Advertisement

General Thoracic and Cardiovascular Surgery

, Volume 67, Issue 3, pp 328–331 | Cite as

Arterial inflow line equipped with a side arm for circulatory support and catheter insertion during transcatheter aortic valve implantation for limited vascular access

  • Takashi MurakamiEmail author
  • Ryoji Sada
  • Yosuke Takahashi
  • Shinsuke Nishimura
  • Kazuki Mizutani
  • Asahiro Ito
  • Shinichi Iwata
  • Tokuhiro Yamada
  • Minoru Yoshiyama
  • Toshihiko Shibata
Case Report
  • 162 Downloads

Abstract

Transcatheter aortic valve implantation was performed on a 78-year-old patient. Elective circulatory support with cardiopulmonary bypass was planned because of left ventricular function impairment and hemodynamic instability. Limited vascular access was due to a severe atherosclerotic aorta distal to the origin of the left carotid artery. The right arm was the only safe vascular access site. However, at least 2 vascular access sites for angiographic catheter and inflow of circulatory support were required. An arterial inflow line equipped with a side arm was developed to enable single access to the right axillary artery to be used for the above purposes.

Keywords

Transcatheter aortic valve implantation Shaggy aorta Cardiopulmonary bypass Axillary artery cannulation 

Notes

Compliance with ethical standards

Conflict of interest

Takashi Murakami, Ryoji Sada, Yosuke Takahashi, Shinsuke Nishimura, Kazuki Mizutani, Asahiro Ito, Shinichi Iwata, Tokuhiro Yamada, Minoru Yoshiyama, Toshihiko Shibata have no conflicts of interest.

References

  1. 1.
    Shreenivas SS, Lilly SM, Szeto WY, Desai N, Anwaruddin S, Bavaria JE, et al. Cardiopulmonary bypass and intra-aortic balloon pump use is associated with higher short and long-term mortality after transcatheter aortic valve replacement: a PARTNER trail substudy. Catheter Cardiovasc Interv. 2015;86:316.322.CrossRefGoogle Scholar
  2. 2.
    Gammie JS, Zhao Y, Peterson ED, et al. J. Maxwell Chamberlain Memorial Paper for adult cardiac surgery. Less-invasive mitral valve operations: trends and outcomes from the Society of Thoracic Surgeons Adult Cardiac Surgery Database. Ann Thorac Surg. 2010;90:1401–8.CrossRefGoogle Scholar
  3. 3.
    Modi P, Chitwood WR Jr. Retrograde femoral arterial perfusion and stroke risk during minimally invasive mitral valve surgery: is there cause for concern? Amm Cardiothorac Surg. 2013;2:E1.Google Scholar
  4. 4.
    Murakami T, Nishimura S, Hosono M, Nakamura Y, Sohgawa E, Sakai Y, et al. Transapical endovascular repair of thoracic aortic pathology. Ann Vasc Surg. 2017;43:56–64.CrossRefGoogle Scholar
  5. 5.
    Shiiya N, Kunihara T, Kamikubo Y, Yasuda K. Isolation technique for stroke prevention in patients with a mobile atheroma. Ann Thorac Surg. 2001;72:401–2.CrossRefGoogle Scholar
  6. 6.
    Hosono M, Shibata T, Murakami T, Sakaguchi M, Suehiro Y, Suehiro S. Right axillary artery cannulation in aortic valve replacement. Ann Thorac Cardiovasc Surg. 2016;22:84–9.CrossRefGoogle Scholar
  7. 7.
    Hollier LH, Kazmier FJ, Ochsner J, Bowen JC, Proctor CD. “Shaggy” aorta syndrome with atheromatous embolization to visceral vessels. Ann Vasc Surg. 1991;5:441–4.CrossRefGoogle Scholar

Copyright information

© The Japanese Association for Thoracic Surgery 2018

Authors and Affiliations

  • Takashi Murakami
    • 1
    Email author
  • Ryoji Sada
    • 3
  • Yosuke Takahashi
    • 1
  • Shinsuke Nishimura
    • 1
  • Kazuki Mizutani
    • 2
  • Asahiro Ito
    • 2
  • Shinichi Iwata
    • 2
  • Tokuhiro Yamada
    • 4
  • Minoru Yoshiyama
    • 2
  • Toshihiko Shibata
    • 1
  1. 1.Department of Cardiovascular SurgeryOsaka City University Graduate School of MedicineOsakaJapan
  2. 2.Department of Internal Medicine and CardiologyOsaka City University Graduate School of MedicineOsakaJapan
  3. 3.Department of Clinical EngineeringOsaka City University Graduate School of MedicineOsakaJapan
  4. 4.Department of AnesthesiologyOsaka City University Graduate School of MedicineOsakaJapan

Personalised recommendations