Post-arterial filter gaseous microemboli activity of five integral cardiotomy reservoirs during venting: An in vitro study

Journal of Extra-Corporeal Technology

Volumn 41, Issue 1, 2009, Pages 20-27

  Myers, Gerard J ^a   Voorhees, Cheri ^b   Haynes, Rob ^b   Eke, Bob ^b  

^a IWK HEALTH CENTRE   (Canada)

^b Cobe Cardiovascular Research Laboratory ^*  (United States)

Author keywords

Arterial filter; Cardiotomy; Emboli; Gaseous; Integral; Oxygenator; Reservoir; Vent

Indexed keywords

AIR; ARTICLE; BLOOD FLOW; CARDIOPULMONARY BYPASS; CARDIOTOMY; FILTER; GAS EMBOLISM; HEART SURGERY; IN VITRO STUDY; MICROEMBOLISM; OXYGENATOR; PUMP; AIR EMBOLISM; EXTRACORPOREAL OXYGENATION; HUMAN; INSTRUMENTATION; RISK FACTOR; TIME;

CARDIAC SURGICAL PROCEDURES; CARDIOPULMONARY BYPASS; EMBOLISM, AIR; EXTRACORPOREAL MEMBRANE OXYGENATION; HUMANS; RISK FACTORS; TIME FACTORS;

EID: 68549132474     PISSN: 00221058     EISSN: 29698960     Source Type: Journal    
DOI: None     Document Type: Article

References (35)

1. Taylor RL, Borger MA, Weisel RD, et al. Cerebral microemboli during cardiopulmonary bypass: increased emboli during perfusionist intervention. Ann Thorac Surg. 1999;68:89-93.
2. Rodriguez RA, Williams KA, Babaev A, et al. Effect of perfusionist technique on cerebral embolization during cardiopulmonary bypass. Perfusion. 2005;20:3-10.
3. Myers GJ. Preventing gaseous microemboli during blood sampling and drug administration: an in vitro investigation. J Extra Corpor Technol. 2007;39:192-8.
4. Weitkemper HH, Oppermann B, Spilker A, et al. Gaseous microemboli and the influence of microporous membrane oxygenators. J Extra Corpor Technol. 2005;37:256-64.
5. Petrel M, Kseibi F, Sagebiel A, et al. Comparison of conventional extracorporeal circulation (ECC) and minimal extracorporeal circulation (MECC) with regards to microbubbles and microembolic signals. Perfusion. 2005;20:329-33.
6. Liebold A, Khosravi A, Westphal B, et al. Effect of closed minimized cardiopulmonary bypass on cerebral tissue oxygenation and microembolization. J Thorac Cardiovasc Surg. 2006;131:268-75. (Pubitemid 43121546)
7. Perthel M, Kseibi S, Bendisch A, et al. The dynamic bubble trap reduces microbubbles in extracorporeal circulation and high intensity transient signals in the middle cerebral artery: a case report. Perfusion. 2003;18:325-9. (Pubitemid 37369291)
8. LaPietra A, Grossi EA, Pua BB, et al. Assisted venous drainage presents the risk of undetected air microembolism. J Thorac Cardiovasc Surg. 2000;120:856-63.
9. Jones TJ, Deal DD, Vernon, JC, et al. How effective are cardiopulmonary bypass circuits at removing gaseous microemboli? J Extra Corpor Technol. 2002;34:34-9.
10. Solis RT, Scott MA, Kennedy PS, et al. Filtration of cardiotomy reservoir blood. J Extra Corpor Technol. 1976;8:69-72.
11. Pearson DT, Watson BG, Waterhouse PS. An ultrasonic analysis of the comparative efficiency of various cardiotomy reservoirs and micropore blood filters. Thorax. 1978;33:352-8.
12. Swanney PJ. A comparative study of five filtered cardiotomy reservoirs. J Extra Corpor Technol. 1986;18:7-11.
13. Geiser T, Sturzeneggar M, Genewein U, et al. Mechanisms of cerebrovascular events as assessed by procoagulant activity, cerebral microemboli, and platelet microparticles in patients with prosthetic heart valves. Stroke. 1998;29:1770-7. (Pubitemid 28399962)
14. Montoya P, Merz S, Bartlett R. Significant safety advantages gained with an improved pressure-regulated blood pump. J Extra Corpor Technol. 1996;28:71-8.
15. Kuntz RA, Maurer WG. An examination of cavitation as it relates to the extra-corporeal arterial infusion model. J Extra Corpor Technol. 1982;14:345-54.
16. Myers GJ, Legare JF. Avoiding hyperoxemia at the start of cardiopulmonary bypass while optimizing gas flow and temperature. J Extra Corpor Technol. 1999;31:145-51.
17. Barbut D, Hinton RB, Szatrowski TP, et al. Cerebral emboli detected during bypass surgery are associated with clamp removal. Stroke. 1994;25:2398-402.
18. Padayachee TS, Parsons S, Theoboldt R, et al. The detection of microemboli in the middle cerebral artery during cardiopulmonary bypass: a transcranial doppler ultrasound investigation using membrane and bubble oxygenators. Ann Thorac Surg. 1987;44:298-302. (Pubitemid 18020608)
19. Stump DA, Rogers AT, Hammon JW, et al. Cerebral emboli and cognitative outcome after cardiac surgery. J Cardiothorac Vasc Anesth. 1996;10:113-9.
20. Perthel M, Kseibi S, Bendisch A, et al. Use of a dynamic bubble trap in the arterial line reduces microbubbles during cardiopulmonary bypass and microembolic signals in the middle cerebral artery. Perfusion. 2005;20:151-6.
21. Padayachee TS, Parsons S, Theoboldt R, et al. The effect of arterial filtration on reduction of gaseous microemboli in the middle cerebral artery during cardiopulmonary bypass. Ann Thorac Surg. 1988;45:647-9.
22. Mitchell SJ, Wilcox T, Gorman DF. Bubble generation and venous air filtration by hard shell venous reservoirs: a comparative study. Perfusion. 1997;12:323-33.
23. Beckley PD, Shinko PD, Sites JP. A comparison of gaseous emboli release in five membrane oxygenators. Perfusion. 1997;12:133-41.
24. Schoenburg M, Urbanek P, Erhardt G, et al. Significant reduction of air microbubbles with the dynamic bubble trap during cardiopulmonary bypass. Perfusion. 2001;16:19-25.
25. Eitschberger S, Henseler A, Krasenbrink B, et al. Investigation on the ability of an ultrasound bubble detector to deliver size measurements of gaseous bubbles in fluid lines by using a glass bead model. ASAIO J. 2001;47:18-24. (Pubitemid 32057952)
26. Stump DA, Vernon JC, Deal DD. A Comparison of the Hatteland CMD-10 Versus The Embolus Detection and Classification System. Key West Meeting, Key West, FL, May, 2004.
27. Norman MJ, Sistino JJ, Ascell JR. The effectiveness of low prime cardiopulmonary bypass circuits at removing gaseous emboli. J Extra Corpor Technol. 2004;36:336-42.
28. James OF. The occurrence and significance of microaggregates in stored blood. Intensive Care Med. 1976;2:163-6.
29. Muth CM, Shank ES. Gas embolism. N Engl J Med. 2000;342:476-82.
30. Borger MA, Feindel CM. cerebral emboli during cardiopulmonary bypass: Effect of perfusionist interventions and aortic cannulas. J Extra Corpor Technol. 2002;34:29-33.
31. Barbut D, Lo YW, Gold JP, et al. Impact of embolization during coronary artery bypass grafting on outcome and length of stay. Ann Thorac Surg. 1997;63:998-1002. (Pubitemid 27191651)
32. Barak M, Katz Y. Microbubbles: pathophysiology and clinical implications. Chest. 2005;128:2918-32.
33. Ferrante A, Elghobashi S. Drag reduction by microbubbles in a spatially- developing turbulent boundary layer: Reynolds number effect. Navigator NAVO MSRC. 2006;9:5-8.
34. Lindner JR, Song J, Jayaweera AR, et al. Microvascular rheology of Definity microbubbles after intra-arterial and intravenous administration. J Am Soc Echocardiogr. 2002;15:396-403.
35. Martens S, Deitrich M, Pietrzyk R, et al. Elimination of microbubbles from the extracorporeal circuit: dynamic bubble trap versus arterial filter. Int J Artif Organs. 2004;27:55-9.