Femoral Arterial Cannulation

Femoral Arterial Cannulation in Infants Following Complicated Sternal Re-entry

Many children undergoing surgery for congenital heart disease have had prior operations. Re-operative sternotomy carries with it the risk of cardiac injury and the need for emergent peripheral cannulation.

Our first aim is to demonstrate that peripheral arterial cannulation may be lifesaving in cases of complicated sternal re-entry in children and that angio-catheters can be utilized when vessels are too small for standard cannulas.

Our secondary aim is to present a case report of successful femoral cannulation in a 5 kg child.

Study Overview

• Status: Terminated
• Conditions: Congenital Disorders

Detailed Description

In children, many of the standard operative sites are either occluded, stenosed, or too small for the smallest manufactured cannulas. In these instances, it may be feasible to utilize angio-catheters for arterial access until central cannulation can be achieved safely. In an in vitro model, we have simulated a cardiopulmonary bypass circuit and arterial cannulation with angio-catheters.

It appears that angio-catheters may be used with acceptable flow hemodynamics for blood vessels too small for standard cannulas.

We have performed this successfully in a 5 kg child.

We have completed the cardiopulmonary bypass model and are ready to submit the hemodynamic data. We would like to submit to a national meeting and hopefully for publication thereafter.

• Study Type: Observational
• Enrollment (Actual): 1

Contacts and Locations

Study Locations

• United States
  • Georgia
    • Atlanta, Georgia, United States, 30329
      • Children's Healthcare of Atlanta

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: No older than 3 months (Child)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Pediatric children of successful angio-catheter use on 5 kg child

Description

Inclusion Criteria:

• case report of successful angio-catheter use on 5 kg child

Exclusion Criteria:

• that which does not meet inclusion criteria

Study Plan

How is the study designed?

Collaborators and Investigators

• Sponsor: Children's Healthcare of Atlanta
• Investigators: Principal Investigator: Brian E Kogon, MD, Emory Univ. / Children's Healthcare of Atlanta

Study record dates

Study Major Dates

• Study Start: February 1, 2007
• Study Completion (Actual): August 1, 2007

Study Registration Dates

• First Submitted: June 12, 2007
• First Submitted That Met QC Criteria: June 12, 2007
• First Posted (Estimate): June 13, 2007

Study Record Updates

• Last Update Posted (Estimate): March 16, 2012
• Last Update Submitted That Met QC Criteria: March 14, 2012
• Last Verified: June 1, 2007

More Information

Terms related to this study

• Keywords: infant; cannulation; femoral arterial
• Other Study ID Numbers: 07-012