Angelo LaPietra, MD, Eugene A. Grossi, MD, Bradley B. Pua, BS, Rick A

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Presentation transcript:

Assisted venous drainage presents the risk of undetected air microembolism Angelo LaPietra, MD, Eugene A. Grossi, MD, Bradley B. Pua, BS, Rick A. Esposito, MD, Aubrey C. Galloway, MD, Christopher C. Derivaux, MD, Lawrence R. Glassman, MD, Alfred T. Culliford, MD, Greg H. Ribakove, MD, Stephen B. Colvin, MD The Journal of Thoracic and Cardiovascular Surgery Volume 120, Issue 5, Pages 856-863 (November 2000) DOI: 10.1067/mtc.2000.110183 Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions

Fig. 1 A, Vacuum-augmented venous return CPB circuit. *Arterial pump was alternated between roller and centrifugal for each part of the experiment. HSVR, Affinity hard shell venous reservoir. B, Kinetically augmented venous return CPB circuit. *Arterial pump was alternated between roller and centrifugal for each part of the experiment. Soft-Shell, Soft shell venous reservoir. The Journal of Thoracic and Cardiovascular Surgery 2000 120, 856-863DOI: (10.1067/mtc.2000.110183) Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions

Fig. 2 Total microbubbles at different CPB circuit sites for all vacuum levels. Pre-Art., Pre-arterial, Post-Art., post-arterial; Post-oxy, post-oxygenator. *Statistically significant overall effect of arterial pump type. The Journal of Thoracic and Cardiovascular Surgery 2000 120, 856-863DOI: (10.1067/mtc.2000.110183) Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions

Fig. 3 A, Effect of arterial pump type and vacuum pressure on microbubbles 50 μm or less in diameter after arterial cannula. *Statistically significant overall effect of vacuum pressure. **Statistically significant overall effect of arterial pump type. B, Effect of arterial pump type and vacuum pressure on microbubbles 50 to 100 μm in diameter after arterial cannulation. *Statistically significant overall effect of vacuum pressure. **Statistically significant overall effect of arterial pump type. C, Effect of arterial pump type and vacuum pressure on microbubble flow after arterial cannula. *Statistically significant overall effect of vacuum pressure. **Statistically significant overall effect of arterial pump type. The Journal of Thoracic and Cardiovascular Surgery 2000 120, 856-863DOI: (10.1067/mtc.2000.110183) Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions