A Djordjevic

M Cubrilo

M Grujic

M Matkovic

M Ristic

M Samanovic

M Zlatkovic

S Putnik

Journal of Cardiothoracic Surgery

PubMed

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Femoral or axillary artery as a cannulation site in the acute aortic dissection type A surgery: is there still a doubt?

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ORAL PRESENTATION Open Access
Femoral or axillary artery as a cannulation site
in the acute aortic dissection type A surgery:
is there still a doubt?
M Matkovic*, S Putnik, M Cubrilo, M Grujic, M Samanovic, A Djordjevic, M Zlatkovic, M Ristic
From 23rd World Congress of the World Society of Cardio-Thoracic Surgeons
Split, Croatia. 12-15 September 2013
Background
Anterograde perfusion is widely addopted strategy in aor-
tic dissection type A treatement. Physiological blood flow
direction reduces malperfusion complications during CPB
and allows anterograde cerebral perfusion during circula-
tory arrest. In spite of these facts, femoral artery is still
used as a cannulation site by surgeons worldwide. Primary
end point was to analize the mortality in the two groups
of patients (anterograde vs retrograde perfusion during
CPB). Secondary end point was to compare frequency of
postoperative complications, length of stay in ICU and in
hospital.
Methods
We performed a retrospective sudy that included 99
patients which were surgically treated for acute aortic
dissection type A in Clinical Center of Serbia from
01.01.2010 to 31.01.2013. Patients were divided into two
groups according to the cannulation site for CPB (ante-
rograde vs retrograde CPB). We analized comorbidities,
operative parameters, postoperative complications and
intrahospital mortality between the two groups of
patients.
Results
In the anterograde perfusion group longer pain to
admission and admission to OR period has been
observed (p < 0,05). Patients in the anterograde group
had statistically significant less neurological, renal and
respiratory postoperative complications (p < 0,05). How-
ever there was no statisticaly significant difference
between the two groups regarding intrahospital mortal-
ity (p < 0,05).
Conclusion
In spite of lower complication rate in the anterograde
perfusion group, there is stll not enough evidence of its
superiority in every dissection case. The cannulation site
in an aortic dissection type A surgery remains a surgeon’s
preference and should be carefully chosen on a case-by-
case basis.
Published: 11 September 2013
doi:10.1186/1749-8090-8-S1-O27
Cite this article as: Matkovic et al.: Femoral or axillary artery as a
cannulation site in the acute aortic dissection type A surgery: is there
still a doubt? Journal of Cardiothoracic Surgery 2013 8(Suppl 1):O27.
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Submit your manuscript at 
www.biomedcentral.com/submit* Correspondence: milos.matkovic@kcs.ac.rs
Cardiac Surgery, Clinical Center of Serbia, Belgrade, Serbia
Matkovic et al. Journal of Cardiothoracic Surgery 2013, 8(Suppl 1):O27
http://www.cardiothoracicsurgery.org/content/8/S1/O27
© 2013 Matkovic et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative
Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and
reproduction in any medium, provided the original work is properly cited.


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Femoral or axillary artery as a cannulation site in the acute aortic dissection type A surgery: is there still a doubt?

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