Innominate vs. Axillary Artery Cannulation in Aortic Surgery: a Systematic Review and Meta-Analysis.
Braz J Cardiovasc Surg
; 34(2): 213-221, 2019.
Article
in En
| MEDLINE
| ID: mdl-30916132
ABSTRACT
OBJECTIVE:
To investigate whether axillary artery cannulation has supremacy over innominate artery cannulation in thoracic aortic surgery.METHODS:
A comprehensive search was undertaken among the four major databases (PubMed, Excerpta Medica dataBASE [EMBASE], Scopus, and Ovid) to identify all randomized and nonrandomized controlled trials comparing axillary to innominate artery cannulation in thoracic aortic surgery. Databases were evaluated and assessed up to March 2017.RESULTS:
Only three studies fulfilled the criteria for this meta-analysis, including 534 patients. Cardiopulmonary bypass time was significantly shorter in the innominate group (P=0.004). However, the innominate group had significantly higher risk of prolonged intubation > 48 hours (P=0.04) than the axillary group. Further analysis revealed no significant difference between the innominate and axillary groups for deep hypothermic circulatory arrest time (P=0.06). The relative risks for temporary and permanent neurological deficits as well as in-hospital mortality were not significantly different for both groups (P=0.90, P=0.49, and P=0.55, respectively). Length of hospital stay was similar for both groups.CONCLUSION:
There is no superiority of axillary over innominate artery cannulation in thoracic aortic surgery in terms of perioperative outcomes; however, as the studies were limited, larger scale comparative studies are required to provide a solid evidence base for choosing optimal arterial cannulation site.
Full text:
1
Collection:
01-internacional
Topics:
Aperfeicoar_gestao_SUS
Database:
MEDLINE
Main subject:
Aorta, Thoracic
/
Axillary Artery
/
Catheterization
/
Brachiocephalic Trunk
Type of study:
Clinical_trials
/
Prognostic_studies
/
Systematic_reviews
Limits:
Female
/
Humans
/
Male
Language:
En
Journal:
Braz J Cardiovasc Surg
Year:
2019
Document type:
Article