Wolfgang Harringer, MD The Annals of Thoracic Surgery

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Presentation transcript:

Capture of particulate emboli during cardiac procedures in which aortic cross-clamp is used Wolfgang Harringer, MD The Annals of Thoracic Surgery Volume 70, Issue 3, Pages 1119-1123 (September 2000) DOI: 10.1016/S0003-4975(00)01760-4

Fig 1 EMBOL-X Intraaortic Filtration System (EMBOL-X Inc, Mountain View, CA) showing filter cartridge inserted in cannula and filter mesh deployed. The Annals of Thoracic Surgery 2000 70, 1119-1123DOI: (10.1016/S0003-4975(00)01760-4)

Fig 2 Particulate found in filter mesh, gross visual examination at 10× magnification. (A) Particulate from 66-year-old male presenting with NYHA class 3–4. Procedure was a CABG × 3. Time on CPB = 85 minutes, cross-clamp time = 55 minutes, filter dwell time = 57 minutes. Histologic finding showed capture of fibrous atheroma. Patient recovered uneventfully. (B) Particulate from a 65-year-old male of NYHA class 2. Procedure was a CABG × 3. Time on CPB = 95 minutes, cross-clamp time = 72 minutes, filter dwell time = 25 minutes. Histologic findings included fibrous atheroma and thrombus/RBC. Patient recovered uneventfully. (C) Particulate from a 69-year-old male of NYHA class 3. Procedure was a CABG/valve combination. Time on CPB = 171 minutes, cross-clamp time = 106 minutes, filter dwell time = 45 minutes. Histologic findings indicated material was of fibrous atheromatous origin. Patient recovered uneventfully. The Annals of Thoracic Surgery 2000 70, 1119-1123DOI: (10.1016/S0003-4975(00)01760-4)

Fig 2 Particulate found in filter mesh, gross visual examination at 10× magnification. (A) Particulate from 66-year-old male presenting with NYHA class 3–4. Procedure was a CABG × 3. Time on CPB = 85 minutes, cross-clamp time = 55 minutes, filter dwell time = 57 minutes. Histologic finding showed capture of fibrous atheroma. Patient recovered uneventfully. (B) Particulate from a 65-year-old male of NYHA class 2. Procedure was a CABG × 3. Time on CPB = 95 minutes, cross-clamp time = 72 minutes, filter dwell time = 25 minutes. Histologic findings included fibrous atheroma and thrombus/RBC. Patient recovered uneventfully. (C) Particulate from a 69-year-old male of NYHA class 3. Procedure was a CABG/valve combination. Time on CPB = 171 minutes, cross-clamp time = 106 minutes, filter dwell time = 45 minutes. Histologic findings indicated material was of fibrous atheromatous origin. Patient recovered uneventfully. The Annals of Thoracic Surgery 2000 70, 1119-1123DOI: (10.1016/S0003-4975(00)01760-4)