Clinical evaluation of the air removal characteristics of an oxygenator with integrated arterial filter in a minimized extracorporeal circuit

International Journal of Artificial Organs

Volumn 34, Issue 4, 2011, Pages 374-382

  Stehouwer, Marco C ^a   Boers, Chris ^a   de Vroege, Roel ^b   Kelder, Johannes C ^a   Yilmaz, Alaaddin ^a   Bruins, Peter ^a  

^a ST ANTONIUS HOSPITAL   (Netherlands)

^b HAGA HOSPITAL   (Netherlands)

Author keywords

Arterial filter; Cardiopulmonary bypass; Gaseous microemboli; Minimized extracorporeal circuits; Safety

Indexed keywords

BANDPASS FILTERS; BIOCOMPATIBILITY; DIGITAL STORAGE; SAFETY ENGINEERING;

AIR REMOVAL; ARTERIAL FILTERS; BUBBLE-TRAP; CARDIOPULMONARY BYPASS; CIRCUIT SYSTEMS; EXTRACORPOREAL CIRCUITS; GASEOUS MICROEMBOLUS; MICROEMBOLI; MINIMIZED EXTRACORPOREAL CIRCUIT; REMOVAL CHARACTERISTICS;

TIMING CIRCUITS;

ADULT; AGED; AIR; ARTICLE; BIOCOMPATIBILITY; BLOOD FILTER; BLOOD PUMP; CARDIOPULMONARY BYPASS; CLINICAL ARTICLE; EXTRACORPOREAL CIRCULATION; FEMALE; GAS EMBOLISM; HEART SURGERY; HUMAN; MALE; OFF PUMP CORONARY SURGERY; OXYGENATOR; PATIENT SAFETY; RANDOMIZED CONTROLLED TRIAL;

EID: 79955647803     PISSN: 03913988     EISSN: None     Source Type: Journal    
DOI: 10.5301/IJAO.2011.7749     Document Type: Article

References (29)

1. Borger MA, Peniston CM, Weisel RD, Vasiliou M, Green RE, Feindel CM. Neuropsychologic impairment after coronary bypass surgery: effect of gaseous microemboli during perfusionist interventions. J Thorac Cardiovasc Surg. 2001;121(4):743-749. Medline. doi:10.1067/ mtc.2001.112526
2. 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(1):89-93. Medline. doi:10.1016/S0003-4975(99)00475-0
3. Rodriguez RA, Williams KA, Babaev A, Rubens F, Nathan HJ. Effect of perfusionist technique on cerebral embolization during cardiopulmonary bypass. Perfusion. 2005;20(1):3-10. Medline. doi:10.1191/0267659105pf778oa
4. Muth CM, Shank ES. Gas embolism. N Engl J Med 2000;17;342(7):476-482.
5. Barak M, Katz Y. Microbubbles: pathophysiology and clinical implications. Chest. 2005;128(4):2918-2932. Medline. doi:10.1378/chest.128.4.2918
6. Jones TJ, Deal DD, Vernon JC, Blackburn N, Stump DA. How effective are cardiopulmonary bypass circuits at removing gaseous microemboli? J Extra Corpor Technol. 2002;34(1):34-39. Medline.
7. Mueller XM, Tevaearai HT, Jegger D, Augstburger M, Burki M, von Segesser LK. Ex vivo testing of the Quart arterial line filter. Perfusion. 1999;14(6):481-487 Medline.
8. Goritz S, Schelkle H, Rein JG, Urbanek S. Dynamic bubble trap can replace an arterial filter during cardiopulmonary bypass surgery. Perfusion. 2006;21(6):367-371. Medline. doi:10.1177/0267659106070564
9. Gerriets T, Schwarz N, Sammer G, et al. Protecting the brain from gaseous and solid micro-emboli during coronary artery bypass grafting: a randomized controlled trial. Eur Heart J. 2010;31(3):360-368. Medline. doi:10.1093/eurheartj/ehp178
10. Norman MJ, Sistino JJ, Acsell JR. The effectiveness of lowprime cardiopulmonary bypass circuits at removing gaseous emboli. J Extra Corpor Technol. 2004;36(4):336-342 Medline.
11. Roosenhoff TP, Stehouwer MC, Vroege de R, Butter RP, Boven van W-J, Bruins P. Air removal efficiency of a venous bubble trap in a minimal extracorporeal circuit during coronary artery bypass grafting. Artif Organs. 2010;34(12):1092-8. Medline. doi: 10.1111/j.1525-1594.2009.00986.x.
12. Calafiore AM, Mezzetti A, Bosco G, et al. Intermittent antegrade warm blood cardioplegia. Ann Thorac Surg. 1995;59(2):398-402. Medline. doi:10.1016/0003-4975(94)00843-V
13. 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(6):2172-2175. Medline.doi:10.1016/S0003-4975(03)00977-9
14. Wiesenack C, Liebold A, Philipp A, et al. Four years' experience with a miniaturized extracorporeal circulation system and its influence on clinical outcome. Artif Organs. 2004;28(12):1082-1088. Medline. doi:10.1111/j.1525-1594.2004.00030.x
15. Zangrillo A, Garozzo FA, Biondi-Zoccai G, et al. Miniaturized cardiopulmonary bypass improves short-term outcome in cardiac surgery: a meta-analysis of randomized controlled studies. J Thorac Cardiovasc Surg. 2010;139(5):1162-1169. Medline. doi:10.1016/j.jtcvs.2009.07.048
16. 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(2):268-276. Medline. doi:10.1016/j.jtcvs.2005.09.023
17. Perthel M, El-Ayoubi L, Bendisch A, Laas J, Gerigk M. Clinical advantages of using mini-bypass systems in terms of blood product use, postoperative bleeding and air entrainment: an in vivo clinical perspective. Eur J Cardiothorac Surg. 2007;31(6):1070-1075. Medline. doi:10.1016/j.ejcts.2007.01.065
18. Stock UA, Muller T, Bienek R, Krause H, Hartrumpf M, Albes J. Deairing of the venous drainage in standard extracorporeal circulation results in a profound reduction of arterial micro bubbles. Thorac Cardiovasc Surg. 2006;54(1):39-41. Medline. doi:10.1055/s-2005-865874
19. Nollert G, Schwabenland I, Maktav D, et al. Miniaturized cardiopulmonary bypass in coronary artery bypass surgery: marginal impact on inflammation and coagulation but loss of safety margins. Ann Thorac Surg. 2005;80(6):2326-2332. Medline. doi:10.1016/j.athoracsur.2005.05.080
20. Guan Y, Su X, McCoach R, Wise R, Kunselman A, Undar A. Evaluation of Quadrox-i adult hollow fiber oxygenator with integrated arterial filter. J Extra Corpor Technol. 2010;42:134-138. Medline.
21. Myers GJ, Voorhees C, Haynes R, Eke B. Post-Arterial filter gaseous microemboli activity of five integral cardiotomy reservoirs during venting: An in vitro study. J Extra Corpor Technol. 2009;41(1):20-27. Medline.
22. Jirschik M, Keyl C, Beyersdorf F. A clinical comparison of bubble elimination in Quadrox and Polystan oxygenators. Perfusion. 2009;24(6):423-427. Medline.doi:10.1177/0267659109358206
23. Perthel M, Kseibi S, Sagebiel F, Alken A, Laas J. Comparison of conventional extracorporeal circulation and minimal extracorporeal circulation with respect to microbubbles and microembolic signals. Perfusion. 2005;20(6):329-333. Medline.doi:10.1191/0267659105pf828oa
24. Branger AB, Eckmann DM. Theoretical and experimental intravascular gas embolism absorption dynamics. J Appl Physiol. 1999;87(4):1287-1295. Medline.
25. Habib RH, Zacharias A, Schwann TA, Riordan CJ, Durham SJ, Shah A. Adverse effects of low hematocrit during cardiopulmonary bypass in the adult: should current practice be changed? J Thorac Cardiovasc Surg. 2003;125(6):1438-1450. Medline. doi:10.1016/S0022-5223(02)73291-1
26. Miura T, Sakamoto T, Kobayashi M, Shin'oka T, Kurosawa H. Hemodilutional anemia impairs neurologic outcome after cardiopulmonary bypass in a piglet model. J Thorac Cardiovasc Surg. 2007;133(1):29-36. Medline. doi:10.1016/j.jtcvs.2006.08.048
27. van Boven WJ, Gerritsen WB, Waanders FG, Haas FJ, Aarts LP. Mini extracorporeal circuit for coronary artery bypass grafting: initial clinical and biochemical results: a comparison with conventional and off-pump coronary artery bypass grafts concerning global oxidative stress and alveolar function. Perfusion. 2004;19(4):239-246. Medline.doi:10.1191/0267659104pf746oa
28. De Somer FM, Vetrano MR, Van Beeck JP, van Nooten GJ. Extracorporeal bubbles: a word of caution. Interact Cardiovasc Thorac Surg. 2010;10:995-1001. Medline. doi:10.1510/icvts.2009.229088
29. Schultz M, Klaua R, Oblonczek G. eComment: Ultrasonic bubble detection: Some additional information. Interact Cardiovasc Thorac Surg. 2010;10:1001-2. Medline. doi:10.1510/icvts.2009.229088A