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Oper Neurosurg (Hagerstown) 2020 May 25. Epub 2020 May 25.

Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.

Background: Distal transradial catheterization in the anatomic snuffbox is an alternate route of access that has started to gain consideration for neuroendovascular procedures.

Objective: To assess the feasibility and outcomes and present our institution's experience in performing neuroendovascular procedures via distal transradial access (dTRA).

Methods: We conducted a retrospective analysis and identified 120 patients who underwent consecutive neuroendovascular procedures via dTRA in the anatomic snuffbox. Read More

Ann Thorac Surg 2020 May 19. Epub 2020 May 19.

From the Department of Cardiac Surgery, Medical University of Innsbruck.

Remote access perfusion for minimally invasive mitral surgery is commonly achieved by femoro-femoral bypass. We describe the use of the carotid artery as an inflow in two patients with severe calcifications of the abdominal aorta and the iliac arteries who underwent minimally invasive mitral and tricuspid valve repair. The easy and fast access to the vessel and the lack of interference with the transthoracic clamp and the scope are the major advantages of the carotid compared other alternatives such as the axillary artery. Read More

Ann Vasc Surg 2020 May 15. Epub 2020 May 15.

Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Japan.

It is essential to establish cardiopulmonary bypass by percutaneous insertion of a large-bore catheter via both the femoral vein and internal jugular vein (IJV) for minimally invasive cardiac surgery (MICS). Complications associated with IJV catheterization during MICS have been reported in the literature; however, vascular injury of the subclavian artery (SCA) is rare. We herein present a rare case in which an iatrogenic arteriovenous fistula (AVF) between the right SCA and IJV after MICS was successfully treated by endovascular coil embolization. Read More

Turk J Pediatr 2020 ;62(2):233-243

Departments of Pediatric Cardiology, Başkent University Faculty of Medicine, Ankara, Turkey.

Background And Objectives: Aortic balloon valvuloplasty (ABV) has become the first-line treatment for critical aortic valve stenosis in infants. We aimed to evaluate the short- and mid-term results of patients who underwent ABV during neonatal period, the factors affecting the success and complications of the procedure.

Methods: We retrospectively examined 65 patients who underwent ABV during the neonatal period between 1998 and 2017. Read More

Circ Cardiovasc Interv 2020 May 15;13(5):e008274. Epub 2020 May 15.

Duke Clinical Research Institute, Durham, NC (J.P.P., D.N.H., R.B., E.D.P., S.V.R.).

Background: Patients with atrial fibrillation on oral anticoagulation (OAC) undergoing cardiac catheterization face risks for embolic and bleeding events, yet information on strategies to mitigate these risks in contemporary practice is lacking.

Methods: We aimed to describe the clinical/procedural characteristics of a contemporary cohort of patients with atrial fibrillation on OAC who underwent cardiac catheterization. Use of bleeding avoidance strategies and bridging therapy were described and outcomes including death, stroke, and major bleeding at 30 days and 1 year were compared by OAC type. Read More

Aesthet Surg J 2020 May 13. Epub 2020 May 13.

Zhejiang Provincial People's Hospital, affiliated with Hangzhou Medical College, Hangzhou, Zhejiang Province, China.

Background: Blindness is a rare but catastrophic complication of facial hyaluronic acid (HA) injection. Although various means to rescue visual impairment have been employed, no consensus regarding effective treatment has yet been reached. We organized a multidisciplinary team to address this emergency situation by means of endovascular hyaluronidase application. Read More

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2020 Mar;32(3):336-340

Department of Critical Care Medicine, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei, China. Corresponding author: Yu Zhui, Email:

Objective: To compare the severity of brain injury between asphyxia and electrical stimulation induced cardiac arrest in rats.

Methods: Forty-two healthy male Sprague-Dawley (SD) rats were randomized into sham group (n = 6), asphyxia group (n = 18) and electrical stimulation group (n = 18). Rats in each group were given invasive mechanical ventilation and femoral blood vessels catheterization for monitoring blood pressure and fluid infusion. Read More

Neuroradiol J 2020 May 5:1971400920920787. Epub 2020 May 5.

New Era Stroke Care and Research Institute, The PLA Rocket Force General Hospital, Beijing, China.

Background: We describe use of a canine model to evaluate physiological effects and neuroprotective strategies in the setting of cerebral ischemia and endovascular neurosurgery training.

Methods: We performed transfemoral digital subtraction cerebral and cervical angiography on eight anesthetized dogs. Angiographic images of cerebral arteries were obtained following cannulation of the femoral artery. Read More

Pediatr Cardiol 2020 May 4. Epub 2020 May 4.

Department of Pediatrics, University of Tennessee Health Science Center, 49 N Dunlap Ave, FOB #348, Memphis, TN, 38103, USA.

To evaluate whether avoidance of a risk factor associated with loss of pulse (LOP) following femoral artery (FA) catheterization in infants identified from previous study, was associated with decreased incidence of LOP during a prospective evaluation. Since initiation of routine ultrasound guided femoral arterial access (UGFAA) for infants undergoing catheterization in Jan 2003-Dec 2011 (Period-1), our incidence of LOP had stayed steady. Prospective evaluation between Jan 2012-Dec 2014 (Period-2), identified FA-diameter < 3 mm as risk factor for LOP. Read More

Pediatr Cardiol 2020 May 3. Epub 2020 May 3.

Department of Pediatrics, Division of Pediatric Cardiology, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, 49 N Dunlap Ave, FOB #348, Memphis, TN, 38103, USA.

The objectives of this study were to construct femoral artery (FA) and femoral vein (FV) nomograms in children aged 0-4 years and to construct probability curves for the occurrence of arterial access complications based on the size of the FA. The FV and FA are commonly accessed during cardiac catheterizations in children with congenital heart diseases (CHD). However, nomograms for vessel dimensions based on child's age or size are not available. Read More

Ann Transl Med 2020 Mar;8(6):384

Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing Aortic Disease Center, Beijing Engineering Research Center for Vascular Prostheses, Beijing 100029, China.

Background: Considering the progressive nature of complicated Stanford type B aortic dissection (TBAD), operation must anticipate the need for later interventions. Recently we have used a modified stent elephant trunk (SET) procedure to treat these patients. And we review the indications, considerations for planning, and operative details for this this modified SET procedure. Read More

Orv Hetil 2020 04 1;161(15):588-593. Epub 2020 Apr 1.

Szegedi Tudományegyetem, Szeged, Semmelweis u. 8., 6720.

Introduction: The incidence of peripheral arterial diseases and the rate of chronic limb-threatening ischaemia are increasing year by year. Minimally invasive peripheral interventions have gradually replaced traditional operations. Earlier steno-occlusion of the popliteal artery was an indication for femoropopliteal bypass below the knee. Read More

Ann Vasc Surg 2020 Apr 10. Epub 2020 Apr 10.

Vascular Surgery, Department of Experimental, Diagnostic and Specialty Medicine, DIMES, University of Bologna, Policlinico Sant'Orsola-Malpighi, Bologna, Italy.

Background: We report the percutaneous endovascular management of an iatrogenic perforation of the left common carotid artery (LCCA) during an attempted trans-subclavian pacemaker (PM) placement.

Methods: An 87-year-old woman was urgently transferred after an attempted left subclavian vein PM implantation. Computed tomography angiography scan showed the accidental cannulation of LCCA in its most proximal segment. Read More

J Vasc Surg 2020 Apr 8. Epub 2020 Apr 8.

Division of Vascular and Endovascular Surgery, Department of Surgery, University of California, San Francisco, San Francisco, Calif. Electronic address:

Objective: Acute iliofemoral artery thrombosis (IFAT) can occur in critically ill neonates and infants who require indwelling arterial cannulas for monitoring or as a consequence of cardiac catheterization. Guidelines suggest treatment with anticoagulation, but evidence supporting the optimal duration of therapy and the role of surveillance ultrasound is limited. The objectives of this study were to characterize the kinetics of thrombus resolution and to define an appropriate duration of anticoagulation and interval for surveillance ultrasound. Read More

Braz J Cardiovasc Surg 2020 02 1;35(1):28-33. Epub 2020 Feb 1.

Izmir Katip Celebi University Faculty of Medicine Department of Cardiovascular Surgery Izmir Turkey Department of Cardiovascular Surgery, Izmir Katip Celebi University, Faculty of Medicine, Izmir, Turkey.

Introduction: One of the most important points of the acute type A aortic dissection surgery is how to perform cannulation regarding cerebral protection concerns and the conditions of arterial structures as a pathophysiological consequence of the disease.

Objective: In this study, femoral and axillary cannulation methods were compared in acute type A aortic dissection operations.

Methods: The study retrospectively evaluated 52 patients who underwent emergency surgery for acute type A aortic dissection. Read More

J Pediatr Surg 2020 Mar 11. Epub 2020 Mar 11.

Texas Children's Hospital, Department of Pediatric Surgery, Houston, TX. Electronic address:

Purpose: Extracorporeal membrane oxygenation (ECMO) supports gas exchange and circulation in critically ill patients. This study describes a multidisciplinary approach to ECMO cannulation using the expertise of pediatric surgery (PS) and interventional radiology (IR).

Material And Methods: Pediatric patients (<18 years) undergoing percutaneous cannulation for peripheral veno-arterial (VA) ECMO by PS and IR from April 2017 to May 2018 were included. Read More

J Biomech 2020 May 3;104:109707. Epub 2020 Mar 3.

Department of Biomedical Engineering, Duke University, Durham, NC, USA. Electronic address:

Venoarterial extracorporeal membrane oxygenation (VA-ECMO) is a mechanical system that provides rapid and short-term support for patients with cardiac failure. In many patients, pulmonary function is also impaired, resulting in poorly-oxygenated cardiac outflow competing against well-oxygenated VA-ECMO outflow, a condition known as North-South syndrome. North-South syndrome is a primary concern because of its potential to cause cerebral hypoxia, which has a critical influence on neurological complications often seen in this patient population. Read More

J Spec Oper Med 2020 ;20(1):81-86

Background: Early hemorrhage control using resuscitative endovascular balloon occlusion of the aorta (REBOA) can save lives. This study was designed to evaluate the ability to train Quick Response Team Fire Fighters (QRT-FF) to gain percutaneous femoral artery access and place a REBOA catheter in a model, using a comprehensive theoretical and practical training program.

Methods: Six QRT-FF participated in the training. Read More

J Endovasc Ther 2020 Mar 20:1526602820913981. Epub 2020 Mar 20.

Vascular Surgery Department, Hospital de Cruces, Barakaldo, País Vasco, Spain.

To present a simple method to avoid favored passage of a guidewire into the profunda femoris artery (PFA) after antegrade puncture of the common femoral artery. A 6-F conventional introducer sheath with a radiopaque distal marker is placed on the nurse's table with its side port orientated to the 12 o'clock position. A small (2-2. Read More

J Vasc Nurs 2020 Mar 19;38(1):2-8. Epub 2020 Feb 19.

Health Institute, Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran. Electronic address:

Background: Different methods are available for the closure of the femoral artery after catheterization. The present study aimed at comparing the effect of manual compression (MC) and closure pad (CP) on vascular complications (hematoma and bleeding) of coronary angiography.

Methods: In the current clinical trial, a total of 238 patients who were candidates for angiography were randomly assigned to the MC and CP groups. Read More

Turk Gogus Kalp Damar Cerrahisi Derg 2020 Jan 23;28(1):114-119. Epub 2020 Jan 23.

Department of Surgery, Division of Vascular Surgery, King Saud University, College of Medicine, King Saud University Medical City, Riyadh, Saudi Arabia.

Background: This study aims to evaluate the effectiveness of ultrasound-guided thrombin injection versus ultrasound-guided compression repair in the management of iatrogenic femoral artery pseudoaneurysms.

Methods: Between June 2006 and December 2015, a total of 29 consecutive patients (15 males, 14 females; mean age 54 years; range 26 to 81 years) with a femoral pseudoaneurysm treated by ultrasound-guided thrombin injection were retrospectively analyzed. These patients were compared with a historical group of 36 patients (21 males, 15 females; mean age 44 years; range 32 to 65 years) who underwent ultrasound-guided compression repair between February 1999 and May 2006. Read More

J Vasc Surg Cases Innov Tech 2020 Mar 3;6(1):143-146. Epub 2020 Mar 3.

Minneapolis Heart Institute, Abbott Northwestern Hospital, Minneapolis, Minn.

Retroperitoneal hematoma is a potential complication of femoral venous access that rarely leads to bilateral ureteral obstruction. We present the case of a 73-year-old woman who underwent an ablation procedure for atrial fibrillation complicated by laceration of an aberrant obturator artery during femoral venous cannulation, leading to a compressive retroperitoneal hematoma, bilateral ureteral obstruction, acute renal failure, and renal forniceal rupture. The patient was successfully treated with embolization of the inferior epigastric artery and aberrant obturator artery, hematoma evacuation, and ureteral stent placement. Read More

Am J Med Case Rep 2020 25;8(2):49-52. Epub 2019 Dec 25.

Division of Cardiovascular Diseases and Department of Internal Medicine, State University of New York, Downstate Medical Center, Brooklyn, NY 11203, U.S.A.

Vascular Closure Devices (VCD) are routinely used in cardiac catheterization and other endovascular procedures in order to achieve immediate post-procedural hemostasis and sealing of the femoral artery puncture site. Unlike manual compression, VCD encompass a broad range of devices, with varying mechanisms, that offer the advantage of achieving rapid hemostasis, increased patient comfort and mobility, decreased reliance on hospital staff resources, and facilitate earlier hospital discharge. Complications of VCD have been well-described and include embolization, arterial occlusion, infection, or vascular obstruction. Read More

Cureus 2020 Jan 28;12(1):e6797. Epub 2020 Jan 28.

Cardiology, Marshall University, Huntington, USA.

Background Multiple studies have shown that trans-radial access (TRA) for women undergoing coronary angiography/intervention (CA/I) has a lower risk of vascular access site complications as compared with trans-femoral access (TFA). In patients who had previously undergone coronary artery bypass grafting (CABG), studies also showed no significant difference between TRA and TFA in terms of contrast amount (CA), procedure time (PT), and fluoroscopy time (FT). However, those studies mainly included men. Read More

J Clin Med 2020 Mar 3;9(3). Epub 2020 Mar 3.

Division of Cardiology, Department of Medical and Surgical Sciences, Magna Graecia University, Viale Europa, 88100 Catanzaro, Italy.

Background: It is unclear whether or not ultrasound-guided cannulation (UGC) of the femoral artery is superior to the standard approach (SA) in reducing vascular complications and improving access success.

Objective: We sought to compare procedural and clinical outcomes of femoral UGC versus SA in patients undergoing percutaneous cardiovascular intervention (PCvI).

Methods: We searched EMBASE, MEDLINE, Scopus and web sources for randomized trials comparing UGC versus SA. Read More

Cureus 2020 Jan 22;12(1):e6734. Epub 2020 Jan 22.

Department of Vascular Surgery, Tsuchiura Kyodo General Hospital, Tsuchiura, JPN.

The medial circumflex femoral artery (MCFA) typically presents as a major branch of the profunda femoris artery or it can also directly originate from the common femoral artery. Many anatomical variations of the MCFA have been described due to their clinical significance. We herein report a case of an unusual anatomical variation of the MCFA crossing anterior to the femoral vein that led to iatrogenic arteriovenous fistula formation after cardiac catheterization. Read More

Future Cardiol 2020 May 3;16(3):165-169. Epub 2020 Mar 3.

Department of Cardiovascular Disease, Interventional Cardiology, Mount Sinai Heart at Mount Sinai Beth Israel, New York, NY 10003, USA.

Techniques for vascular intervention have been evolving in the past decades. Trans-radial artery access (TRA) has been emerging and is favorable over trans-femoral access in recent years due to the lower risk of bleeding complications, vascular injury, early mobilization, shorter hospitalization and lesser cost. TRA has its own limitations such as radial artery stenosis, dissection, spasm and crossover. Read More

BMJ Mil Health 2020 Mar 2. Epub 2020 Mar 2.

Human Anatomy Teaching Group; Department of Physiology, Development and Neuroscience, University of Cambridge, Cambridge, Cambridgeshire, UK.

Introduction: Haemorrhage is the major cause of early mortality following traumatic injury. Patients suffering from non-compressible torso haemorrhage are more likely to suffer early death. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) can be effective in initial resuscitation; however, establishing swift arterial access is challenging, particularly in a severe shock. Read More

Cureus 2020 Feb 18;12(2):e7029. Epub 2020 Feb 18.

Cardiology, Erlanger Health System/UT College of Medicine, Chattanooga, USA.

A combination of absent brachiocepahlic trunk and anomalous left circumflex artery with a retro-esophageal right subclavian artery is an extremely rare finding. This can clinically manifest as episodic dysphagia and chest pain. Routine coronary angiography via femoral access could be misleading and right radial access in such cases can be particularly challenging and has never been reported in literature before. Read More

Vasc Health Risk Manag 2020 20;16:67-73. Epub 2020 Feb 20.

Midwest Cardiovascular Research Foundation, Davenport, IA, USA.

Endarterectomy of common femoral artery lesions (CFA) carries favorable long-term results and is currently still considered the gold standard for treating these lesions. Although routine stenting has been considered an option for treating the CFA, it has yielded conflicting results and is currently reserved for a bailout of suboptimal endovascular results. Newer therapies with atherectomy or lithoplasty in conjunction with pharmacologic anti-proliferative therapies are promising with less bailout stenting and dissections but randomized trials are needed to confirm their effectiveness and safety. Read More

J Vasc Interv Radiol 2020 May 24;31(5):812-819.e1. Epub 2020 Feb 24.

Center for Interventional Oncology, Radiology and Imaging Sciences, Clinical Center, National Institutes of Health, 10 Center Dr., Room 3N320B, MSC 1182, Bethesda, MD 20892; National Institute of Biomedical Imaging and Bioengineering and National Cancer Institute Center for Cancer Research, National Institutes of Health, 10 Center Dr., Room 3N320B, MSC 1182, Bethesda, MD 20892.

Purpose: To assess the feasibility of transarterial chemoembolization with drug-eluting embolic (DEE) microspheres in a woodchuck model of hepatocellular carcinoma (HCC).

Materials And Methods: Nine woodchucks were studied: 4 normal animals and 5 animals infected with woodchuck hepatitis virus in which HCC had developed. Three animals with HCC underwent multidetector CT. Read More

Catheter Cardiovasc Interv 2020 Feb 27. Epub 2020 Feb 27.

Heart and Vascular Institute Center for Healthcare Delivery Innovation, Cleveland Clinic, Cleveland, Ohio.

Objectives: We aimed to study adoption of transradial primary percutaneous coronary intervention (TR-PPCI) for ST elevation myocardial infarction (STEMI) ("radial first" approach) and its association with door-to-balloon time (D2BT).

Background: TR-PPCI for STEMI is underutilized in the United States due to concerns about prolonging D2BT. Whether operators and hospitals adopting a radial first approach in STEMI incur prolonged D2BT is unknown. Read More

J Clin Monit Comput 2020 Jun 25;34(3):607-614. Epub 2020 Feb 25.

Department of Cardiovascular Surgery, Sütçü Imam University School of Medicine, Kahramanmaraş, Turkey.

Ultrasound-guided vascular access is a technique that can increase safety as well as technical and procedural success when performing invasive cardiovascular procedures. The aim of this study was to evaluate the effects of two cannulation techniques and vascular morphological properties on the success of femoral artery catheterisation in neonatal patients. We recruited 65 consecutive patients requiring femoral artery catheterisation and randomly divided them into two groups: Group 1, in-plane technique (n = 31) and Group 2, out-of-plane technique (n = 34). Read More

Eur J Cardiothorac Surg 2020 Feb 21. Epub 2020 Feb 21.

Service de Chirurgie Vasculaire, Thoracique, et Transplantation Pulmonaire, Bichat Hospital, Paris University, Paris, France.

Objectives: In lung transplantation (LT), femoral venoarterial extracorporeal membrane oxygenation (VA-ECMO) usually requires an open approach that may be associated with severe groin wound infection. In endovascular aortic procedures, preclosing of the femoral artery (PFA) with vascular closure devices allows the percutaneous insertion and withdrawal of large-bore cannulae. We sought to evaluate whether this innovative technique could be applied in the specific setting of LT to achieve total percutaneous VA-ECMO and decrease groin wound infection. Read More

Zhonghua Wai Ke Za Zhi 2020 Feb;58(2):137-141

Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing Engineering Research Center for Vascular Prostheses, Beijing 100029, China.

To examine the outcomes of surgical treatment in patients of type Stanford A aortic dissection with Kommerell's diverticulum. From January 2009 to August 2017, patients of type Stanford A aortic dissection with Kommerell's diverticulum who underwent the Sun procedure were enrolled. Patient demographic, preoperative, intraoperative, early morbidity and mortality data were collected from medical and electronic patient records. Read More

Eur J Cardiothorac Surg 2020 Feb 14. Epub 2020 Feb 14.

Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing, China.

Objectives: Aortic dissection (AoD) in the presence of an aberrant right subclavian artery (ARSA) is very rare. Clinical experience is limited, and there is no consensus regarding the optimal management strategy. We seek to evaluate the safety and efficacy of the total arch replacement (TAR) and frozen elephant trunk (FET) technique as an approach to AoD in patients with ARSA by retrospectively analysing our single-centre experience. Read More

Gen Thorac Cardiovasc Surg 2020 Feb 10. Epub 2020 Feb 10.

Department of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan.

Using autologous common femoral artery and external oblique muscle fascia is a simple and reliable option for repairing infected aortic pseudoaneurysms. Reoperation of infected pseudoaneurysms is challenging and requires secure aortic repair with complete infection eradication. Here, we report two cases of infected pseudoaneurysms in the ascending aorta cannulation site after cardiac surgeries. Read More

Eur J Cardiothorac Surg 2020 Jun;57(6):1068-1075

Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.

Objectives: Outcomes of planned and unplanned (rescue) double arterial cannulation (DAC) in surgery for acute type A aortic dissection were investigated retrospectively.

Methods: The study involved 805 patients who were divided into 4 groups according to the cannulation strategy: single cannulation of the femoral artery (n = 338), axillary artery (n = 256), left ventricular apex (n = 52) or ascending aorta (n = 5) (total, n = 57), and DAC (n = 154). Patients who underwent DAC were divided between planned (n = 132) and rescue (n = 22) usage. Read More

Vasc Health Risk Manag 2020 16;16:29-39. Epub 2020 Jan 16.

Secondary Hypertension Department, State Institution "National Scientific Center "Institute of Cardiology Named After acad.M.D.Strazhesko" of Ukrainian National Academy of Medical Science, Kyiv, Ukraine.

Objective: We suggested: 1) patients with idiopathic pulmonary hypertension (IPAH) have active factors which could damage not only the pulmonary but systemic arteries too as in arterial hypertensive patients; 2) if these changes were present, they might correlate with other parameters influencing on the prognosis. This study is the first attempt to use cardio-ankle vascular index (CAVI) for the evaluation of systemic arterial stiffness in patients with IPAH.

Methods: A total of 112 patients were included in the study: group 1 consisted of 45 patients with new diagnosed IPAH, group 2 included 32 patients with arterial hypertension, and in the control group were 35 healthy persons adjusted by age. Read More

Aorta (Stamford) 2019 Oct 4;7(5):150-153. Epub 2020 Feb 4.

Department of Cardiothoracic and Vascular Surgery, Cardiac Surgery, Santissimi. Antonio e Biagio e Cesare Arrigo Hospital, Alessandria, Italy.

Several cannulation sites alternative to the ascending aorta, such as femoral, right axillary, carotid, innominate artery, and, less commonly, apical sites, have been proposed. Cannulation of the right subclavian artery, through sternotomy, is one possible means of establishing cardiopulmonary bypass, hence avoiding a second surgical incision. In our experience, cardiopulmonary bypass flow was adequate and circulatory arrest with antegrade cerebral perfusion was successfully performed in all cases. Read More

World J Cardiol 2020 Jan;12(1):26-34

Department of Cardiology, NHS Highland, Inverness IV2 3UJ, United Kingdom.

Percutaneous coronary intervention for the treatment of coronary artery disease is most commonly performed in the UK through the radial artery, as this is safer than the femoral approach. However, despite improvements in technology and techniques, complications can occur. The most common complication, arterial spasm, can cause intense pain and, in some cases, procedural failure. Read More

J Vasc Surg 2020 Jan 21. Epub 2020 Jan 21.

Charleston Area Medical Center Health Education and Research Institute, Charleston, WV.

Objective: The aim of our prospective, single-center, randomized study was to compare the procedural outcomes and complication rates of ultrasound (US)-guided common femoral artery (CFA) access to fluoroscopic guidance in noncardiac procedures.

Methods: A total of 635 patients undergoing femoral access for noncardiac diagnostic or interventional procedures were randomized 1:1 to receive either fluoroscopic or US-guided access. The primary endpoint of the study was successful CFA cannulation. Read More

Medicine (Baltimore) 2020 Jan;99(4):e18760

Department of Nephrology, University of South China affiliated Changsha Central Hospital.

Rationale: Peripheral arterial diseases (PADs) is defined as a systemic arterial disorders involving the lower extremity arteries, iliac, and carotid, which is developed more common in patients with chronic kidney disease (CKD) than individual with normal renal function. Concurrence of mesenteric artery disease and lower extremity artery disease (LEAD) is rare. The presence of PADs in patients receiving hemodialysis leads to a dramatic increase in risk of cardiovascular mortality. Read More

Biomolecules 2020 Jan 16;10(1). Epub 2020 Jan 16.

Master Program in Medical Physiology, School of Medicine, Tzu Chi University, Hualien 970, Taiwan.

Acute hypertension produced by methamphetamine (MA) is well known, mainly by the enhancement of catecholamine release from sympathetic terminals. However, the central pressor mechanism of the blood-brain-barrier-penetrating molecule remains unclear. We used radio-telemetry and femoral artery cannulation to monitor the mean arterial pressure (MAP) in conscious free-moving and urethane-anesthetized rats, respectively. Read More

Perfusion 2020 Jan 21:267659119896890. Epub 2020 Jan 21.

Department of Anaesthesiology and Intensive Care Medicine, University Hospital Tübingen, Eberhard Karls University Tübingen, Tübingen, Germany.

Introduction: Aortic arch reconstruction surgery represents a challenge for the medical personnel involved in treatment. Along the years, the perfusion strategies for aortic arch reconstruction have evolved from deep hypothermic cardiac arrest to antegrade cerebral perfusion with moderate hypothermia, and recently to a combined cerebral and lower body perfusion with moderate hypothermia. To achieve a lower body perfusion, several cannulation strategies have been described. Read More

World Neurosurg 2020 Apr 16;136:220. Epub 2020 Jan 16.

Department of Neurosciences, Medanta the Medicity, Gurgaon, Haryana, India. Electronic address:

We report the case of a 15-year-old male patient with polyarteritis nodosa who presented with ruptured lenticulostriate artery (LSA) aneurysm and was successfully treated with endovascular N-butyl-2-cyanoacrylate (Histoacryl, B. Braun, Melsungen, Germany) acrylic glue embolization. Selective catheterization of LSA is sometimes difficult even with a low-profile microcatheter (Magic 1. Read More

Curr Treat Options Cardiovasc Med 2020 Jan 15;22(1). Epub 2020 Jan 15.

College of Medicine, Penn State Heart & Vascular Institute, M.S. Hershey Medical Center, Pennsylvania State University, 500 University Drive, C1517, Hershey, PA, 17033, USA.

Purpose Of Review: Radial artery access for catheter-based procedures has demonstrated improved margins of safety and patient comfort without a loss of efficacy compared with femoral access. Unfortunately, radial access is not always available, so a review of the alternatives such as the ulnar artery and distal radial artery has been completed to understand alternative access sites that may preserve the benefits of distal forearm access without losing the efficacy of traditional transradial access.

Recent Findings: Several different trials have demonstrated the utility of ulnar access as a possible workhorse access point. Read More

Eur Heart J Case Rep 2019 Dec 8;3(4):1-4. Epub 2019 Oct 8.

Pediatric Cardiology, Department of Surgery, Pediatric Heart Center, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032 Zurich, Switzerland.

Background: Anomalous left coronary artery from pulmonary artery (ALCAPA) is a rare coronary abnormality. Although it exists usually as an isolated abnormality, ALCAPA has been described with aortic pathologies like coarctation or aortopulmonary window.

Case Summary: An 18-day-old female was admitted to the paediatric intensive care unit because of a heart murmur and weak femoral pulses. Read More

Vasc Endovascular Surg 2020 Apr 3;54(3):225-232. Epub 2020 Jan 3.

Department of Cardiovascular Medicine, Hitoyoshi Medical Center, Kumamoto, Japan.

Objectives: We aimed to investigate the usefulness of inserting a 6Fr sheath guided by duplex ultrasonography via a popliteal artery puncture. We also aimed to demonstrate endoluminal tracking using a retrograde approach using the Gogo catheter with intravascular ultrasound (IVUS).

Background: The bidirectional approach is useful for increasing the success rate of the procedure for long superficial femoral artery-chronic total occlusions (SFA-CTOs). Read More