Innominate <i>vs</i>. Axillary Artery Cannulation in Aortic Surgery: a Systematic Review and Meta-Analysis



Harky, Amer ORCID: 0000-0001-5507-5841, Chan, Jeffrey SK, Bithas, Christiana, Hof, Alexander, Sharif, Monira, Froghi, Saied and Bashir, Mohamad
(2019) Innominate <i>vs</i>. Axillary Artery Cannulation in Aortic Surgery: a Systematic Review and Meta-Analysis. BRAZILIAN JOURNAL OF CARDIOVASCULAR SURGERY, 34 (2). pp. 213-221.

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Abstract

<h4>Objective</h4>To investigate whether axillary artery cannulation has supremacy over innominate artery cannulation in thoracic aortic surgery.<h4>Methods</h4>A comprehensive search was undertaken among the four major databases (PubMed, Excerpta Medica dataBASE [EMBASE], Scopus, and Ovid) to identify all randomized and nonrandomized controlled trials comparing axillary to innominate artery cannulation in thoracic aortic surgery. Databases were evaluated and assessed up to March 2017.<h4>Results</h4>Only three studies fulfilled the criteria for this meta-analysis, including 534 patients. Cardiopulmonary bypass time was significantly shorter in the innominate group (P=0.004). However, the innominate group had significantly higher risk of prolonged intubation > 48 hours (P=0.04) than the axillary group. Further analysis revealed no significant difference between the innominate and axillary groups for deep hypothermic circulatory arrest time (P=0.06). The relative risks for temporary and permanent neurological deficits as well as in-hospital mortality were not significantly different for both groups (P=0.90, P=0.49, and P=0.55, respectively). Length of hospital stay was similar for both groups.<h4>Conclusion</h4>There is no superiority of axillary over innominate artery cannulation in thoracic aortic surgery in terms of perioperative outcomes; however, as the studies were limited, larger scale comparative studies are required to provide a solid evidence base for choosing optimal arterial cannulation site.

Item Type: Article
Uncontrolled Keywords: Dissecting Aneurysm - Surgery, Thoracic Surgical Procedures, Axillary Artery, Peripheral Catherization - Methods, Treatment Outcomes
Depositing User: Symplectic Admin
Date Deposited: 20 Feb 2020 10:58
Last Modified: 08 Feb 2024 08:38
DOI: 10.21470/1678-9741-2018-0272
Open Access URL: http://doi.org/10.21470/1678-9741-2018-0272
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3075876