Document Detail


Air removal efficiency of a venous bubble trap in a minimal extracorporeal circuit during coronary artery bypass grafting.
MedLine Citation:
PMID:  20545664     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The use of minimized extracorporeal circuits (MECC) in cardiac surgery is expanding. These circuits eliminate volume storage and bubble trap reservoirs to minimize the circuit. However, this may increase the risk of gaseous micro emboli (GME). To reduce this risk, a venous bubble trap was designed. This study was performed to evaluate if incorporation of a venous bubble trap in a MECC system as compared to our standard minimized extracorporeal circuit without venous bubble trap reduces gaseous micro emboli during cardiopulmonary bypass (CPB). Forty patients were randomly assigned to be perfused either with or without an integrated venous bubble trap. After preliminary evaluation of the data of 23 patients, the study was terminated prior to study completion. The quantity and volume of GME were significantly lower in patients perfused with a venous bubble trap compared to patients perfused without a venous bubble trap. The present study demonstrates that a MECC system with a venous bubble trap significantly reduces the volume of GME and strongly reduces the quantity of large GME (>500 µm). Therefore, the use of a venous bubble trap in a MECC system is warranted.
Authors:
Tamara P A Roosenhoff; Marco C Stehouwer; Roel De Vroege; René P Butter; Wim-Jan Van Boven; Peter Bruins
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Artificial organs     Volume:  34     ISSN:  1525-1594     ISO Abbreviation:  Artif Organs     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-15     Completed Date:  2011-04-05     Revised Date:  2011-07-08    
Medline Journal Info:
Nlm Unique ID:  7802778     Medline TA:  Artif Organs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1092-8     Citation Subset:  IM    
Copyright Information:
© 2010, Copyright the Authors. Artificial Organs © 2010, International Center for Artificial Organs and Transplantation and Wiley Periodicals, Inc.
Affiliation:
Department of Extracorporeal Circulation, St. Antonius Hospital, Nieuwegein, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Aged
Coronary Artery Bypass / instrumentation*
Coronary Artery Disease / surgery*
Embolism, Air / surgery*
Equipment Design
Extracorporeal Circulation / instrumentation*
Female
Humans
Male
Middle Aged
Comments/Corrections
Comment In:
Artif Organs. 2011 May;35(5):554; author reply 555   [PMID:  21595724 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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