Application value of ultrasound-guided technique in establishing peripheral cardiopulmonary bypass in minimally invasive cardiac surgery with small incision
Objective To investigate the application value of ultrasound-guided technique in the establishment of peripheral cardiopulmonary bypass through right internal jugular vein puncture and femoral arteriovenous anatomy catheterization in minimally invasive cardiac surgery with small incision.Method The clinical data of 436 patients undergoing minimally invasive cardiac surgery with small incision admitted to the First Affiliated Hospital of Xi'an Jiaotong University from August 2021 to December 2022 were analyzed.The subjects were divided into control group(102 cases with traditional catheterization)and observation group(334 cases with ultrasound-guided technology in the catheterization)according to whether ultrasound-guided technology was used in the catheterization process.The situation of catheterization through right internal jugular vein puncture and related complications of the two groups were compared and analyzed.The situation of femoral arteriovenous anatomy catheterization and related complications in the two groups were compared and analyzed.Result The success rate of catheterization through right internal jugular vein puncture in observation group was higher than that in control group,and the catheterization time,the incidence of puncture difficulty,the incidence of wrong carotid artery were all shorter or lower than those in control group,with statistical significance(P＜0.05).The catheterization time,the incidence of anatomical difficulties,the incidence of abnormal catheter position of femoral arteriovenous anatomy catheterization in observation group were shorter or lower than those in control group,with statistical significance(P＜0.05).Conclusion Ultrasound-guided technology can improve the success rate of catheterization,and shorten the catheterization time,and reduce the incidence of abnormal catheter position,wrong carotid artery in the establishment of peripheral cardiopulmonary bypass through right internal jugular vein puncture and femoral arteriovenous anatomy catheterization in minimally invasive cardiac surgery with small incision.
万方数据
维普
