Fat content in pericardial suction blood and the efficacy of spontaneous density separation and surface adsorption in a prototype system for fat reduction

Journal of Thoracic and Cardiovascular Surgery

Volumn 134, Issue 2, 2007, Pages 366-372

  Appelblad, Micael ^a   Engström, Karl Gunnar ^a  

^a UMEÅ UNIVERSITY HOSPITAL   (Sweden)

Author keywords

[No Author keywords available]

Indexed keywords

FAT;

ADSORPTION; ADULT; ARTICLE; BLOOD TRANSFUSION; BLOOD VOLUME; CARDIOPULMONARY BYPASS; CLINICAL ARTICLE; CORONARY ARTERY BYPASS GRAFT; CORONARY ARTERY DISEASE; FAT EMBOLISM; FEMALE; HEART LEFT VENTRICLE FUNCTION; HEART SURGERY; HEMATOCRIT; HEMOGLOBIN DETERMINATION; HUMAN; MALE; MEDIASTINUM; MEDICAL INSTRUMENTATION; PERICARDIUM; POSTOPERATIVE PERIOD; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; SUCTION; SURGICAL EQUIPMENT; SURGICAL PATIENT;

ADSORPTION; AGED; CENTRIFUGATION, DENSITY GRADIENT; CORONARY ARTERY BYPASS; EMBOLISM, FAT; FEMALE; HUMANS; LIPIDS; MALE; MIDDLE AGED; PERICARDIUM; STATISTICS, NONPARAMETRIC; SUCTION;

EID: 34447624123     PISSN: 00225223     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jtcvs.2006.04.065     Document Type: Article

References (21)

1. Ahonen J., and Salmenpera M. Brain injury after adult cardiac surgery. Acta Anaesthesiol Scand 48 (2004) 4-19
2. Bucerius J., Gummert J.F., Borger M.A., Walther T., Doll N., Onnasch J.F., et al. Stroke after cardiac surgery: a risk factor analysis of 16,184 consecutive adult patients. Ann Thorac Surg 75 (2003) 472-478
3. Newman M.F., Kirchner J.L., Phillips-Bute B., Gaver V., Grocott H., Jones R.H., et al., Neurological Outcome Research Group and the Cardiothoracic Anesthesiology Research Endeavors Investigators. Longitudinal assessment of neurocognitive function after coronary-artery bypass surgery. N Engl J Med 344 (2001) 395-402 Erratum in: N Engl J Med. 2001;344:1876
4. van Dijk D., Keizer A.M., Diephuis J.C., Durand C., Vos L.J., and Hijman R. Neurocognitive dysfunction after coronary artery bypass surgery: a systematic review. J Thorac Cardiovasc Surg 120 (2000) 632-639
5. Caguin F., and Carter M.G. Fat embolization with cardiotomy with the use of cardiopulmonary bypass. J Thorac Cardiovasc Surg 46 (1963) 665-672
6. Moody D.M., Bell M.A., Challa V.R., Johnston W.E., and Prough D.S. Brain microemboli during cardiac surgery or aortography. Ann Neurol 28 (1990) 477-486
7. Brooker R.F., Brown W.R., Moody D.M., Hammon Jr. J.W., Reboussin D.M., Deal D.D., et al. Cardiotomy suction: a major source of brain lipid emboli during cardiopulmonary bypass. Ann Thorac Surg 65 (1998) 1651-1655
8. Appelblad M., and Engstrom K.G. Fat contamination of pericardial suction blood and its influence on in vitro capillary-pore flow properties in patients undergoing routine coronary artery bypass grafting. J Thorac Cardiovasc Surg 124 (2002) 377-386
9. Kincaid E.H., Jones T.J., Stump D.A., Brown W.R., Moody D.M., Deal D.D., et al. Processing scavenged blood with a cell saver reduces cerebral lipid microembolization. Ann Thorac Surg 70 (2000) 1296-1300
10. Engstrom K.G. Contaminating fat in pericardial suction blood: a clinical, technical and scientific challenge. Perfusion 19 Suppl 1 (2004) S21-S31
11. Engstrom K.G., and Appelblad M. Fat reduction in pericardial suction blood by spontaneous density separation: an experimental model on human liquid fat versus soya oil. Perfusion 18 (2003) 39-45
12. Engstrom K.G. The embolic potential of liquid fat in pericardial suction blood, and its elimination. Perfusion 18 Suppl 1 (2003) 69-74
13. de Vries A.J., Gu Y.J., and van Oeveren W. The rationale for fat filtration during cardiac surgery. Perfusion 17 (2002) 29-33
14. Jewell A., Akowuah E.F., Suvarna S.K., Braidley P., Hopkinson D., and Cooper G. A prospective randomised comparison of cardiotomy suction and cell saver for recycling shed blood during cardiac surgery. Eur J Cardiothorac Surg 23 (2003) 633-636
15. Stainsby D., Russell J., Cohen H., and Lilleyman J. Reducing adverse events in blood transfusion. Br J Haematol 131 (2005) 8-12
16. Chelemer S.B., Prato B.S., Cox Jr. P.M., O'Connor G.T., and Morton J.R. Association of bacterial infection and red blood cell transfusion after coronary artery bypass surgery. Ann Thorac Surg 73 (2002) 138-142
17. Engstrom K.G., Appelblad M., and Brorsson B. Mechanisms behind operating room blood transfusions in coronary bypass patients with insignificant bleeding. J Cardiothorac Vasc Anesth 16 (2002) 539-544
18. Amand T., Pincemail J., Blaffart F., Larbuisson R., Limet R., and Defraigne J.O. Levels of inflammatory markers in the blood processed by autotransfusion devices during cardiac surgery associated with cardiopulmonary bypass circuit. Perfusion 17 (2002) 117-123
19. de Vries A.J., Gu Y.J., Douglas Y.L., Post W.J., Lip H., and van Oeveren W. Clinical evaluation of a new fat removal filter during cardiac surgery. Eur J Cardiothorac Surg 25 (2004) 261-266
20. Kaza A.K., Cope J.T., Fiser S.M., Long S.M., Kern J.A., Kron I.L., et al. Elimination of fat microemboli during cardiopulmonary bypass. Ann Thorac Surg 75 (2003) 555-559
21. Dalen T., Bengtsson A., Brorsson B., and Engstrom K.G. Inflammatory mediators in autotransfusion drain blood after knee arthroplasty, with and without leucocyte reduction. Vox Sang 85 (2003) 31-39