cannulation for venous return to the heart-lung machine demonstrated achievable blood flow and complexity of case-load. Operations performed in this manner include, but are not limited to, coronary artery bypass grafting (CABG), valve, CABG/valve, and aortic procedures. Minimally invasive procedures and re-operations comprise a portion of each group. Complications of cardiopulmonary bypass and site-related complications were considered. Percutaneous femoral venous cannulation is a safe method to provide most patients with adequate venous return to perform any cardiac surgery. Patients demanding greater flow than this method will provide, may require a second venous cannula at some time during cardiopulmonary bypass. Perfusion (2007) 22, 211—215.

Perfusion, Vol. 22, No. 3, 211-215 (2007)
DOI: 10.1177/0267659107083021
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