Bilateral subclavian vein sheaths for superior vena cava drainage during thoracoscopic repair of atrial septal defects: cosmetic outcomes, safety and effectiveness
- 28 July 2015
- journal article
- clinical trial
- Published by SAGE Publications in Perfusion
- Vol. 31 (3), 240-246
- https://doi.org/10.1177/0267659115597994
Abstract
Objective: To investigate the cosmetic outcomes, safety and effectiveness of using bilateral subclavian vein sheaths for superior vena cava drainage during thoracoscopic repair of atrial septal defects. Methods: Sixty-one consecutive adults scheduled for thoracoscopic repair of atrial septal defects between July 2012 and June 2013 were randomized into two groups: one group underwent placement of a 16 Fr percutaneous superior vena cava cannula (n = 30) and the other group underwent placement of bilateral 8 Fr subclavian vein sheaths (n = 31) for superior vena cava drainage during peripheral cardiopulmonary bypass. The perioperative data, central venous pressure during cardiopulmonary bypass, complications and the patient satisfaction scale scores for the incisions were compared between the two groups. Results: The theoretical cardiopulmonary bypass flow rate was reached without complications in all patients. The average central venous pressure during cardiopulmonary bypass was not significantly different between the two groups [(6.9 ± 3.1) mmHg vs. (7.0 ± 3.5) mmHg, p=0.92]. The patient satisfaction scale scores for the incisions were significantly higher in the patients who underwent placement of bilateral subclavian vein sheaths than in the patients who underwent placement of a percutaneous superior vena cava cannula [(2.81 ± 0.75) vs. (2.07 ± 0.74), p<0.001]. Conclusions: Placement of bilateral subclavian vein sheaths is a safe and effective alternative to placement of a percutaneous superior vena cava cannula for superior vena cava drainage during thoracoscopic repair of atrial septal defects and results in greater patient satisfaction with the cosmetic outcome.Keywords
This publication has 21 references indexed in Scilit:
- Cosmetic Result and Overall Satisfaction after Minimally Invasive Video‐assisted Thyroidectomy (MIVAT) versus Robot‐assisted Transaxillary Thyroidectomy (RATT): A Prospective Randomized StudyWorld Journal of Surgery, 2014
- Totally thoracoscopic repair of ventricular septal defect: A short-term clinical observation on safety and feasibilityThe Journal of Thoracic and Cardiovascular Surgery, 2011
- Totally Thoracoscopic Surgical Closure of Atrial Septal Defect in Small ChildrenThe Annals of Thoracic Surgery, 2011
- Totally thoracoscopic repair of atrial septal defect without robotic assistance: A single-center experienceThe Journal of Thoracic and Cardiovascular Surgery, 2011
- Minimally invasive versus conventional mitral valve surgery: A propensity-matched comparisonThe Journal of Thoracic and Cardiovascular Surgery, 2010
- Port-access minimally invasive surgery for atrial septal defects: A 10-year single-center experience in 166 patientsThe Journal of Thoracic and Cardiovascular Surgery, 2010
- Minimally invasive video-assisted approach for left atrial myxoma resectionInteractive CardioVascular and Thoracic Surgery, 2010
- Minimally Invasive Congenital Cardiac Surgery Through Right Anterior Minithoracotomy ApproachThe Annals of Thoracic Surgery, 2008
- Robotic mitral valve surgery: A United States multicenter trialThe Journal of Thoracic and Cardiovascular Surgery, 2005
- Endoscopic mitral valve repair: Feasible, reproducible, and durableThe Journal of Thoracic and Cardiovascular Surgery, 2003