A new minimized perfusion circuit provides highly effective ultrasound controlled deairing

Artificial Organs

Volumn 31, Issue 3, 2007, Pages 215-220

  Kutschka, Ingo ^a   Schönrock, Uwe ^a   Essawi, Aschraf El ^a   Pahari, Dipak ^a   Anssar, Marcel ^a   Harringer, Wolfgang ^a  

^a KLINIKUM BRAUNSCHWEIG   (Germany)

Author keywords

Air elimination; Cardiopulmonary bypass; Minimized perfusion circuits

Indexed keywords

ULTRASONICS;

AIR BUBBLES; AIR ELIMINATION; ARTERIAL FILTERS; BLOOD FLOW; CARDIOPULMONARY BYPASS; DE-AIRING; EXTRACORPOREAL CIRCUITS; LABORATORY SET-UP; MINIMIZED PERFUSION CIRCUIT; POST INJECTION;

TIMING CIRCUITS;

AIR; ARTICLE; BLOOD FLOW; FILTER; LABORATORY; MINIMIZED PERFUSION CIRCUIT; NEUROLOGICAL COMPLICATION; PRIORITY JOURNAL; SURGICAL TECHNOLOGY; ULTRASOUND;

EID: 33847653446     PISSN: 0160564X     EISSN: 15251594     Source Type: Journal    
DOI: 10.1111/j.1525-1594.2007.00367.x     Document Type: Article

References (25)

1. Cremer J, Martin M, Redl H, Bahrami S, et al. Systemic inflammatory response syndrome after cardiac operations. Ann Thorac Surg 1996;61:1714-20.
2. Paparella D, Yau TM, Young E. Cardiopulmonary bypass induced inflammation: patho-physiology and treatment. An update. Eur J Cardiothorac Surg 2002;21:232-44.
3. Hansbro SD, Sharpe DA, Catchpole R, et al. Haemolysis during cardiopulmonary bypass: an in vivo comparison of standard roller pumps and centrifugal pumps. Perfusion 1999;14:3-10.
4. Koster A, Fischer T, Praus M, et al. Hemostatic activation and inflammatory response during cardiopulmonary bypass: impact of heparin management. Anesthesiology 2002;97:837-41.
5. Asimakopoulos G. Systemic inflammation and cardiac surgery: an update. Perfusion 2001;16:353-60.
6. Goldsborough MA, Boronicz LM, McKhann GM, Baumgartner WA. Variation in stroke occurrence by cardiac procedures. Perfusion 1997;12:47-9.
7. Roach GW, Kanchuger M,Manganio CM, et al. Adverse cerebral outcomes after coronary artery bypass surgery. N Engl J Med 1996;335:1857-63.
8. Ahlgren E, Aren C. Cerebral dysfunction - a feared complication of cardiac surgery. Perfusion 1997;12:32-6.
9. Fromes Y, Gaillard D, Ponzio O, et al. Reduction of the inflammatory response following coronary bypass grafting with total minimal extracorporal circulation. Eur J Cardiothorac Surg 2002;22:527-33.
10. Meyns B, Autschbach R, Boening A, et al. Coronary artery bypass grafting supported with intracardiac microaxial pumps versus normothermic cardiopulmonary bypass: a prospective randomized trial. Eur J Cardiothorac Surg 2002;22:112-7.
11. Remadi JP, Marticho P, Butoi I, et al. Clinical experience with the mini-extracorporeal circulation system: an evolution or a revolution? Ann Thorac Surg 2004;77:2172-5.
12. Immer FF, Pirovino C, Gygax E, Englberger L, Tevaearai H, Carrel TP. Minimal versus conventional cardiopulmonary bypass: assessment of intraoperative myocardial damage in coronary bypass surgery. Eur J Cardiothorac Surg 2005;28:701-4.
13. Morita M, Yozu R, Matayoshi T, Mitsumaru A, Shin H, Kawada S. Closed circuit cardiopulmonary bypass with centrifugal pump for open-heart surgery: new trial for air removal. Artif Organs 2000;24:442-5.
14. 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.
15. Remadi JP, Rakotoarivello Z, Marticho P, et al. Aortic valve replacement with the minimal extracorporeal circulation (Jostra MECC System) versus standard cardiopulmonary bypass: a randomized prospective trial. J Thorac Cardiovasc Surg 2004;128:436-41.
16. Angelini GD, Taylor FC, Reeves BC, Ascione R. Early and midterm outcome after off-pump and on-pump surgery in beating heart against cardioplegic arrest studies (BHACAS 1 and 2): a pooled analysis of two randomised controlled trials. Lancet 2002;359:1194-9.
17. Boyd WD, Desai ND, Del Rzzo DF, Novick RJ, Mc Kenzie FN, Menkis AH. Off-pump surgery decreases postoperative complications and resource utilization in the elderly. Ann Thorac Surg 1999;68:1490-3.
18. Mitchell SJ, Willcox T, McDougal C, Gorman DF. Emboli generation by the Medtronic Maxima hard-shell adult venous reservoir in cardiopulmonary bypass circuits: a preliminary report. Perfusion 1996;11:145-55.
19. 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.
20. Rider SP, Simon LV, Rice BJ, Poulton CC. Assisted venous drainage, venous air, and gaseous microemboli transmission into the arterial line: an in-vitro study. J Extra Corpor Technol 1998;30:160-5.
21. Russell D, Brucher R. Online automatic discrimination between solid and gaseous cerebral microemboli with the first multifrequency transcranial Doppler. Stroke 2002;33:1975-80.
22. Mitsumaru A, Yozu R, Matayoshi T, et al. Efficiency of an air filter at the drainage site in a closed circuit with a centrifugal blood pump: an in vitro study. ASAIO J 2001;47:692-5.
23. 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.
24. Mueller XM, Tevaearai HT, Jegger D, von Segesser LK. Air filtering capacity of an integrated cardiopulmonary bypass unit. ASAIO J 2003;49:365-9.
25. Jegger D, Tevaearai HT, Mueller XM, Horisberger J, von Segesser LK. Limitations using the vacuum-assist venous drainage technique during cardiopulmonary bypass procedures. J Extra Corpor Technol 2003;35:207-11.