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J Thorac Cardiovasc Surg 2009;138:789
© 2009 The American Association for Thoracic Surgery

Letter to the Editor

Proximal brachiocephalic artery access for arterial cannulation: Value and technical issues

Benjamin B. Peeler, MD

Associate Professor of Surgery and Pediatrics, University of Virginia School of Medicine, Surgical Director, Virginia Children's Heart Center, Charlottesville, Va

The first 20% of the full text of this article appears below.

To the Editor:

I read with great interest the report by Roy and colleagues1Go on the rapid resuscitation of an infant with rescue extracorporeal life support (ECLS) with simple access through the innominate artery. In their case, the stump of a 3.0-mm polytetrafluoroethylene (PTFE) graft anastomosed to the innominate artery during the initial stage I Norwood (Sano) procedure was rapidly recannulated to provide arterial access for ECLS. This case provides yet another good example of the utility, simplicity, and safety of proximal brachiocephalic artery access for arterial cannulation. At my institution, we have used the same strategy for arterial cannulation during the Norwood . . . [Full Text of this Article]


Related Article

Rapid extracorporeal life support rescue in patients undergoing the Norwood procedure
Nathalie Roy, Ivan M. Rebeyka, Joseph Atallah, and David B. Ross
J. Thorac. Cardiovasc. Surg. 2009 137: 765-766. [Extract] [Full Text] [PDF]





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