الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Minimally invasive cardiac surgery (MICS) has evolved rapidly over the last decade due to the development of specific strategies involving arterial venous cannulation, cardiopulmonary bypass (CBP), and myocardial preservation that have been tailored to the individual procedures. During the surgery mostly cardiopulmonary bypass (CBP) is set up by femoral cannulation. Objectives: assess the incidence and risk factors leading to groin complications after femoral cannulation in minimally invasive cardiac surgery. Methods: A retrospective study of 40 patients who underwent minimally invasive cardiac surgery with femoral vascular access between January 2019 and November 2020. Results: A total of 40 patients were analyzed. 4 (10%) cases came out with groin complications after surgery, including 3 cases of seroma and 1 case of right femoral dissection. (1) The groin complications are more likely to occur in females, diabetic patients and patients with history of previous vascular disease or previous femoral intervention. (2) The groin complications are more likely to occur with long operation time and the use of big sized femoral cannulae. Conclusion: This study reveals the incidence of groin complications with femoral cannulation in minimally invasive cardiac surgery as it is the most common route for cardiopulmonary bypass (CBP) during MICS. |