Innominate artery patency after direct cannulation in neonatesCentral MessagePerspective
Objective: The study objective was to determine the short-term incidence of innominate artery stenosis for neonates who underwent direct innominate artery cannulation during the Norwood procedure. Methods: This is a retrospective, single-institution review of 92 patients who underwent the Norwood pr...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-08-01
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| Series: | JTCVS Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666250722003546 |
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| author | Perry S. Choi, MD Teimour Nasirov, MD Frank Hanley, MD Lynn Peng, MD Doff B. McElhinney, MD Michael Ma, MD |
| author_facet | Perry S. Choi, MD Teimour Nasirov, MD Frank Hanley, MD Lynn Peng, MD Doff B. McElhinney, MD Michael Ma, MD |
| author_sort | Perry S. Choi, MD |
| collection | DOAJ |
| description | Objective: The study objective was to determine the short-term incidence of innominate artery stenosis for neonates who underwent direct innominate artery cannulation during the Norwood procedure. Methods: This is a retrospective, single-institution review of 92 patients who underwent the Norwood procedure with direct innominate artery cannulation from 2006 to 2017. The primary outcome was angiographic evidence of patency at pre-Glenn cardiac catheterization. Patient characteristics, intraoperative surgical and hemodynamic measurements, and postoperative neurologic findings were recorded. Results: At a median age of 5.0 days, 92 neonates underwent the Norwood procedure with direct innominate artery cannulation. These patients underwent cardiac catheterization at a median of 3.0 months after the index operation. In 5 of 92 patients with catheterization images available for review, there was angiographic evidence of mild innominate artery stenosis, and none had moderate or severe stenosis. Review of follow-up records did not reveal evidence of clinically significant stenosis or innominate artery reintervention. Conclusions: In neonates undergoing the Norwood procedure with direct innominate cannulation, innominate artery stenosis was uncommon and clinically significant stenosis did not occur. |
| format | Article |
| id | doaj-art-be5aa97a9d484bdaa4ce377ccde48d53 |
| institution | Kabale University |
| issn | 2666-2507 |
| language | English |
| publishDate | 2022-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JTCVS Techniques |
| spelling | doaj-art-be5aa97a9d484bdaa4ce377ccde48d532025-08-20T03:38:19ZengElsevierJTCVS Techniques2666-25072022-08-011417117610.1016/j.xjtc.2022.06.001Innominate artery patency after direct cannulation in neonatesCentral MessagePerspectivePerry S. Choi, MD0Teimour Nasirov, MD1Frank Hanley, MD2Lynn Peng, MD3Doff B. McElhinney, MD4Michael Ma, MD5Department of Cardiothoracic Surgery, Lucile Packard Children's Hospital, Stanford University, Palo Alto, CalifDepartment of Cardiothoracic Surgery, Lucile Packard Children's Hospital, Stanford University, Palo Alto, CalifDepartment of Cardiothoracic Surgery, Lucile Packard Children's Hospital, Stanford University, Palo Alto, CalifDepartment of Cardiology, Lucile Packard Children's Hospital, Stanford University, Palo Alto, CalifDepartment of Cardiology, Lucile Packard Children's Hospital, Stanford University, Palo Alto, CalifDepartment of Cardiothoracic Surgery, Lucile Packard Children's Hospital, Stanford University, Palo Alto, Calif; Address for reprints: Michael Ma, MD, Falk Research Bldg, Palo Alto, CA 94304.Objective: The study objective was to determine the short-term incidence of innominate artery stenosis for neonates who underwent direct innominate artery cannulation during the Norwood procedure. Methods: This is a retrospective, single-institution review of 92 patients who underwent the Norwood procedure with direct innominate artery cannulation from 2006 to 2017. The primary outcome was angiographic evidence of patency at pre-Glenn cardiac catheterization. Patient characteristics, intraoperative surgical and hemodynamic measurements, and postoperative neurologic findings were recorded. Results: At a median age of 5.0 days, 92 neonates underwent the Norwood procedure with direct innominate artery cannulation. These patients underwent cardiac catheterization at a median of 3.0 months after the index operation. In 5 of 92 patients with catheterization images available for review, there was angiographic evidence of mild innominate artery stenosis, and none had moderate or severe stenosis. Review of follow-up records did not reveal evidence of clinically significant stenosis or innominate artery reintervention. Conclusions: In neonates undergoing the Norwood procedure with direct innominate cannulation, innominate artery stenosis was uncommon and clinically significant stenosis did not occur.http://www.sciencedirect.com/science/article/pii/S2666250722003546aortic reconstructioncongenitalinnominate cannulationneonateNorwood |
| spellingShingle | Perry S. Choi, MD Teimour Nasirov, MD Frank Hanley, MD Lynn Peng, MD Doff B. McElhinney, MD Michael Ma, MD Innominate artery patency after direct cannulation in neonatesCentral MessagePerspective JTCVS Techniques aortic reconstruction congenital innominate cannulation neonate Norwood |
| title | Innominate artery patency after direct cannulation in neonatesCentral MessagePerspective |
| title_full | Innominate artery patency after direct cannulation in neonatesCentral MessagePerspective |
| title_fullStr | Innominate artery patency after direct cannulation in neonatesCentral MessagePerspective |
| title_full_unstemmed | Innominate artery patency after direct cannulation in neonatesCentral MessagePerspective |
| title_short | Innominate artery patency after direct cannulation in neonatesCentral MessagePerspective |
| title_sort | innominate artery patency after direct cannulation in neonatescentral messageperspective |
| topic | aortic reconstruction congenital innominate cannulation neonate Norwood |
| url | http://www.sciencedirect.com/science/article/pii/S2666250722003546 |
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