JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS
AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
A&A International Anesthesia Research Society
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a colleague
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (6)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kirkeby-Garstad, I.
Right arrow Articles by Stenseth, R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kirkeby-Garstad, I.
Right arrow Articles by Stenseth, R.
Related Collections
Right arrow Cardiovascular
Right arrow Heart
Right arrow Monitoring (Cardiac)

Anesth Analg 2003;96:1288-1293
© 2003 International Anesthesia Research Society


CARDIOVASCULAR ANESTHESIA

Guiding Surgical Cannulation of the Inferior Vena Cava with Transesophageal Echocardiography

Idar Kirkeby-Garstad, MD*, Arve Tromsdal, MD{dagger}, Olav F. M. Sellevold, MD PhD*, Mads Bjørngaard, MD*, Lise K. Bjella, MD*, Einar M. Berg, MD*, Asbjørn Karevold, MD{ddagger}, Rune Haaverstad, MD PhD{ddagger}, Alexander Wahba, MD PhD{ddagger}, Ole Tjomsland, MD PhD{ddagger}, Rafael Astudillo, MD PhD{ddagger}, Arne Krogstad, CCP{ddagger}, and Roar Stenseth, MD PhD*

Departments of *Anaesthesia, {dagger}Cardiology, and {ddagger}Surgery, St. Elisabeth Heart Centre, University Hospital of Trondheim, Norway

Address correspondence and reprint requests to Idar Kirkeby-Garstad, MD, Department of Anesthesia and Intensive Care, St. Elisabeth Heart Centre, University Hospital of Trondheim, Hans Nissensgt 3, N 7018 Trondheim, Norway. Address e-mail to Idar.Kirkeby-Garstad{at}medisin.ntnu.no

We studied 150 adult cardiac surgery patients to assess visualization of the venous cannula and the venous system by intraoperative transesophageal echocardiography and to register the incidence of cannulation of hepatic veins. The quality of images, the dimensions of the venous system, the position of the venous cannula, and the adequacy of venous return were registered. Acceptable image quality of the inferior vena cava and the right hepatic vein (RHV) was obtained in 95% and 87% of cases, respectively. Considerable individual variations were found in the dimensions of the venous system. The cannula position could be determined in 99% of the cases. Ten percent of venous cannulae were primarily placed in the RHV. A short distance between the eustachian valve and the RHV possibly predisposes to cannulation of the RHV. No other patient-related factors were associated with cannula position. Placement of the cannula deep in the inferior vena cava was associated with reduced venous return and may be a more important cause of reduced return than a cannula positioned in a hepatic vein.

IMPLICATIONS: Correct positioning of the venous cannula draining blood to the cardiopulmonary bypass circuit is important. Intraoperative transesophageal echocardiography allows satisfactory determination of the cannula position in nearly all patients. Ten percent of venous cannulae are primarily positioned in the right hepatic vein and not in the inferior vena cava as intended.




This article has been cited by other articles:


Home page
Eur. J. Cardiothorac. Surg.Home page
L. K. von Segesser, E. Ferrari, D. Delay, O. Maunz, J. Horisberger, and P. Tozzi
Routine use of self-expanding venous cannulas for cardiopulmonary bypass: benefits and pitfalls in 100 consecutive cases
Eur. J. Cardiothorac. Surg., September 1, 2008; 34(3): 635 - 640.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
M. Watanabe, M. Aoki, N. Ishibashi, and T. Fujiwara
Thrombus formation within hepatic vein after Fontan procedure.
J. Thorac. Cardiovasc. Surg., August 1, 2008; 136(2): 519 - 520.
[Full Text] [PDF]


Home page
SEMIN CARDIOTHORAC VASC ANESTHHome page
B. Qizilbash, P. Couture, and A. Denault
Impact of Perioperative Transesophageal Echocardiography in Aortic Valve Replacement
Seminars in Cardiothoracic and Vascular Anesthesia, December 1, 2007; 11(4): 288 - 300.
[Abstract] [PDF]


Home page
Anesth. Analg.Home page
E. D. Iannoli
The Use of Transesophageal Echocardiography for Differential Diagnosis of Poor Venous Return During Cardiopulmonary Bypass
Anesth. Analg., July 1, 2007; 105(1): 43 - 44.
[Full Text] [PDF]


Home page
Eur. J. Cardiothorac. Surg.Home page
A. F. Corno
Systemic venous drainage: can we help Newton?
Eur. J. Cardiothorac. Surg., June 1, 2007; 31(6): 1044 - 1051.
[Abstract] [Full Text] [PDF]


Home page
Postgrad. Med. J.Home page
M L Field, B Al-Alao, N Mediratta, and A Sosnowski
Open and closed chest extrathoracic cannulation for cardiopulmonary bypass and extracorporeal life support: methods, indications, and outcomes.
Postgrad. Med. J., May 1, 2006; 82(967): 323 - 331.
[Abstract] [Full Text] [PDF]


Home page
Eur. J. Cardiothorac. Surg.Home page
D. Jegger, P.-G. Chassot, M.-A. Bernath, J. Horisberger, P. Gersbach, P. Tozzi, D. Delay, and L. K. von Segesser
A novel technique using echocardiography to evaluate venous cannula performance perioperatively in CPB cardiac surgery.
Eur. J. Cardiothorac. Surg., April 1, 2006; 29(4): 525 - 529.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
P. Rosenberger, S. K. Shernan, T. Mihaljevic, and H. K. Eltzschig
Transesophageal echocardiography for detecting extrapulmonary thrombi during pulmonary embolectomy
Ann. Thorac. Surg., September 1, 2004; 78(3): 862 - 866.
[Abstract] [Full Text] [PDF]


Home page
SEMIN CARDIOTHORAC VASC ANESTHHome page
D. Bainbridge, J. Murkin, C. Calaritis, and A. Menkis
Aortic Dissection in a Patient with a Previous Ascending Aortic Dissection and Repair: The Role of New Monitoring Devices in the High-Risk Patient
Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2004; 8(1): 3 - 7.
[PDF]




Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2003 by the International Anesthesia Research Society.