At open heart surgery; is the side graft axillary artery canulation technique safe?

TEKELİOĞLU, Ümit; BUĞRA, Onursal; ERDEM, Kemalettin; DEMİRHAN, abdullah; BOZOĞLAN, Orhan; Dagistan, Emine; DAĞLAR, Bahadır

At open heart surgery; is the side graft axillary artery canulation technique safe?

Kemalettin ERDEM, (Abant İzzet Baysal Üniversitesi, Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, Bolu, Türkiye)

Onursal BUĞRA, (Abant İzzet Baysal Üniversitesi, Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, Bolu, Türkiye)

Orhan BOZOĞLAN, (Sütçü İmam Üniversitesi, Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, Kahramanmaraş, Türkiye)

Emine DAĞISTAN, (Abant İzzet Baysal Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Bolu, Türkiye)

Ümit TEKELİOĞLU, (Abant İzzet Baysal Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Bolu, Türkiye)

Abdullah DEMİRHAN, (Abant İzzet Baysal Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Bolu, Türkiye)

Bahadır DAĞLAR (Abant İzzet Baysal Üniversitesi, Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, Bolu, Türkiye)

Erciyes Tıp Dergisi

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Yıl: 2013 Cilt: 35 Sayı: 4 Sayfa Aralığı: 219 - 223 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

At open heart surgery; is the side graft axillary artery canulation technique safe?

Öz:

Amaç: Çalışmadaki amacımız, çıkan aorta ve arkus aortayı (proksimal aorta) içine alan patolojilerinde yan greft tekniği ileyapılan sağ aksiller arter kanülasyonun (AAK) postoperatif erken dönem mortalite, morbidite sonuçları ve sağ AAK yerindegelişen orta-geç dönem komplikasyonların araştırılmasıdır. Gereç ve Yöntemler: Kliniğimizde yan greft tekniği-sağ AAK ile proksimal aortaya müdahele edilen 45 hasta çalışmaya dâhil edildi. Hastaların postoperatif erken dönem mortalite, morbidite, aksiller arter, aksiller ven, brakial pleksus yaralanması retrospektif olarak araştırıldı. Toplam 32 hastanın sağ AAKbölgesindeki değişiklikler Doppler ultrasonografi ile incelendi. Bulgular: Hastaların, yaş ortalaması 59,25±13,7, 34’ü (%75,5) erkek idi. Erken dönem mortalite 7 (%15,55), geçici nörolojik disfonksiyon 2 (%4,44), erken inme 1 (%2,22), ortalama yoğun bakımda kalma süresi 3,35±1,61 gün, hastanede kalış süresi 13,44±4,5 gün olarak tespit edildi. Ortalama 24±18,5 (1-52) aylık orta dönem takiplerde, hastaların hiç birinde sağ AAK yerinde stenoza rastlanmazken, 4 (%16,66) hastada sağ AAK yerinde en büyüğü 4,6 mm, en küçüğü 1,4 mm olan sakküler anevrizma tespit edildi. Sonuç: Proksimal aorta patolojilerinde yan greft tekniği ile sağ AAK düşük morbidite ve mortalitesi nedeni ile güvenlidir. Dekanülasyon sonrası yan greftin kapatılması sırasında aksiller arterde anevrizmatik kese bırakılmamasına dikkat edilmelidir.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Açık kalp cerrahisinde; yan greft aksiller arter kanulasyon tekniği güvenli mi?

Öz:

Objective: To investigate both postoperative early-mid termmortality and morbidity results of right axillary artery cannulation (AAC) that is done with the side graft technique in the pathologies including ascending aorta, aortic arch (proximal aorta)and late term complications occuring in the place of AAC.Material and Methods: Forty-five patients whose proximalaorta was intervened by using side graft-right AAC. Injury ofaxillary vein and brachial plexus and early postoperative mortality and morbidity were retrospectively investigated via patient file. The changes in the place of right AAC were analyzedwith Doppler ultrasonography after calling tha patients whoseaddresses were available.Results: We recruited 45 patients (34 males and 11 females; age, 59.2±13.7years) who underwent aortic surgery. Early postoperative mortality was 7 (15.55%), transient neurologic disfunction was 2 (4.44%), early stroke was 1 (2.22%), the average length of intensive care unit was 3.35±1.61 days, length of discharge was 13.44±4.5 days. While stenosis was not encountered in the place of right AAC in none of the patients at the averagely 24±18.5 (1-52) monthly follow-up, saccular enlargement of which the smallest was 1.4 mm and the biggest was 4.6 mm in the place of right AAC was detected in 4 (16.66%) patients. Conclusion: Right AAC with side graft technique in proximal aorta pathologies is safe because of low morbidity and mortality. Not to create aneurysmal sac in axillary artery while closing the side graft after decanulation is a remarkable matter.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ERDEM K, BUĞRA O, BOZOĞLAN O, Dagistan E, TEKELİOĞLU Ü, DEMİRHAN a, DAĞLAR B (2013). At open heart surgery; is the side graft axillary artery canulation technique safe?. , 219 - 223.
Chicago	ERDEM Kemalettin,BUĞRA Onursal,BOZOĞLAN Orhan,Dagistan Emine,TEKELİOĞLU Ümit,DEMİRHAN abdullah,DAĞLAR Bahadır At open heart surgery; is the side graft axillary artery canulation technique safe?. (2013): 219 - 223.
MLA	ERDEM Kemalettin,BUĞRA Onursal,BOZOĞLAN Orhan,Dagistan Emine,TEKELİOĞLU Ümit,DEMİRHAN abdullah,DAĞLAR Bahadır At open heart surgery; is the side graft axillary artery canulation technique safe?. , 2013, ss.219 - 223.
AMA	ERDEM K,BUĞRA O,BOZOĞLAN O,Dagistan E,TEKELİOĞLU Ü,DEMİRHAN a,DAĞLAR B At open heart surgery; is the side graft axillary artery canulation technique safe?. . 2013; 219 - 223.
Vancouver	ERDEM K,BUĞRA O,BOZOĞLAN O,Dagistan E,TEKELİOĞLU Ü,DEMİRHAN a,DAĞLAR B At open heart surgery; is the side graft axillary artery canulation technique safe?. . 2013; 219 - 223.
IEEE	ERDEM K,BUĞRA O,BOZOĞLAN O,Dagistan E,TEKELİOĞLU Ü,DEMİRHAN a,DAĞLAR B "At open heart surgery; is the side graft axillary artery canulation technique safe?." , ss.219 - 223, 2013.
ISNAD	ERDEM, Kemalettin vd. "At open heart surgery; is the side graft axillary artery canulation technique safe?". (2013), 219-223.

APA	ERDEM K, BUĞRA O, BOZOĞLAN O, Dagistan E, TEKELİOĞLU Ü, DEMİRHAN a, DAĞLAR B (2013). At open heart surgery; is the side graft axillary artery canulation technique safe?. Erciyes Tıp Dergisi, 35(4), 219 - 223.
Chicago	ERDEM Kemalettin,BUĞRA Onursal,BOZOĞLAN Orhan,Dagistan Emine,TEKELİOĞLU Ümit,DEMİRHAN abdullah,DAĞLAR Bahadır At open heart surgery; is the side graft axillary artery canulation technique safe?. Erciyes Tıp Dergisi 35, no.4 (2013): 219 - 223.
MLA	ERDEM Kemalettin,BUĞRA Onursal,BOZOĞLAN Orhan,Dagistan Emine,TEKELİOĞLU Ümit,DEMİRHAN abdullah,DAĞLAR Bahadır At open heart surgery; is the side graft axillary artery canulation technique safe?. Erciyes Tıp Dergisi, vol.35, no.4, 2013, ss.219 - 223.
AMA	ERDEM K,BUĞRA O,BOZOĞLAN O,Dagistan E,TEKELİOĞLU Ü,DEMİRHAN a,DAĞLAR B At open heart surgery; is the side graft axillary artery canulation technique safe?. Erciyes Tıp Dergisi. 2013; 35(4): 219 - 223.
Vancouver	ERDEM K,BUĞRA O,BOZOĞLAN O,Dagistan E,TEKELİOĞLU Ü,DEMİRHAN a,DAĞLAR B At open heart surgery; is the side graft axillary artery canulation technique safe?. Erciyes Tıp Dergisi. 2013; 35(4): 219 - 223.
IEEE	ERDEM K,BUĞRA O,BOZOĞLAN O,Dagistan E,TEKELİOĞLU Ü,DEMİRHAN a,DAĞLAR B "At open heart surgery; is the side graft axillary artery canulation technique safe?." Erciyes Tıp Dergisi, 35, ss.219 - 223, 2013.
ISNAD	ERDEM, Kemalettin vd. "At open heart surgery; is the side graft axillary artery canulation technique safe?". Erciyes Tıp Dergisi 35/4 (2013), 219-223.