operating room, requiring sets of cardioplegia cannulae which offer incredible breadth and depth. More than ever, your cardiovascular team is tasked with delivering a high level of myocardial protection for standard and minimally invasive cases.
Typically, blood is drained by gravity via cannulas in the superior and inferior vena cavae (SVC, IVC) or IVC and right atrium (RA) (cavoatrial position) to the heart–lung machine where it is pumped (with a roller or centrifugal pump) through the artificial lung (most often a membrane-type “oxygenator”) back into the systemic vasculature via an arterial cannula placed in the ascending aorta.
Female luer connector. 203879S. Root infusion cannula with 12-gauge (9 Fr) standard tip and 14-gauge insertion needle. 10. A left ventricle–venting cannula was inserted via the right upper pulmonary vein, and a retrograde cardioplegia (RCP) cannula (Retrograde Cardioplegia Catheter 14F × 27 cm; Edwards Lifesciences, Irvine, California) was inserted via the right atrium by the blind technique. Cannulas and Cardioplegia: Perhaps not the most exciting aspect of perfusion, but incredibly necessary in order to be involved in proper cannula selection for a patient. The most interesting aspect was discussing the cardioplegia cannulas and connecting their various uses to the pressure readings.
The catheter has good efficiency of venting and an excellent shape, Cardioplegia - YouTube. Cardioplegia. Watch later. Share. Copy link.
Antegrade cannulae are designed to deliver cardioplegia solution to the heart via the coronary ostia in the normal direction of blood flow (antegrade perfusion). Medtronic offers both aortic root cannulae and coronary ostial cannulae. Aortic root cannulae are intended to infuse cardioplegia directly into the aortic root near the aortic valve while
A proximal luer fitting over-molded onto a beveled stainless steel needle allowing cardioplegia solution to . be administered during coronary artery bypass surgery. Intended purpose. Air Aspirator is indicated for use in delivery of cardioplegia solution during cardiopulmonary bypass surgery Venous Cannula(s) Depending on the needs of the surgeon, one or two venous cannulas may be placed.
Manually Inflating · Triple lumen cannula with a silicone cannula reinforced with wire wound axially along the length of a highly torque-able rigid body; manual
Without lifting the heart, the 2015-01-30 A retrograde cardioplegia cannula is inserted into the coronary sinus and an antegrade cannula is placed in the ascending aorta. Appropriate connections are made with the tubing from the CPB and the patient is then placed “on bypass” and usually cooled (actively or passively) using systemic hypothermia (cooling the entire body) while cardioplegia is being prepared. Antegrade cannulae are designed to deliver cardioplegia solution to the heart via the coronary ostia in the normal direction of blood flow (antegrade perfusion). Medtronic offers both aortic root cannulae and coronary ostial cannulae. Aortic root cannulae are intended to infuse cardioplegia directly into the aortic root near the aortic valve while need for a syringe. The unique flow-through design allows cardioplegia to circulate through the cuff before exiting the cannula tip.
A Right atrial wall was incised under circulatory arrest, and a purse-string stitch was placed around the coronary sinus. Catheter, cannula and tubing, vascular, cardiopulmonary bypass - Product Code DWF: Product: Retrograde Cardioplegia Cannula, Model Number RMG-0015S The Retrograde Cardioplegia Cannula is intended for use in perfusing cardioplegia solutions retrograde through the coronary sinus by means of transatrial introduction. Code Information: Lot code
In a very elegant study w2x, Farge and associates were able to document at angiography that steal of cardioplegia through the PDV occurs, when a single balloon cannula is employed for retrograde cardioplegia delivery, and that this results in a poor opacification of the inferior part of the interventricular septum, and in reduced myocardial enhancement within the septum at electron beam
Using the cardioplegia cannula as a guiding sheath, a 6-French bipolar LV pacing lead (Medtronic Attain 4194) with a stylet was inserted into the cardioplegia cannula and advanced into the CS. The LV lead was con-nected to the biventricular pacemaker, programmed at DDD 90 and an atrioventricular delay of 150 msec. Without lifting the heart, the
2015-01-30
A retrograde cardioplegia cannula is inserted into the coronary sinus and an antegrade cannula is placed in the ascending aorta. Appropriate connections are made with the tubing from the CPB and the patient is then placed “on bypass” and usually cooled (actively or passively) using systemic hypothermia (cooling the entire body) while cardioplegia is being prepared.
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Transesophageal echocardiography is the most useful diagnostic modality for LAD, but multimodality investigation supports accurate diagnosis. We experienced a case of LAD related to retrograde cardioplegia cannula insertion which was treated successfully with internal drainage. Cardioplegia cannula is inserted into the ascending aorta and a drainage cannula (34°F) is inserted into the right atrium.
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Solution for cardioplegia. Liuos sydämenpysäytystä Brush applicator. Sivellinasetin. Borsthuvud.
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820356. Cardioplegia cannula, 15 Fr, rigid stylet, smooth balloon. 5. 820357. Cardioplegia cannula, 15 Fr, guidewire stylet, textured balloon. 5. [42] Manufactured by Surge Cardiovascular, Grand Rapids, MI. Distributed by Terumo Cardiovascular, Ann Arbor, MI. Contact us today for clinical or sales support.
Intraoperative biventricular pacing with a left ventricular pacing lead inserted via the coronary sinus cardioplegia cannula is feasible, using standard instrumentation and without requiring cardiac manipulation. This approach merits further study in patients undergoing reoperative cardiac surgery.