ReviewIndian journal of thoracic and cardiovascular surgery2022
Cannulation strategies in aortic surgery: techniques and decision making.
Review in Indian journal of thoracic and cardiovascular surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- National Heart Center Perfusion Guidelines.Saudi medical journal · 2026Guideline
- Transesophageal Echocardiographic Guidance of Transapical Aortic Cannulation for Cardiopulmonary Bypass.CASE (Philadelphia, Pa.) · 2026Article
- Assessment of cardiac and pulmonary pressure for transatrial-to-left-ventricular cannulation: implications for surgical safety.Journal of thoracic disease · 2026Article
- Neurological complications post aortic arch surgery: a state of art review.Journal of cardiothoracic surgery · 2025Review
- Left Ventricular Apical Cannulation in Acute Type A Aortic Dissection.Journal of cardiovascular development and disease · 2025Review
- Surgical Explantation for Embolized Transcatheter Aortic Valve Replacement Valve at Distal Aortic Arch.Annals of thoracic surgery short reports · 2025Article
- Direct Innominate Artery Cannulation for Thoracic Aortic Surgery.Journal of clinical medicine · 2025Article
- Comparison of clinical outcomes between double arterial cannulation and single arterial cannulation in type A aortic dissection.Scientific reports · 2025Article
- Aortic versus axillary artery cannulation for hemiarch replacement: single-centre real-world experience.BMC cardiovascular disorders · 2024Article
- A Retrospective Cohort Study Comparing Different Cannulation Strategies in Type A Aortic Dissection Surgery: 20-year Single-Center Experience in a Referral Center.Aorta (Stamford, Conn.) · 2024Article
- Surgical Strategies in Reoperation of the Proximal Aorta and Arch for Patients with Previous Frozen Elephant Trunk.Journal of clinical medicine · 2024Article
- Overview of acute type A aortic dissection in India.Indian journal of thoracic and cardiovascular surgery · 2023Review
- Cannulation Strategies in Type A Aortic Dissection: Overlooked Details and Novel Approaches.Cureus · 2023Review
- Total aortic arch replacement in acute type A aortic dissection - a single institutional experience.Indian journal of thoracic and cardiovascular surgery · 2023Article
- Clinical Application of Proximal Arch Cannulation in the Surgical Treatment of Acute Type I Aortic Dissection.Cureus · 2023Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Arterial cannulation for cardiopulmonary bypass (CPB) is an important determinant of outcome in aortic surgery. Unlike traditional cardiac operations, aortic pathology may preclude the cannulation of the distal ascending aorta. In other cases, special need of the pathology/operation may demand an alternative cannulation site. Choosing the right cannulation site, especially in type A aortic dissection, is the most crucial initial step. The decision about cannulation sites should be individualized and patient-specific. Various cannulation techniques include femoral, right axillary, innominate, carotid, central aortic, direct true lumen, transapical, and trans-atrial left ventricle cannulation. The ideal cannulation should be easy, quick, and suitable for all clinical scenarios. It should allow smooth conduct of CPB without malperfusion or cerebral embolization. The cannulation strategy should also provide an option for selective antegrade cerebral perfusion and it should be free from neurovascular and local site complications. There is no ideal cannulation technique. Each technique has its pros and cons. Excellent results and drawbacks have been reported with each technique. Final selection of the cannulation site is dependent upon several factors. However, a surgeon's familiarity with a particular technique plays a major role in selection. Despite this, there is a definite shift in surgeons' preference from femoral to central cannulation (axillary, carotid, innominate, aortic) over the last few decades. The aim of this review is to give a brief overview of the cannulation techniques in aortic surgery and discuss the decision-making process.
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