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The Annals of Thoracic Surgery, Vol 36, 223-225, Copyright © 1983 by The Society of Thoracic Surgeons
SJ Phillips, B Ballentine, D Slonine, J Hall, J Vandehaar, C Kongtahworn, RH Zeff, JR Skinner, K Reckmo and D Gray
Improved technology has allowed us to develop support pumps that can be
applied rapidly and safely. A system utilizing thin-walled (4 mm inner
diameter) percutaneously inserted sheaths has been designed for rapid
bedside arterial and central venous cannulation to establish femoral
arterial and venous cardiopulmonary bypass. The system utilizes two 30-
cm-long large-bore, thin-walled (end and side holes) venous cannulas and a
single 15-cm-long (end hole) arterial reperfusion cannula, which is
connected to a pediatric oxygenator and a vortex pump head. Five patients
with refractory cardiac arrest who could not be resuscitated by
conventional means were revived with this system. Application time was
approximately five minutes. This system appears to be an easily applied and
reliable short-term mechanical support device.
ARTICLES
Percutaneous initiation of cardiopulmonary bypass
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