Percutaneous Femoral Cannulation and Decannulation Using A Plug-Based Vascular Closure Device in Minimally Invasive Cardiac Surgery

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Minimally invasive cardiac surgery such as a mitral valve procedure requires femoral arterial cannulation for extracorporeal circulation access. Currently, surgical cutdown and arterial puncture under direct vision comprise  the predominant technique. However, surgical incision with cutdown in the groin has been associated with an increased risk for seroma and infection .

Percutaneous femoral cannulation is an alternative to surgical cutdown. We have previously shown that femoral arterial cannulation using a plug-based vascular closure device in minimally invasive mitral valve surgery is a safe technique that decreases traditional complications frequently seen with surgical cutdown . This video tutorial illustrates percutaneous femoral cannulation and decannulation using a plug-based vascular closure device (MANTA, Teleflex, Wayne, PA, USA).

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