Hasan Toz, Yusuf Kuserli, Onur Emre Satılmış, Gülsüm Türkyılmaz, Saygın Türkyılmaz, Ali Aycan Kavala
Journal of Updates in Cardiovascular Medicine - 2025;13(4):177-185
Objectives: This study aims to compare the outcomes of peripheral cannulation (PC) and central cannulation (CC) techniques in redo cardiac surgeries. Materials and Methods: A retrospective analysis was conducted on 104 patients who underwent redo cardiac surgery between January 2010 and January 2023. Patients were divided into two groups based on the cannulation technique used: PC (n=56) and CC (n=48). Preoperative, intraoperative, and postoperative parameters were collected and analyzed. Results: Significant differences were observed in cardiopulmonary bypass time (127.1+/-13.6 minutes for PC vs. 120.1+/-15.4 minutes for CC, p=0.021) and total operation time (295.7+/-40.4 minutes for PC vs. 249.9+/-39.5 minutes for CC, p<0.001). The incidence of procedure-related injuries was significantly lower in the PC group (5.4% vs. 31.2%, p=0.036). Overall complications were also significantly lower in the PC group (10.7% vs. 35.4%, p<0.001). Postoperative ventilation duration was shorter in the PC group (5.4+/-1.1 hours vs. 6.0+/-1.5 hours, p=0.036). Conclusion: These findings suggest that PC may offer a safer alternative with fewer complications in redo cardiac surgeries compared to CC.
