{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T16:01:44Z","timestamp":1781193704362,"version":"3.54.1"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Cardiovasc Eng Tech"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1007\/s13239-026-00820-6","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T16:57:31Z","timestamp":1770137851000},"page":"317-326","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Engineering Development of a Bi-directional Arterial Cannula with Peripheral Access for Cardiopulmonary Bypass"],"prefix":"10.1007","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3447-4111","authenticated-orcid":false,"given":"Joel D.","family":"Graham","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8430-3679","authenticated-orcid":false,"suffix":"Jr.","given":"Thomas J.","family":"Roussel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8348-6127","authenticated-orcid":false,"given":"Steven C.","family":"Koenig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5412-762X","authenticated-orcid":false,"given":"Mark S.","family":"Slaughter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,3]]},"reference":[{"key":"820_CR1","doi-asserted-by":"publisher","unstructured":"Wahba A, G Kunst, F De Somer, H Agerup Kildahl, B Milne, G Kjellberg, A Bauer, F Beyersdorf, H Berg Ravn, G Debeuckelaere, G Erdoes, RG Haumann, T Gudbjartsson, F Merkle, D Pacini, G Paternoster, F Onorati, M Ranucci, N Ristic, M Vives, M Milojevic,EEESD Group. 2024 EACTS\/EACTAIC\/EBCP Guidelines on cardiopulmonary bypass in adult cardiac surgery. ICVTS. 2025;40:1-85. https:\/\/doi.org\/10.1093\/icvts\/ivaf002","DOI":"10.1093\/icvts\/ivaf002"},{"key":"820_CR2","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1177\/15569845221082119","volume":"17","author":"JS Newman","year":"2022","unstructured":"Newman, J. S., and N. C. Patel. Cannulas and cannulation options for minimally invasive surgery. Innovations. 17:76\u201382, 2022. https:\/\/doi.org\/10.1177\/15569845221082119.","journal-title":"Innovations."},{"key":"820_CR3","doi-asserted-by":"publisher","first-page":"420","DOI":"10.21470\/1678-9741-2019-0445","volume":"35","author":"EC Ata","year":"2020","unstructured":"Ata, E. C., K. Erkanli, M. \u00d6. Ulukan, Y. Y\u0131ld\u0131z, H. T\u00fcrkoglu, and S. Pasl\u0131. Peripheral vs. central cannulation in cardiac reoperations: technical considerations and outcomes. Braz. J. Cardiovasc. Surg. 35:420\u20136, 2020.","journal-title":"Braz. J. Cardiovasc. Surg."},{"key":"820_CR4","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1016\/j.jtcvs.2018.11.100","volume":"158","author":"M Kreibich","year":"2019","unstructured":"Kreibich, M., Z. Chen, B. Rylski, J. E. Bavaria, C. R. Brown, E. Branchetti, P. Vallabhajosyula, W. Y. Szeto, and N. D. Desai. Outcome after aortic, axillary, or femoral cannulation for acute type A aortic dissection. J. Thorac. Cardiovasc. Surg. 158:27-34.e9, 2019. https:\/\/doi.org\/10.1016\/j.jtcvs.2018.11.100.","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"820_CR5","doi-asserted-by":"publisher","first-page":"1433","DOI":"10.1016\/j.athoracsur.2020.12.022","volume":"112","author":"P-C Puiu","year":"2021","unstructured":"Puiu, P.-C., C. Pingpoh, F. Beyersdorf, M. Czerny, C. Keyl, M. Kreibich, S. Kondov, B. Rylski, E. Zimmer, and M. Siepe. Direct versus side graft cannulation from the right axillary artery in thoracic aortic surgery. Ann. Thorac. Surg. 112:1433\u20131440, 2021. https:\/\/doi.org\/10.1016\/j.athoracsur.2020.12.022.","journal-title":"Ann. Thorac. Surg."},{"key":"820_CR6","doi-asserted-by":"publisher","first-page":"953","DOI":"10.1093\/ejcts\/ezv035","volume":"48","author":"U Benedetto","year":"2015","unstructured":"Benedetto, U., H. Mohamed, P. Vitulli, and M. Petrou. Axillary versus femoral arterial cannulation in type A acute aortic dissection: evidence from a meta-analysis of comparative studies and adjusted risk estimates. Eur. J. Cardiothorac. Surg. 48:953\u20139, 2015.","journal-title":"Eur. J. Cardiothorac. Surg."},{"key":"820_CR7","doi-asserted-by":"publisher","first-page":"2143","DOI":"10.1016\/j.jtcvs.2019.06.016","volume":"159","author":"M Ghoreishi","year":"2020","unstructured":"Ghoreishi, M., T. M. Sundt, D. E. Cameron, S. D. Holmes, E. E. Roselli, C. Pasrija, J. S. Gammie, H. J. Patel, J. E. Bavaria, L. G. Svensson, and B. S. Taylor. Factors associated with acute stroke after type A aortic dissection repair: An analysis of the Society of Thoracic Surgeons National Adult Cardiac Surgery Database. J. Thorac. Cardiovasc. Surg. 159:2143\u201354.e3, 2020. https:\/\/doi.org\/10.1016\/j.jtcvs.2019.06.016.","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"820_CR8","doi-asserted-by":"publisher","unstructured":"Wong D.R., Coselli J.S., Palmero L, Bozinovski J, Carter S.A., Murariu D, LeMaire S.A., (2010) Axillary artery cannulation in surgery for acute or subacute ascending aortic dissections. 90:731-7 https:\/\/doi.org\/10.1016\/j.athoracsur.2010.04.059","DOI":"10.1016\/j.athoracsur.2010.04.059"},{"key":"820_CR9","doi-asserted-by":"publisher","first-page":"467","DOI":"10.1016\/j.jtcvs.2013.02.023","volume":"146","author":"J Hillebrand","year":"2013","unstructured":"Hillebrand, J., M. A. Konerding, M. Koch, T. Kaufmann, U. Steinseifer, A. Moritz, and O. Dzemali. Anatomic and flow dynamic considerations for safe right axillary artery cannulation. J. Thorac. Cardiovasc. Surg. 146:467\u2013471, 2013. https:\/\/doi.org\/10.1016\/j.jtcvs.2013.02.023.","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"820_CR10","doi-asserted-by":"publisher","unstructured":"Tayal R, H Iftikhar, B LeSar, R Patel, N Tyagi, M Cohen, N Wasty. (2016) CT angiography analysis of axillary artery diameter versus common femoral artery diameter: implications for axillary approach for transcatheter aortic valve replacement in patients with hostile aortoiliac segment and advanced lung disease. https:\/\/doi.org\/10.1155\/2016\/3610705","DOI":"10.1155\/2016\/3610705"},{"key":"820_CR11","unstructured":"LivaNova. Bi-Flow Femoral Arterial Cannula (19Fr). [Online]. 2025. https:\/\/www.livanova.com\/cannulae\/en-gb\/adult\/mics-cannulae\/bi-flow-femoral-arterial\/203-019. Accessed 01 May 2025."},{"key":"820_CR12","unstructured":"Edwards. Instructions for Use: Aortic Perfusion Cannula. [Online]. 2020. https:\/\/eifu.edwards.com\/eifu\/5d4dd5ad46e0fb0001c61ac7\/DOC-0154993A.pdf. Accessed 01 May 2025."},{"key":"820_CR13","doi-asserted-by":"publisher","unstructured":"Gennari M, F Rossi, G Polvani, A Bertera, G Riva, AD Fave, C Rassiga, M Agrifoglio. 2020 In vivo comparison of the optiflow and EZ glide aortic dispersion cannulas.35 158-62 https:\/\/doi.org\/10.1111\/jocs.14347","DOI":"10.1111\/jocs.14347"},{"key":"820_CR14","unstructured":"Medtronic. Cannula Product Catalog 2020 - UC202110087 EN. [Online]. 2020. https:\/\/www.medtronic.com\/content\/dam\/medtronic-wide\/public\/united-states\/products\/cardiac-vascular\/cardiovascular\/cannulae\/cannulae-us-product-catalog.pdf. Accessed 01 May 2025."},{"key":"820_CR15","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1177\/02676591211033945","volume":"38","author":"S Gunaydin","year":"2023","unstructured":"Gunaydin, S., S. Babaroglu, A. B. Budak, B. Sayin, V. Cayhan, and K. Ozisik. Comparative clinical efficacy of novel bidirectional cannula in cardiac surgery via peripheral cannulation for cardiopulmonary bypass. Perfusion. 38:44\u201350, 2023. https:\/\/doi.org\/10.1177\/02676591211033945.","journal-title":"Perfusion."},{"key":"820_CR16","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13019-021-01500-3","volume":"16","author":"S Abdel-Sayed","year":"2021","unstructured":"Abdel-Sayed, S., E. Ferrari, P. Abdel-Sayed, M. Wilhelm, L.-K. Von Segesser, and D. Berdajs. Design optimization of bidirectional arterial perfusion cannula. J. Cardiothorac. Surg. 16:1\u20137, 2021. https:\/\/doi.org\/10.1186\/s13019-021-01500-3.","journal-title":"J. Cardiothorac. Surg."},{"key":"820_CR17","doi-asserted-by":"publisher","first-page":"430","DOI":"10.1097\/imi.0000000000000424","volume":"12","author":"Y Chen","year":"2017","unstructured":"Chen, Y., E. Tutungi, J. McMillan, S. M. Tayeh, J. K. Underwood, A. C. Wells, J. A. Smith, and R. A. Moshinsky. Pressure and flow characteristics of a novel bidirectional cannula for cardiopulmonary bypass. Innovations. 12:430\u2013433, 2017. https:\/\/doi.org\/10.1097\/imi.0000000000000424.","journal-title":"Innovations."},{"key":"820_CR18","doi-asserted-by":"publisher","first-page":"668","DOI":"10.1177\/0267659116649254","volume":"31","author":"H Cakir","year":"2016","unstructured":"Cakir, H., M. Kestelli, I. Yurekli, B. Eygi, S. Iscan, Y. Is\u0131k, K. A\u015far, and H. Ogut. Should we change the cannulation site for right subclavian artery cannulation? An experimental study with a newly designed cannula. Perfusion. 31:668\u2013675, 2016. https:\/\/doi.org\/10.1177\/0267659116649254.","journal-title":"Perfusion."},{"key":"820_CR19","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1177\/0267659111399953","volume":"26","author":"D Berdajs","year":"2011","unstructured":"Berdajs, D., E. Ferrari, A. Michalis, M. Burki, C. W. Pieterse, J. Horisberger, and L. K. von Segesser. New prototype of femoral arterial SmartCannula with anterograde and retrograde flow. Perfusion. 26:271\u2013275, 2011. https:\/\/doi.org\/10.1177\/0267659111399953.","journal-title":"Perfusion."},{"key":"820_CR20","doi-asserted-by":"publisher","first-page":"944","DOI":"10.1016\/j.jtcvs.2005.05.034","volume":"130","author":"P Stassano","year":"2005","unstructured":"Stassano, P., A. Musumeci, G. Iannelli, G. D\u2019Alise, and M. Mottola. A new cannula for innominate artery cannulation. J. Thorac. Cardiovasc. Surg. 130:944\u2013945, 2005. https:\/\/doi.org\/10.1016\/j.jtcvs.2005.05.034.","journal-title":"J. Thorac. Cardiovasc. Surg."}],"container-title":["Cardiovascular Engineering and Technology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s13239-026-00820-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s13239-026-00820-6","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s13239-026-00820-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T15:28:32Z","timestamp":1781191712000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s13239-026-00820-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,3]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["820"],"URL":"https:\/\/doi.org\/10.1007\/s13239-026-00820-6","relation":{},"ISSN":["1869-408X","1869-4098"],"issn-type":[{"value":"1869-408X","type":"print"},{"value":"1869-4098","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,3]]},"assertion":[{"value":"3 August 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 January 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 February 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Mr. Graham is a graduate student at the University of Louisville and an employee of Medtronic in the mechanical circulatory support (MCS) division; however, this affiliation is not related to the work presented in this manuscript. Dr. Roussel is faculty at the University of Louisville. Dr. Koenig is an investigator on a Athey Science Education and Outreach Grant, NIH grant (R01HL150346), NSF EPSCoR grant, and a now-completed NIH grant (R43NS115226, Bionet Sonar) all unrelated to this project. Drs. Koenig and Slaughter are investigators on a NIH grant (R44HL144214) with Inspired Therapeutics unrelated to this project. Drs. Koenig and Slaughter were investigators on the following on now-completed NIH grants and subcontracts all unrelated to this project: R43HL142385 (MAST), R43HL152894 (MAST), R43HL142337 (Cor Habere), R43HL152774 (RT Cardiac Systems), R43HLI44214 (Inspired Therapeutics), R43HL152767 (Bionet Sonar), R43HL149451 (Bionet Sonar), subcontract with CoRISMA MCS Systems Inc. Dr. Slaughter is a consultant with CoRISMA MCS Systems Inc. and Magenta Medical and is on the advisory board of Medtronic. Dr. Slaughter is the Editor-in-Chief of ASAIO Journal","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The authors support diversity and agree that increasing diversity awareness is important. However, we decline to provide a citation diversity statement, as we cannot reliably or appropriately infer authors'\u00a0gender, race, ethnicity, or other features based on their name.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Citation Diversity"}}]}}