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Peripheral cannulation for cardiopulmonary bypass is a frequently used technique in minimally invasive cardiac surgery and reoperation. In patients with a small arterial caliber, the purse suture on the femoral artery leads to marked stenosis after decannulation. In order to prevent this condition, we used double parallel U-sutures rather than purse sutures for arterial cannulation. Herein, we present this technique in the light of literature data. [Turk J Vasc Surg 2020; 29(1.000): 70-3]