Pathophysiological aspects of cardiotomy suction usage

Perfusion

Volumn 25, Issue 3, 2010, Pages 147-152

  Svitek, Vladimir ^a   Lonsky, Vladimir ^b   Anjum, Faraz ^a  

^a UNIVERSITY HOSPITAL HRADEC KRALOVE   (Czech Republic)

^b PALACKÝ UNIVERSITY   (Czech Republic)

Author keywords

cardiopulmonary bypass; cardiotomy suction; cell salvage device; hemolysis; post perfusion syndrome

Indexed keywords

BLOOD CLOTTING DISORDER; BLOOD TRANSFUSION; CORONARY ARTERY BYPASS SURGERY; DISEASE EXACERBATION; HEART SURGERY; HEMOLYSIS; HUMAN; MICROEMBOLISM; PATHOPHYSIOLOGY; POSTOPERATIVE HEMORRHAGE; PRIORITY JOURNAL; REVIEW; SUCTION; SYSTEMIC INFLAMMATORY RESPONSE SYNDROME;

CORONARY ARTERY BYPASS; CORONARY ARTERY DISEASE; HEMOLYSIS; HUMANS; SUCTION;

EID: 77954065742     PISSN: 02676591     EISSN: None     Source Type: Journal    
DOI: 10.1177/0267659110371858     Document Type: Review

References (53)

1. Pierangeli A., Masieri V., Bruzzi F., et al. Haemolysis during cardiopulmonary bypass: how to reduce the free haemoglobin by managing the suctioned blood separately. Perfusion 2001; 16: 519-524.
2. Kuduvalli M., Oo AY, Newall N., et al. Effect of peri-operative red blood cell transfusion on 30-day and 1-year mortality following coronary artery bypass surgery. Eur J Cardiothorac Surg 2005; 27: 592-598.
3. Rogers MA, Blumberg N., Saint SK, et al. Allogenic blood transfusion explains increased mortality in women after coronary artery bypass graft surgery. Am Heart J 2006; 152: 1028-1034.
4. Klein AA, Nashef SAM, Sharples L., et al. A randomized controlled trial of cell salvage in routine cardiac surgery. Anesth Analg 2008; 107: 1487-1495.
5. Belway D., Rubens FD, Wozny D., Henley B., Nathan HJ Are we doing everything we can to conserve blood during bypass? A national survey. Perfusion 2005; 20: 237-241.
6. Aldea GS, Soltow LO, Chandler WL, et al. Limitation of thrombin generation, platelet activation, and inflammation by elimination of cardiotomy suction in patients undergoing coronary artery bypass grafting treated with heparin-bonded circuits. J Thorac Cardiovasc Surg 2002; 123: 742-755.
7. Tabuchi N., de Haas J., Boonstra PW, et al. Activation of fibrinolysis in the pericardial cavity during cardiopulmonary bypass. J Thorac Cardiovasc Surg 1993; 106: 828-833.
8. Shiiya N., Matsuzaki K., Kunihara T., Sugiki H. Heparin reduction with the use of cardiotomy suction is associated with hyperfibrinolysis during distal aortic perfusion with a heparin-coated semi-closed cardiopulmonary bypass system. J Artif Organs 2006; 9: 214-219.
9. Wright G., Sanderson JM Cellular aggregation and trauma in cardiotomy suction systems. Thorax 1979; 34: 621-628.
10. Kiessling AH, Khalil M., Assaf O., et al. Blood-air interface during cardiopulmonary bypass. Asian Cardiovasc Thorac Ann 2004; 12: 198-201.
11. Tevaearai HT, Mueller XM, Horisberger J., et al. In situ control of cardiotomy suction reduces blood trauma. ASAIO J 1998; 44: 380-383.
12. Lau K., Shah H., Kelleher A., Moatt N. Coronary artery surgery: cardiotomy suction or cell salvage? J Cardiothorac Surg 2007; 2: 46.
13. De Haan J., Boonstra PW, Tabuchi N., et al. Retransfusion of thoracic wound blood during heart surgery obscures biocompatibility of the extracorporeal circuit. J Thorac Cardiovasc Surg 1996; 111: 272-275.
14. Westerberg M., Bengtsson A., Jeppsson A. Coronary surgery without cardiotomy suction and autotransfusion reduces the postoperative systemic inflammatory response. Ann Thorac Surg 2004; 78: 54-59.
15. Rubens FD, Boodhwani M., Mesana T., et al. A randomized, double-blind study to asses the effect of processing of shed blood during cardiopulmonary bypass on transfusion and neurocognitive function. Circulation 2007; 116: 89-97.
16. Jewell AE, Akowuah EF, Suvarna SK, et al. A prospective randomised comparison of cardiotomy suction and cell saver for recycling shed blood during cardiac surgery. Eur J Cardiothorac Surg 2003; 23: 633-636.
17. Murkin JM Attenuation of neurologic injury during cardiac surgery. Ann Thorac Surg 2001; 721: 1838-1844.
18. Prasongsukarn K., Borger MA Reducing cerebral emboli during cardiopulmonary bypass. Semin Cardiothorac Vasc Anesth 2005; 9: 153-158.
19. Kaza AK, Cope JT, Fiser SM, et al. Elimination of fat microemboli during cardiopulmonary bypass. Ann Thorac Surg 2003; 75: 555-559.
20. Jonsson H., Eyjolfsson A., Scicluna S., Paulsson P., Johnsson P. Circulating particles during cardiac surgery. Interact CardioVasc Surg 2009; 8: 538-542.
21. McKhann GM, Grega MA, Borowicz LM, et al. Stroke and encephalopathy after cardiac surgery. An update. Stroke 2006; 37: 562-571.
22. Grocott HP, Homi HM, Puskas F. Cognitive dysfunction after cardiac surgery: revisiting etiology. Sem Cardiothorac Vasc Anesth 2005; 9: 123-129.
23. Djaiani G., Fedorko L., Borger MA, et al. Continuous-flow cell saver reduces cognitive decline in elderly patients after coronary bypass surgery. Circulation 2007; 116: 1888-1895.
24. Bendzus M., Reents W., Franke D., et al. Brain damage after coronary artery bypass grafting. Arch Neurol 2002; 59: 1090-1095.
25. Takayama H., Soltow LO, Aldea GS Differential expression in markers for thrombin, platelet activation and inflammation in cell saver versus systemic blood in patients undergoing on-pump coronary artery bypass graft surgery. J Cardiothorac Vasc Anest 2007; 21: 519-523.
26. Brooker RF, Brown WR, Moody DM, et al. Cardiotomy suction: a major source of brain lipid emboli during cardiopulmonary bypass. Ann Thorac Surg 1998; 65: 1651-1655.
27. Kincaid EH, Jones TJ, Stump DA et al. Processing scavenged blood with a cell saver reduces cerebral lipid microembolization. Ann Thorac Surg 2000; 70: 1296-1300.
28. Brondén B., Dencker M., Allers M., et al. Differential distribution of lipid microemboli after cardiac surgery. Ann Thorac Surg 2006; 81: 643-649.
29. Karkouti K., Beattie WS, Wijeysundera DN, et al. Hemodilution during cardio-pulmonary bypass is an independent risk factor for acute renal failure in adult cardiac surgery. J Thorac Cardiovasc Surg 2005; 129: 391-400.
30. De Vries AJ, Gu YJ, Douglas YL, et al. Clinical evaluation of a new fat removal filter during cardiac surgery. Eur J Cardiothorac Surg 2004; 25: 261-266.
31. Boonstra PW, van Imhoff GW, Eysman L., et al. Reduced platelet activation and improved hemostasis after controlled cardiotomy suction during clinical membrane oxygenator perfusions. J Thorac Cardiovasc Surg 1985; 89: 900-906.
32. Skrabal CA, Khosravi A., Choi YH, et al. Pericardial suction blood separation attenuates inflammatory response and hemolysis after cardiopulmonary bypass. Scand Cardiovasc J 2006; 40: 219-223.
33. Spanier T., Tector K., Schwartz G. et al. Endotoxin in pooled pericardial blood contributes to the systemic inflammatory response during cardiac surgery. Perfusion 2000; 15: 427-431.
34. Koster A., Böttcher W., Merkel F., et al. The more closed the bypass system the better: a pilot study on the effect of reduction of cardiotomy suction and passive venting on hemostatic activation during on pump coronary artery bypass grafting. Perfusion 2005; 20: 285-288.
35. Westerberg M., Gabel J., Bengtsson A., et al. Hemodynamic effects of cardiotomy suction blood. J Thorac Cardiovasc Surg 2006; 131: 1352-1357.
36. Boodhwani M., Nathan HJ, Mesana TG, et al. Effects of shed mediastinal blood on cardiovascular and pulmonary function: a randomized, double-blind study. Ann Thorac Surg 2008; 86: 1167-1173.
37. Gao L., Taha R., Gauvin D., et al. Postoperative congnitive dysfunction after cardiac surgery. Chest 2005; 128: 3664-3670.
38. Rosner MH, Okusa MD Acute kidney injury associated with cardiac surgery. Clin J Am Soc Nephrol 2006; 1: 19-32.
39. Habib RH, Zacharias A., Schwann TA, et al. Adverse effects of low hematocrit during cardiopulmonary bypass in the adult: should current practice be changed? J Thorac Cardiovasc Surg 2003; 125: 1438-1450.
40. Gueret G., Lion F., Guriec N., et al. Acute renal dysfunction after cardiac surgery with cardiopulmonary bypass is associated with plasmatic IL6 increase. Cytokine 2009; 45: 92-98.
41. Hansbro SD, Sharpe DA, Catchpole R., et al. Haemolysis during cardiopulmonary bypass: an in vivo comparison of standard roller pumps, non-occlusive roller pumps and centrifugal pumps. Perfusion 1999; 14: 3-10.
42. Vercaemst L. Hemolysis in cardiac surgery patients undergoing cardiopulmonary bypass: a review in search of a treatment algorithm. JECT 2008; 40: 257-267.
43. Jegger D., Horrisberger J., Jachertz M., et al. A novel device for reducing hemolysis provoked by cardiotomy suction during open heart cardiopulmonary bypass surgery: a randomized prospective study. Artif Organs 2007; 31: 23-30.
44. Chambers SD, Ceccio SL, Annich GA, Bartlett RH Extreme negative pressure does not cause erythrocyte damage in flowing blood. ASAIO J 1999; 45: 431-435.
45. Gregoretti S. Suction-induced hemolysis at various vacuum pressures: implications for intraoperative blood salvage. Transfusion 1996; 36: 57-60.
46. Cabrales P. Effects of erythrocyte flexibility on microvascular perfusion and oxygenation during anaemia. J Physiol Heart Circ Physiol 2007; 293: 1206-1215.
47. Rother RP, Bell L., Hillmen P., Gladwin MT The clinical sequelae of intravascular hemolysis and extracellular plasma hemoglobin. A novel mechanism of human disease. JAMA 2005; 293: 1653-1662.
48. Yong AN, Xiao YB, Zhong QZ, et al. Hyperbilirubinemia after extracorporeal circulation surgery: a recent and prospective study. World J Gastroenterol 2006; 12: 6722-6726.
49. Murphy GJ, Allen SM, Unsworth-White J., et al. Safety and efficacy of perioperative cell salvage and autotransfusion after coronary artery bypass grafting: a randomized trial. Ann Thorac Surg 2004; 77: 1553-1559.
50. Reents W., Babin-Ebell J., Misoph MR, et al. Influence of different autotransfusion devices on the quality of salvaged blood. Ann Thorac Surg 1999; 68: 58-62.
51. Wang G., Bainbridge D., Martin J., Cheng D. The efficacy of an intraoperative cell saver during cardiac surgery: a meta-analysis of randomized trials. Anesth Analg 2009; 109: 320-330.
52. Gu YJ, Vermeijden WJ, de Vries AJ, et al. Influence of mechanical cell salvage on red blood cell aggregation, deformability, and 2,3-diphosphoglycerate in patients undergoing cardiac surgery with cardiopulmonary bypass. Ann Thorac Surg 2008; 86: 1570-1575.
53. Society of Thoracic Surgeons Blood Conservation Guideline Task Force, Ferraris VA, Ferraris SP, Saha SP, et al. Perioperative blood transfusion and blood conservation in cardiac surgery: the Society of Thoracic Surgeons and the Society of Cardiovascular Anesthesiologists clinical practice guideline. Ann Thorac Surg 2007; 83 (5 Suppl). S27-86.