{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T15:55:00Z","timestamp":1777737300412,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Innovations&amp;#65533;(Phila)"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>\n                      Femoral artery cannulation is the most commonly used approach for cardiopulmonary bypass (CPB) in robotic cardiac procedures. However, without adding a distal perfusion cannula, leg ischemia can occur in up to 11.5% of patients. There is a well-described 2 to 4 mm size arterial branch that originates from the medial side of the external iliac artery or inferior epigastric artery, immediately above the inguinal ligament, and connects to the obturator artery. Therefore, it was historically named the\n                      <jats:italic>corona mortis<\/jats:italic>\n                      , which means \u201ccrown of death\u201d in Latin. When peripheral cannulation is performed above this branch in the external iliac artery, we consider it a corona \u201cvitae\u201d because of its role as a limb-saving collateral. We report herein our standard technique of peripheral cannulation without the need of a distal perfusion cannula and preventing limb ischemia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We included all patients who underwent robotic cardiac surgery with peripheral cannulation over a 16-month period at our institution. We cannulated just above the level of the inguinal ligament through a 2 to 3 cm transverse skin incision. The incidence of limb ischemia and vascular complications was recorded and analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>During the study period, 133 patients underwent robotic cardiac procedures with peripheral \u201cexternal iliac\u201d CPB. The size of the cannula was 21F or larger in 73% and 23F in 54% of the patients. No leg ischemia or femoral artery complications requiring additional intervention occurred.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      External iliac cannulation can be successfully performed in robot-assisted cardiac surgery using relatively large cannulas without the need of a distal limb perfusion catheter, with good results. In our view, given the importance of the\n                      <jats:italic>corona mortis<\/jats:italic>\n                      (\u201ccrown of death\u201d in Latin) in perfusing the limb during CPB, we propose a new name for this artery in robotic cardiac surgery, namely, the\n                      <jats:italic>corona vitae<\/jats:italic>\n                      (\u201ccrown of life\u201d in Latin).\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15569845241239911","type":"journal-article","created":{"date-parts":[[2024,4,12]],"date-time":"2024-04-12T07:53:28Z","timestamp":1712908408000},"page":"192-195","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Routine External Iliac Artery Cannulation in Robotic Cardiac Surgery: Role of the Corona \u201cVitae\u201d in Distal Limb Perfusion"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0056-2711","authenticated-orcid":false,"given":"Yazan N.","family":"AlJamal","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroto","family":"Kitahara","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University of Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0502-9940","authenticated-orcid":false,"given":"Blaine","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University of Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaitlin","family":"Grady","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University of Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1154-8018","authenticated-orcid":false,"given":"Husam H.","family":"Balkhy","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University of Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,4,12]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"322","article-title":"Aortic cannulation techniques in minimally invasive cardiac surgery","volume":"13","author":"Nwaejike N","year":"2018","unstructured":"Nwaejike N, and Pai RG. Aortic cannulation techniques in minimally invasive cardiac surgery. Innovations 2018; 13: 322\u2013329.","journal-title":"Innovations"},{"key":"e_1_3_3_3_2","first-page":"1368","article-title":"Peripheral arterial cannulation: the forgotten corona mortis","volume":"117","author":"Cho KJ","year":"2013","unstructured":"Cho KJ, and Cho SH. Peripheral arterial cannulation: the forgotten corona mortis. Anesth Analg 2013; 117: 1368\u20131371.","journal-title":"Anesth Analg"},{"key":"e_1_3_3_4_2","first-page":"291","article-title":"Anatomic and clinical considerations of the corona mortis","volume":"36","author":"Zadeh JR","year":"2014","unstructured":"Zadeh JR, and Chen H. Anatomic and clinical considerations of the corona mortis. Surg Radiol Anat 2014; 36: 291\u2013296.","journal-title":"Surg Radiol Anat"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2017.07.037"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.05.068"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2018.01.018"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11748-020-01442-y"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1608687"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.05.012"},{"key":"e_1_3_3_11_2","first-page":"804","article-title":"[Cannulation related complications and prevention for extracorporeal membrane oxygenation: clinical report and reviews of experience of 34 cases]","volume":"51","author":"Guo Z","year":"2013","unstructured":"Guo Z, Li X, Xu LF, et al. [Cannulation related complications and prevention for extracorporeal membrane oxygenation: clinical report and reviews of experience of 34 cases]. Zhonghua Wai Ke Za Zhi 2013; 51: 804\u2013807.","journal-title":"Zhonghua Wai Ke Za Zhi"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.07.003"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-021-01500-3"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/1556984520911917"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.14797\/mdcj-12-1-10"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2020.07.075"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.21037\/acs.2018.10.09"},{"key":"e_1_3_3_18_2","first-page":"64","article-title":"Corona mortis: surgical anatomy, physiology and clinical significance","volume":"4","author":"Papagrigorakis E","year":"2018","unstructured":"Papagrigorakis E, Gkarsioudis K, Skandalakis P, et al. Corona mortis: surgical anatomy, physiology and clinical significance. 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