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Arterial Cannulation

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1. Ultrasound-guided arterial cannulation for paediatrics. (PubMed)

Ultrasound-guided arterial cannulation for paediatrics. Arterial line cannulation in paediatric patients is traditionally performed by palpation or with Doppler auditory assistance in locating the artery before catheterization. It is not clear whether ultrasound guidance offers benefits over these methods.To assess first attempt success rates and complication rates when ultrasound guidance is used for arterial line placement in the paediatric population, as compared with traditional techniques (...) (palpation, Doppler auditory assistance), at all potential sites for arterial cannulation (left or right radial, ulnar, brachial, femoral or dorsalis pedis artery).We searched CENTRAL, MEDLINE (Ovid) and Embase (Ovid). We also searched databases of ongoing trials (ClinicalTrials.gov (www.clinicaltrials.gov/), Current Controlled Trials metaRegister (www.controlled-trials.com/), the EU Clinical Trials register (www.clinicaltrialsregister.eu/) and the WHO International Clinical Trials Registry Platform

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2016 Cochrane

2. Acoustic Shadowing Facilitates Ultrasound-guided Radial Artery Cannulation in Young Children

Acoustic Shadowing Facilitates Ultrasound-guided Radial Artery Cannulation in Young Children Arterial cannulation in young children can be challenging. Ultrasound guidance using focused acoustic shadowing may be suitable for guiding radial artery puncture in young children. The present research tested the hypothesis that ultrasound guidance using focused acoustic shadowing helps increase the success rate of radial artery cannulation in this population.In a double-blinded, parallel-group trial (...) experienced failure of radial artery puncture and cannulation. The ultrasound location time and puncture time in the ultrasound acoustic shadowing group were significantly lower than that in the traditional ultrasound group (location time: median [interquartile range]: 6 [5, 8] vs. 18 [15, 21] s; puncture time: 24 [15, 41] vs. 40 [23, 56] s).Acoustic shadowing via the use of double developing lines significantly improved the success rate of radial artery puncture in young children, compared

2019 EvidenceUpdates

3. In elective arch surgery with circulatory arrest, does the arterial cannulation site really matter? A propensity score analysis of right axillary and innominate artery cannulation. (PubMed)

In elective arch surgery with circulatory arrest, does the arterial cannulation site really matter? A propensity score analysis of right axillary and innominate artery cannulation. The preferred arterial cannulation site for elective proximal aortic procedures requiring circulatory arrest varies, and different sites have been tried. We evaluated the relationships between arterial cannulation site and adverse outcomes, including stroke, in patients undergoing elective aortic arch surgery.We (...) reviewed the records of 938 patients who underwent elective hemiarch or total arch surgery with circulatory arrest between 2006 and 2016. Five cannulation sites were used: the right axillary (n = 515; 54.9%), innominate (n = 376; 40.1%), and right common carotid arteries (n = 15; 1.6%), each with a side graft; the ascending aorta (n = 19; 2.0%); and the femoral artery (n = 13; 1.4%). Multivariable logistic regression analysis was used to model the effects of cannulation site on adverse outcomes

2017 Journal of Thoracic and Cardiovascular Surgery

4. Double arterial cannulation strategy for acute type A aortic dissection repair: A 10-year single-institution experience. (PubMed)

Double arterial cannulation strategy for acute type A aortic dissection repair: A 10-year single-institution experience. Repair of acute type A aortic dissection (ATAAD) is a complex and emergent cardiovascular surgery that is associated with high perioperative morbidity and mortality. Each cannulation strategy has different benefits and drawbacks during cardiopulmonary bypass. Using a retrospective study design, we aimed to clarify the safety and efficacy of right axillary artery cannulation (...) in combination with femoral artery cannulation compared to single arterial cannulation for ATAAD repair.From January 2007 to July 2017, 476 adult patients underwent ATAAD repair at a single institution. Patients were classified into groups according to their cannulation strategy: the double arterial cannulation (DAC) group (n = 377; 79.2%) or single arterial cannulation (SAC) group (n = 99; 20.8%). Preoperative demographics, surgical information, and postoperative recovery were compared between both groups

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2019 PLoS ONE

5. Comparison of Ultrasound Guidance and Conventional Method for Common Femoral Artery Cannulation: A Prospective Study of 939 Patients (PubMed)

Comparison of Ultrasound Guidance and Conventional Method for Common Femoral Artery Cannulation: A Prospective Study of 939 Patients Many techniques, methods and closure devices have been developed in order to reduce vascular complications that occur after coronary and peripheral interventions. The aim of the present study was to identify which method i.e. ultrasound (US) guidance or traditional access technique, is better for common femoral artery cannulation.The study included 939 patients (...) , who were assigned to either the US-guided cannulation group (n = 449) or manual technique group (n = 490). The procedure time, first pass success rate, inadvertent venous puncture rate and complications developing within the first 7 days of the procedure were compared between the two groups.No differences were found between the two groups regarding basic characteristics and antiplatelet and anticoagulant therapy administered during and up to 24 hours before the procedure. Arterial puncture

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2018 Acta Cardiologica Sinica Controlled trial quality: uncertain

6. Ambulation with Femoral Arterial Cannulation Can be Safely Performed on Veno-Arterial Extracorporeal Membrane Oxygenation. (PubMed)

Ambulation with Femoral Arterial Cannulation Can be Safely Performed on Veno-Arterial Extracorporeal Membrane Oxygenation. Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) support can be associated with significant deconditioning due to the requirement for strict bedrest as a result of femoral arterial cannulation. In order to address this issue, we evaluated our experience with ambulation in patients with peripheral femoral cannulation for VA-ECMO.All patients that were peripherally (...) cannulated for VA-ECMO over a two year period were retrospectively reviewed. Patients that ambulated at least once while supported with VA-ECMO were included in the analysis. The primary outcomes were safety and feasibility of ambulation, defined as the absence of major bleeding, vascular, or decannulation events.Of 104 patients placed on VA-ECMO, 15 patients ambulated with a femoral arterial cannula. 46% of patients were placed on VA-ECMO for decompensated heart failure, and 54% for massive pulmonary

2018 Annals of Thoracic Surgery

7. Intra-retinal Arterial Cannulation using a Microneedle for Central Retinal Artery Occlusion (PubMed)

Intra-retinal Arterial Cannulation using a Microneedle for Central Retinal Artery Occlusion Central retinal artery occlusion (CRAO) is a severe disease, often causing blindness. We evaluated the efficacy and safety of a surgical procedure for the treatment of acute CRAO in which retinal arterial cannulation with tissue plasminogen activator (tPA) is performed. The surgical procedure consisted of vitrectomy followed by cannulation of the central retinal artery and injection of tPA (200 μg) using (...) a 47-gauge microneedle. Thirteen CRAO patients were treated within 48 hours of the onset of symptoms. The central retinal artery of all 13 eyes was successfully cannulated. The mean interval between the onset of symptoms and surgery was 38.7 hours. The results for all 13 eyes treated showed a statistically significant improvement in mean visual acuity between before and one month after treatment (-1.60 vs. -0.82 logarithmic values for minimum angle resolution (LogMAR), p = 0.0021). Fluorescein

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2018 Scientific reports

8. Posterior Tibial Artery as an Alternative to the Radial Artery for Arterial Cannulation Site in Small Children: A Randomized Controlled Study. (PubMed)

Posterior Tibial Artery as an Alternative to the Radial Artery for Arterial Cannulation Site in Small Children: A Randomized Controlled Study. We evaluated the posterior tibial artery as an alternative arterial cannulation site to the radial artery in small children.A two-stage study was conducted. First, we evaluated the anatomical characteristics of the posterior tibial artery compared with the radial and dorsalis pedis arteries. Next, a parallel-arm single-blind randomized controlled study (...) compared the initial success rate of ultrasound-guided arterial cannulation among three arteries as a primary outcome.Sixty patients were analyzed in the observational study. The diameter of the posterior tibial artery (1.5 ± 0.2 mm) was similar to that of the radial artery (1.5 ± 0.2 mm) and larger than that of the dorsalis pedis artery (1.2 ± 0.2 mm; P < 0.001). The posterior tibial artery has a larger cross-sectional area (2.8 ± 1.1 mm) compared with the radial (2.3 ± 0.8 mm; P = 0.013) and dorsalis

2017 Anesthesiology Controlled trial quality: uncertain

9. Axillary artery cannulation reduces early embolic stroke and mortality after open arch repair with circulatory arrest. (PubMed)

Axillary artery cannulation reduces early embolic stroke and mortality after open arch repair with circulatory arrest. To evaluate the efficacy of axillary artery cannulation for early embolic stroke and operative mortality, we retrospectively compared the outcomes between patients with or without axillary artery cannulation during open aortic arch repair with circulatory arrest.Between January 2004 and December 2017, 468 patients underwent open aortic arch repair with circulatory arrest using (...) antegrade cerebral perfusion and were divided into 2 groups according to the site of arterial cannulation: the axillary artery (axillary group, n = 352) or another site (nonaxillary group, n = 116) groups. Embolic stroke was defined as a physician-diagnosed new postoperative neurologic deficit lasting more than 72 hours, generally confirmed by computed tomography or magnetic resonance imaging.After propensity score matching, the patients' characteristics were comparable between the groups (n = 116

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2019 Journal of Thoracic and Cardiovascular Surgery

10. Ultrasound-Guided Femoral Arterial Cannulation in Neonates Undergoing Cardiac Surgery or Catheterization: Comparison of 0.014-Inch Floppy Versus 0.019-Inch Straight Guidewire. (PubMed)

Ultrasound-Guided Femoral Arterial Cannulation in Neonates Undergoing Cardiac Surgery or Catheterization: Comparison of 0.014-Inch Floppy Versus 0.019-Inch Straight Guidewire. Percutaneous femoral artery cannulation can be technically challenging in small infants.We designed a prospective randomized trial to compare the use of two different guidewires for femoral arterial cannulation in neonates undergoing cardiac surgery or catheterization.Cardiac ICU in a university hospital.One-hundred (...) twenty-four children were enrolled in this prospective study, with 64 being randomized to the 0.019-inch straight guidewire group and 60 to the 0.014-inch floppy guidewire group.Femoral artery cannulation.The study period was limited to 10 minutes at the first site of arterial puncture. The time to complete cannulation, number of successful cannulation on first attempt, number of attempts, and number of successful cannulations were compared. The number of successful cannulations and successful

2019 Pediatric Critical Care Medicine Controlled trial quality: uncertain

11. Guidewire-assisted vs. direct radial arterial cannulation in neonates and infants: A randomised controlled trial. (PubMed)

Guidewire-assisted vs. direct radial arterial cannulation in neonates and infants: A randomised controlled trial. Cannulation of the radial artery is challenging to perform in neonates and infants because of the small vessel size.To compare guidewire-assisted with direct radial artery cannulation in neonates and infants.A randomised controlled study.A tertiary university hospital from 7 August 2017 to 4 July 2018.Ninety neonates and infants who required radial artery cannulation during general (...) anaesthesia.All patients were allocated randomly into the guidewire group (guidewire-assisted cannulation, n=45) or control group (direct cannulation, n=45). Radial artery cannulation was performed under general anaesthesia. The contralateral radial artery was used if the arterial cannulation was not successful within two attempts. After the second failure in the contralateral radial artery, the case was considered a failure.The primary outcome was the first-attempt success rate of radial artery cannulation

2019 European Journal of Anaesthesiology Controlled trial quality: predicted high

12. Ultrasound-guided radial artery cannulation using dynamic needle tip positioning versus conventional long-axis in-plane techniques in cardiac surgery patients: a randomised, controlled trial. (PubMed)

Ultrasound-guided radial artery cannulation using dynamic needle tip positioning versus conventional long-axis in-plane techniques in cardiac surgery patients: a randomised, controlled trial. A novel ultrasound imaging technique, dynamic needle tip positioning (DNTP), enables continuous visualisation of the needle tip during ultrasound-guided cannulation. The purpose of this study was to compare the rate of successful first-attempt radial artery cannulations between DNTP and the conventional (...) long-axis in-plane (LAX-IP) technique.Adult patients undergoing cardiac surgery requiring radial artery cannulation were included and randomly allocated into either a DNTP or LAX-IP group. Radial artery cannulation was performed by a single experienced practitioner. The primary outcome was the first-attempt success rate of radial artery cannulation. Secondary outcomes included the length of time needed for cannulation and overall incidence of complications.A total of 136 patients were studied

2019 Minerva anestesiologica Controlled trial quality: predicted high

13. A novel method for ultrasound-guided radial artery cannulation in neonates by trainee anaesthesiologists: A randomised controlled trial. (PubMed)

A novel method for ultrasound-guided radial artery cannulation in neonates by trainee anaesthesiologists: A randomised controlled trial. The modified dynamic needle tip positioning (MDNTP) technique for ultrasound-guided radial artery cannulation (MDNTP-US technique) in neonates can be technically challenging for trainee anaesthesiologists. We hypothesised that by associating the MDNTP-US technique with hypodermic 0.9% sodium chloride (Saline MDNTP-US technique), which increases (...) the subcutaneous radial artery depth, the procedure would become easier for trainee anaesthesiologists.To compare the Saline MDNTP-US technique, with the MDNTP-US technique for radial artery catheterisation in neonates by trainee anaesthesiologists with limited experience.Randomised controlled trial.Ninety-six neonates scheduled to undergo major abdominal surgery requiring continuous arterial pressure monitoring between May 2018 and December 2018 at the Children's Hospital of Chongqing Medical University were

2019 European Journal of Anaesthesiology

14. Cannulation of the Femoral Arterial Bypass Cannula Allows Completion of TAVR in Unstable Patients. (PubMed)

Cannulation of the Femoral Arterial Bypass Cannula Allows Completion of TAVR in Unstable Patients. When hemodynamic instability occurs during transcatheter aortic valve replacement peripheral cardiopulmonary bypass is required. The pigtail catheter, initially placed through the femoral artery to direct placement of the valve, is exchanged over a wire for an arterial bypass cannula. Other than time consuming arterial cut-down procedures in hypotensive patients, there are few techniques described (...) to allow the operator to continue bypass and complete TAVR. We describe a method to re-introduce the pigtail catheter via puncturing the arterial bypass cannula. This allows us to support the patient, continue bypass, and successfully place the valve without aborting the procedure.Copyright © 2018. Published by Elsevier Inc.

2018 Annals of Thoracic Surgery

15. Early cannulation of bovine carotid artery grafts (Artegraft) after primary vascular access and fistula revision procedures. (PubMed)

Early cannulation of bovine carotid artery grafts (Artegraft) after primary vascular access and fistula revision procedures. Tunneled dialysis catheter (TDC) use has been associated with increased infectious complications and mortality in hemodialysis-dependent patients. Unfortunately, patients who undergo fistula revisions or creation of a new arteriovenous fistula frequently require a TDC during the postoperative period. Bovine carotid artery grafts (BCAGs) can be used as an early-access (...) dialysis conduit to reduce TDC dependence. This study describes the performance of BCAGs that were cannulated early (<3 days) after implantation and associated clinical outcomes.BCAGs were implanted in 63 consecutive dialysis-dependent patients. Patients and dialysis centers were directly provided early cannulation instructions; 31 (49%) patients were cannulated early, and of the 31 patients cannulated early, 21 (68%) were cannulated during the first postoperative day. Early complications, primary

2018 Journal of Vascular Surgery

16. Effect of cannulated screws with deep circumflex iliac artery-bone grafting in the treatment of femoral neck fracture in young adults. (PubMed)

Effect of cannulated screws with deep circumflex iliac artery-bone grafting in the treatment of femoral neck fracture in young adults. Surgical treatment of femoral neck fracture in young adults is clinically challenging due to the high incidence of avascular necrosis of femoral head and fracture nonunion. The objective of this study is to evaluate the effectiveness of cannulated screws with deep circumflex iliac artery bone grafting (DCIABG) by comparing to the routinely used method (...) in the treatment of femoral neck fracture in young adults.From March 2006 to December 2012, a total of 185 patients with femoral neck fracture were admitted to the hospital for internal fixation surgery, 103 patients (61 males and 42 females, mean age of 39.1 years) were treated with three cannulated screws with DCIABG (group A), and 82 patients (49 males and 33 females, mean age of 35.5 years) were treated with three cannulated screws without DCIABG (group B).All patients were followed up for at least 24

2018 Injury

17. Comparison between ultrasound guided technique and digital palpation technique for radial artery cannulation in adult patients: An updated meta-analysis of randomized controlled trials.

Comparison between ultrasound guided technique and digital palpation technique for radial artery cannulation in adult patients: An updated meta-analysis of randomized controlled trials. Possible advantages and risks associated with ultrasound guided radial artery cannulation in-comparison to digital palpation guided method in adult patients are not fully known. We have compared ultrasound guided radial artery cannulation with digital palpation technique in this meta-analysis.Meta-analysis (...) of randomized controlled trials.Trials conducted in operating room, emergency department, cardiac catheterization laboratory.PubMed and Cochrane Central Register of Controlled Trials (CENTRAL) were searched (from 1946 to 20th November 2017) to identify prospective randomized controlled trials in adult patients.Two-dimensional ultrasound guided radial artery catheterization versus digital palpation guided radial artery cannulation.Overall cannulation success rate, first attempt success rate, time

2018 Journal of clinical anesthesia

18. Bloodless Arterial Cannulation Technique (PubMed)

Bloodless Arterial Cannulation Technique 30111939 2018 08 16 0972-5229 22 7 2018 Jul Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine Indian J Crit Care Med Bloodless Arterial Cannulation Technique. 562-563 10.4103/ijccm.IJCCM_17_18 Shringarpure Amruta A Department of Cardiac Anesthesiology, Seth GSMC and KEM Hospital, Mumbai, Maharashtra, India. Desai Pushkar P Department of Cardiac Anesthesiology, Seth GSMC and KEM

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2018 Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine

19. Dynamic SAX vs Conventional LAX in Radial Artery Cannulation.

Dynamic SAX vs Conventional LAX in Radial Artery Cannulation. Dynamic SAX vs Conventional LAX in Radial Artery Cannulation. - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Dynamic SAX vs Conventional LAX (...) in Radial Artery Cannulation. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03405623 Recruitment Status : Completed First Posted : January 23, 2018 Last Update Posted : September 20, 2018 Sponsor: Seoul National University Hospital Information provided by (Responsible Party): Tae Kyong Kim, Seoul

2018 Clinical Trials

20. Cannulation strategies in acute type A dissection repair: A systematic axillary artery approach. (PubMed)

Cannulation strategies in acute type A dissection repair: A systematic axillary artery approach. Consensus regarding initial cannulation site for acute type A dissection repair is lacking. Objectives were to review our experience with systematic initial axillary artery cannulation, characterize patients on the basis of cannulation site, and assess outcomes.From January 2000 to January 2017, 775 patients underwent emergency acute type A dissection repair. Initial axillary cannulation (...) was performed in 617 (80%), femoral in 93 (12%), and central in 65 (8.4%). In-hospital mortality and stroke risk factors were identified using logistic regression.Reasons for selecting initial central or femoral instead of axillary cannulation included unsuitable axillary anatomy (n = 67; 42%), surgeon preference (n = 38; 24%), hemodynamic instability (n = 34; 22%), and preexisting cannulation (n = 19; 12%). Cannulation site was shifted or added intraoperatively in 82 (11%), with initial cannulation site

2018 Journal of Thoracic and Cardiovascular Surgery

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