J Thorac Cardiovasc Surg 2003;125:S66-S67
© 2003 The American Association for Thoracic Surgery
Variations in technology
Kenneth L. Mattox, MD
From the Department of Surgery, Baylor College of Medicine, Houston, Tex.
Received for publication Aug 23, 2000. Accepted for publication Aug 24, 2000.
Address for reprints: Kenneth L. Mattox, MD, Department of Surgery, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030.
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In this issue of the Journal [J Thorac Cardiovasc Surg 2000;120:1104-11], Downing and associates from The R. Adams Cowley Shock Trauma Center of the University of Maryland School of Medicine continue their long-term contributions to the treatment of aortic injury. They report on their 66-month experience with 50 patients in whom heparinless right atrial (via femoral vein cannulation) to femoral artery pump bypass was used. The etiology, pathophysiology, suspicion, diagnosis, timing, and type of treatment, as well as prevention of complications and death after acute blunt injury to the thoracic aorta, have been the focus of more than 3000 articles in the literature. Traditional femoral vein-femoral artery bypass with full-body heparinization was extensively used during the late 1960s through the mid-1980s. Other significant reports of heparinless technology using a centrifugal pump with cannulation in other sites are in the literature. In . . . [Full Text of this Article]
Copyright © 2003 by The American Association for Thoracic Surgery.
