Can minimized cardiopulmonary bypass systems be safer?

Perfusion

Volumn 27, Issue 3, 2012, Pages 176-184

  Ganushchak, Y M ^a   Severdija E E ^a   Simons, A P ^a   Van Garsse, L ^a   Weerwind, P W ^a  

^a MAASTRICHT UNIVERSITY   (Netherlands)

Author keywords

Better Bladder; gaseous emboli; minimizing CPB; venous line pressure; volume buffer capacity

Indexed keywords

ARTICLE; ARTIFICIAL EMBOLISM; ATMOSPHERIC PRESSURE; CARDIOPULMONARY BYPASS; HUMAN; MINIMIZED CARDIOPULMONARY BYPASS; PATIENT SAFETY; PRIORITY JOURNAL; VENOUS PRESSURE;

ATMOSPHERIC PRESSURE; CARDIOPULMONARY BYPASS; HUMANS; KINETICS; PERFUSION;

EID: 84860429237     PISSN: 02676591     EISSN: 1477111X     Source Type: Journal    
DOI: 10.1177/0267659112437902     Document Type: Article

References (30)

1. Anastasiadis K, Asteriou C, Deliopoulos A, et al. Haematological effects of minimized compared to conventional extracorporeal circulation after coronary revascularization procedures. Perfusion. 2010 ; 25: 197-203
2. Benedetto U, Angeloni E, Refice S, et al. Is minimized extracorporeal circulation effective to reduce the need for red blood cell transfusion in coronary artery bypass grafting? Meta-analysis of randomized controlled trials. J Thorac Cardiovasc Surg. 2009 ; 138: 1450-1453
3. Vohra HA, Whistance R, Modi A, Ohri SK. The inflammatory response to miniaturised extracorporeal circulation: a review of the literature. Mediators Inflamm. 2009 ; 2009: 707042
4. Immer FF, Ackermann A, Gygax E, et al. Minimal extracorporeal circulation is a promising technique for coronary artery bypass grafting. Ann Thorac Surg. 2007 ; 84: 1515-1520
5. 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: 2326-2332
6. Simons AP, Reesink KD, Lance MD, et al. Dynamic filling index: a novel parameter to monitor circulatory filling during minimized extracorporeal bypass. Eur J Cardiothorac Surg. 2009 ; 36: 330-334
7. Wang S, Undar A. Vacuum-assisted venous drainage and gaseous microemboli in cardiopulmonary bypass. J Extra Corpor Technol. 2008 ; 40: 249-256
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: 856-862
9. 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: 1285-1289
10. Norman MJ, Sistino JJ, Acsell JR. The effectiveness of low-prime cardiopulmonary bypass circuits at removing gaseous emboli. J Extra Corpor Technol. 2004 ; 36: 336-342
11. 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: 34-39
12. Huybregts RM, Veerman DP, Vonk AB, et al. First clinical experience with the air purge control and electrical remote-controlled tubing clamp in mini bypass. Artificial organs. 2006 ; 30: 721-724
13. 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: 692-695
14. 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: 442-445
15. Issitt RW, Mulholland JW, Oliver MD, et al. Aortic surgery using total miniaturized cardiopulmonary bypass. Ann Thorac Surg. 2008 ; 86: 627-631
16. Kutschka I, Schonrock U, El Essawi A, Pahari D, Anssar M, Harringer W. A new minimized perfusion circuit provides highly effective ultrasound controlled deairing. Artif Organs. 2007 ; 31: 215-220
17. Roosenhoff TP, Stehouwer MC, De Vroege R, Butter RP, Van Boven WJ, Bruins P. Air removal efficiency of a venous bubble trap in a minimal extracorporeal circuit during coronary artery bypass grafting. Artif Organs. 2010 ; 34: 1092-1098
18. 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: 160-165
19. Tamari Y, Lee-Sensiba K, Ganju R, Chan R, Hall MH. A new bladder allows kinetic venous augmentation with a roller pump. Perfusion. 1999 ; 14: 453-459
20. Sauren L, Mooren E, Severdija E, Weerwind P, Maessen J. Emboli occurrence during coronary artery bypass surgery: the influence of a new method of perfusionist blood sampling. Perfusion. 2008 ; 23: 261-265
21. 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: 89-93
22. Butler BD. Gaseous micro emboli: concepts and considerations. J Extra Corpor Technol. 1983 ; 15: 148-155
23. Willcox TW, Mitchell SJ. Microemboli in our bypass circuits: a contemporary audit. J Extra Corpor Technol. 2009 ; 41: P31-37
24. 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
25. Norman MJ, Sistino JJ, Acsell JR. The effectiveness of low-prime cardiopulmonary bypass circuits at removing gaseous emboli. J Extra Corpor Technol. 2004 ; 36: 336-342
26. Murkin JM. Pulsatile versus nonpulsatile perfusion revisited. J Card Surg. 2006 ; 21: 355-356
27. Fromes Y, Gaillard D, Ponzio O, et al. Reduction of the inflammatory response following coronary bypass grafting with total minimal extracorporeal circulation. Eur J Cardiothorac Surg. 2002 ; 22: 527-533
28. Pedersen TH, Videm V, Svennevig JL, et al. Extracorporeal membrane oxygenation using a centrifugal pump and a servo regulator to prevent negative inlet pressure. Ann Thorac Surg. 1997 ; 63: 1333-1339
29. Simons AP, Reesink KD, Lance MD, et al. Reserve-driven flow control for extracorporeal life support: proof of principle. Perfusion. 2010 ; 25: 25-29
30. Simons AP, Ganushchak Y, Wortel P, et al. Laboratory performance testing of venous cannulae during inlet obstruction. Artif Organs. 2008 ; 32: 566-571