{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T15:51:05Z","timestamp":1777737065424,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"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&#65533;(Phila)"],"published-print":{"date-parts":[[2025,1]]},"abstract":"\n Objective:<\/jats:title>\n Axillary artery cannulation techniques continue to improve and find application throughout cardiac surgery. Yet, early outcomes are poorly documented versus femoral or central arterial cannulation in right minithoracotomy mitral surgery.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n There were 3,044 consecutive adult patients undergoing mitral valve surgery via right thoracotomy from 1996 to 2022 examined from a prospectively maintained database. Propensity score matching was used to compare outcomes of axillary versus aortic cannulation in 241 matched pairs and axillary versus femoral cannulation in 356 matched pairs.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Arterial cannulation was axillary (770 of 3,044; 25%) versus femoral (149 of 3,044; 5%) or central aortic (2,125 of 3,044; 70%). Axillary versus aortic or femoral patients were older (\n P<\/jats:italic>\n < 0.001), more often redo (\n P<\/jats:italic>\n < 0.001), more urgent (\n P<\/jats:italic>\n < 0.001), and had more mitral replacement (\n P<\/jats:italic>\n < 0.001) and tricuspid procedures (\n P<\/jats:italic>\n < 0.001). After propensity score matching, cannulation groups did not differ in patient characteristics or concurrent surgical procedures. For matched patients, axillary artery cannulation was not independently associated with operative mortality (\n P<\/jats:italic>\n = 0.3), postoperative respiratory failure (\n P<\/jats:italic>\n = 0.3), perioperative stroke (\n P<\/jats:italic>\n = 0.7), renal insufficiency (\n P<\/jats:italic>\n = 0.4), pump time (\n P<\/jats:italic>\n = 0.6), clamp time (\n P<\/jats:italic>\n = 0.2), transfusion (\n P<\/jats:italic>\n = 0.5), perioperative length of stay (\n P<\/jats:italic>\n = 0.7), or survival (\n P<\/jats:italic>\n = 0.6). Axillary cannulation increased operative time by 14 \u00b1 7 min (\n P<\/jats:italic>\n = 0.04) versus aortic or femoral artery cannulation.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Right axillary artery cannulation is a safe alternative for right minithoracotomy mitral surgery. Advantages may include avoidance of the aorta in reoperations or older patients, avoidance of peripheral atherosclerosis in older patients, and a low incidence of limb ischemia or wound infection. Disadvantages may include longer access time and an additional chest incision.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/15569845251315728","type":"journal-article","created":{"date-parts":[[2025,2,15]],"date-time":"2025-02-15T01:41:41Z","timestamp":1739583701000},"page":"80-86","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Axillary Artery Versus Femoral or Central Arterial Cannulation in Minithoracotomy Mitral Surgery: Is There a Difference in Early Outcomes?"],"prefix":"10.1177","volume":"20","author":[{"given":"Jeffrey G.","family":"Gaca","sequence":"first","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brittany A.","family":"Zwischenberger","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keith","family":"Carr","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4379-6518","authenticated-orcid":false,"given":"Donald D.","family":"Glower","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, NC, 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