Optimal Placement of a Superior Vena Cava Cannula in Minimally Invasive Robot-Assisted Cardiac Surgery

被引:5
|
作者
Lee, Yoon Kyung [1 ]
Sim, Ji Yeon [1 ]
Seo, Jung Wook [2 ]
Choi, In Cheol [1 ]
Hahm, Kyung Don [1 ]
Choi, Jae Woong [1 ]
机构
[1] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, Seoul 138736, South Korea
[2] Inje Univ, Sch Med, Ilsan Paik Hosp, Dept Diagnost Radiol, Goyang, Gyeonggi, South Korea
关键词
Catheterization; Robot-assisted cardiac surgery; Superior vena cava; CENTRAL VENOUS CATHETER; CHILDREN; INFANTS;
D O I
10.1253/circj.CJ-09-0600
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background. Minimally invasive robot-assisted cardiac surgery is generally performed nowadays. To avoid the interference of a superior vena cava (SVC) cannula during surgery, it should be inserted before the operation. The position of this cannula is very important because it can cause poor venous drainage during operation. The proper position of the SVC cannula was investigated in the present study. Methods and Results: The position of the SVC cannula using the transesophageal echocardiography (TEE) and chest X-ray in 45 patients was ascertained. The distances from the SVC cannula tip to the carina, sternal end of the right clavicle and the lower margin of the T4 vertebral body on chest X-rays were measured. The mean depth of the SVC cannula was 142.0 +/- 11.6 mm. The correlation coefficients of cannula depth with sex, weight and height were 0.519, 0.399 and 0.382, respectively. Conclusions: The appropriate depth of an SVC cannula has weakly positive relationships with sex, weight and height. The results of the present study suggest that chest X-rays might be necessary to confirm the appropriate location of the cannula and that TEE might be the method of choice for correct positioning of the SVC cannula in minimally invasive robot-assisted cardiac surgery. (Circ J 2010; 74: 284-288)
引用
收藏
页码:284 / 288
页数:5
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