Abbott CentriMag, Reference Manual, Page: 13 / 32

14
Cannula Site Selection and Cannulation
Common cannulation 5 locations are shown in the table below.
Table 3. Cannulation locations
Therapy Access Point Drainage Vessels Return Vessels
LVAD support Central Left Atrium
Left Ventricle
Ascending Aorta
Via direct cannulation or with
a graft sewn to ascending
aorta
Axillary Artery
RVAD support Central
Peripheral Right Atrium
Right Ventricle
Superior Vena Cava
Inferior Vena Cava
Pulmonary Artery
Via direct cannulation or with
a graft sewn to pulmonary
artery
BiVAD support Central
Peripheral See options above for left and
right sided support See options above for left and
right sided support
Two cannulation approaches are shown in the figures below.
The left ventricle is drained via the left ventricular apex or the left atrium.
In both approaches, blood is returned via the ascending aorta. Left ventricular cannulation may be preferred because the unloading is
more complete, the risk of intra-ventricular thrombus is much lower, and collapse of the chamber is less likely, though care should be
taken to minimize the risk of suction.
Figure 5. Drainage via the left ventricular apex
Figure 6. Drainage via the left atrium
5 The CentriMag Return (Arterial) Cannula and the CentriMag Drainage (Venous) Cannula are not intended for peripheral cannulation.