Does vacuum-assisted venous drainage increase gaseous microemboli during cardiopulmonary bypass?

Annals of Thoracic Surgery

Volumn 74, Issue 6, 2002, Pages 2132-2137

  Jones, Timothy J ^a,b   Deal, Dwight D ^a,b   Vernon, Jason C ^a,b   Blackburn, Noel ^a,b   Stump, David A ^a,b  

^a WAKE FOREST SCHOOL OF MEDICINE   (United States)

^b LERNER RESEARCH INSTITUTE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTERY; ARTICLE; CARDIOPULMONARY BYPASS; FLOW RATE; GRAVITY; MICROEMBOLISM; MONITORING; PRESSURE; PRIORITY JOURNAL; PUMP; SURGICAL DRAINAGE; VACUUM; VEIN;

CARDIOPULMONARY BYPASS; EMBOLISM, AIR; SUCTION; VACUUM; VEINS;

EID: 0036898954     PISSN: 00034975     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0003-4975(02)04081-X     Document Type: Article

References (21)

1. Roach GW, Kanchuger M, Mangano CM, et al. Adverse cerebral outcomes after coronary bypass surgery. Multicenter Study of Perioperative Ischemia Research Group and the Ischemia Research and Education Foundation Investigators. N Engl J Med 1996;335:1857-63.
2. Hammon JW Jr, Stump DA, Kon ND, et al. Risk factors and solutions for the development of neurobehavioral changes after coronary artery bypass grafting. Ann Thorac Surg 1997;63:1613-8.
3. Mangano CM, Diamondstone LS, Ramsay JG, Aggarwal A, Herskowitz A, Mangano DT. Renal dysfunction after myocardial revascularization: Risk factors, adverse outcomes, and hospital resource utilization. The Multicenter Study of Perioperative Ischemia Research Group. Ann Intern Med 1998;128:194-203.
4. Riddington DW, Venkatesh B, Boivin CM, et al. Intestinal permeability, gastric intramucosal pH, and systemic endotoxemia in patients undergoing cardiopulmonary bypass. JAMA 1996;275:1007-12.
5. Taylor KM. Brain damage during cardiopulmonary bypass. Ann Thorac Surg 1998;65(Suppl):20-6.
6. Stump DA, Rogers AT, Hammon JW, Newman SP. Cerebral emboli and cognitive outcome after cardiac surgery. J Cardiothorac Vasc Anesth 1996;10:113-8.
7. Taylor RL, Borger MA, Weisel RD, Fedorko L, Feindel CM. Cerebral microemboli during cardiopulmonary bypass: Increased emboli during perfusionist interventions. Ann Thorac Surg 1999;68:89-93.
8. Kurusz M. Gaseous microemboli: Sources, causes, and clinical considerations. Med Instrum 1985;19:73-5.
9. Mitchell SJ, Willcox T, Gorman DF. Bubble generation and venous air filtration by hard-shell venous reservoirs: A comparative study. Perfusion 1997;12:325-33.
10. Willcox TW, Mitchell SJ, Gorman DF. Venous air in the bypass circuit: A source of arterial line emboli exacerbated by vacuum-assisted drainage. Ann Thorac Surg 1999;68:1285-9.
11. Philp RB, Inwood MJ, Warren BA. Interactions between gas bubbles and components of the blood: Implications in decompression sickness. Aerosp Med 1972;43:946-53.
12. Thorsen T, Klausen H, Lie RT, Holmsen H. Bubble-induced aggregation of platelets: Effects of gas species, proteins, and decompression. Undersea Hyperb Med 1993;20:101-19.
13. Butler BD. Biophysical aspects of gas bubbles in blood. Med Instrum 1985;19:59-62.
14. Butler BD, Kurusz M. Embolic events. In: Gravlee GP, Davis RF, Kurusz M, Utley J, eds. Cardiopulmonary Bypass: Principles and Practice. 2nd Ed. Philadelphia: Lippincott Williams & Wilkins, 2000:320-41.
15. LaPietra A, Grossi EA, Pua BB, et al. Assisted venous drainage presents the risk of undetected air microembolism. J Thorac Cardiovasc Surg 2000;120:856-62.
16. Pugsley W, Klinger L, Paschalis C, Treasure T, Harrison M, Newman S. The impact of microemboli during cardiopulmonary bypass on neuropsychological functioning. Stroke 1994;25:1393-9.
17. Clark RE, Brillman J, Davis DA, Lovell MR, Price TR, Magovern GJ. Microemboli during coronary artery bypass grafting. Genesis and effect on outcome. J Thorac Cardiovasc Surg 1995;109:249-57.
18. Richardson PD. Qualitative and quantitative methods for investigating gas emboli in blood. Med Instrum 1985;19:55-8.
19. Stump DA, Jones TJ, Rorie KD. Neurophysiologic monitoring and outcomes in cardiovascular surgery. J Cardiothorac Vasc Anesth 1999;13:600-13.
20. Stump DA, Newman SP. Emboli detection during cardiopulmonary bypass. In: Tegeler CH, Babinian VL, Gomez CR, eds. Neurosonology. St. Louis: Mosby, 1995:p. 252-55.
21. Deal DD, Stump DA, Brooker MD. Ultrasonic monitoring for emboli in the operating room: Errors of detection. J Neuro-Imaging 1997;7:254.