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Minerva Pediatrica 2016 October;68(5):341-7

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Percutaneous internal jugular venous cannulation for extracorporeal circulation during minimally invasive technique in children with congenital heart disease: operative technique and results

Vladimiro L. VIDA 1, Ivo TIBERIO 2, Michele GALLO 1, Alvise GUARIENTO 1, Emirjeta SUTI 2, Demetrio PITTARELLO 2, Giovanni STELLIN 1

1 Unit of Pediatric and Congenital Cardiac Surgery, Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padua, Italy; 2 Unit of Cardiac Anesthesia, Department of Medicine, University of Padua, Padua, Italy


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BACKGROUND: The aim of this study was to evaluate the safety and efficacy of the percutaneous cannulation of the internal jugular venous (PCIJV) for extracorporeal circulation during minimally invasive cardiac surgery (MICS) in children with simple congenital heart disease.
METHODS: From September 2007, 83 children (<16 years) underwent PCIJV for extracorporeal circulation. Primary outcome of the study was to evaluate the safety and advantages of PCIJV technique. Technical steps and pitfalls of PCIJV technique are described.
RESULTS: Median age at surgery was 9 years (range 3.5-16 years) and median body weight was 31 kilograms (range 13-72 kilograms); 32 patients (40%) had a body weight less than 30 kilograms. The PCIJV was achieved with a 14 French cannula in 61 pts (73%), with a 17 Fr cannula in 22 (23%). The PIJVC was judged difficult in 2 patients (2.4%); in both of them cannulation was achieved at a different venous site There were no procedure-related complications and no flow disturbances during the extracorporeal circulation.
CONCLUSIONS: The PCIJV during MICS is an effective and reproducible technique for achieving peripheral CPB in children with simple CHDs. We progressively expanded the use of this technique in smaller children and this allows us to further minimize surgical trauma without experiencing venous drainage’s problems.

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giovanni.stellin@unipd.it