Self-expanding mini-cannula for remote perfusion with pediatric scenarios.

Details

Serval ID
serval:BIB_4A633E54986A
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Self-expanding mini-cannula for remote perfusion with pediatric scenarios.
Journal
Interactive Cardiovascular and Thoracic Surgery
Author(s)
Berdajs D.A., Bernandi E., Burki M., Hurni M., Tozzi P., Horisberger J., von Segesser L.K.
ISSN
1569-9285[electronic], 1569-9285[linking]
Publication state
Published
Issued date
2010
Volume
10
Number
6
Pages
873-876
Language
english
Abstract
The aim of this report is to address the benefits of the minimal invasive venous drainage in a pediatric cardio surgical scenario. Juvenile bovine experiments (67.4+/-11 kg) were performed. The right atrium was cannulated in a trans-jugular way by using the self-expandable (Smart Stat, 12/20F, 430 mm) venous cannula (Smartcannula LLC, Lausanne, Switzerland) vs. a 14F 250 mm (Polystan Lighthouse) standard pediatric venous cannula. Establishing the cardiopulmonary bypass (CPB), the blood flows were assessed for 20 mmHg, 30 mmHg and 40 mmHg of driving pressure. Venous drainage (flow in l/min) at 20 mmHg, 30 mmHg, and 40 mmHg drainage load was 0.26+/-0.1, 0.35+/-0.2 and 0.28+/-0.08 for the 14F standard vs. 1.31+/-0.22, 1.35+/-0.24 and 1.9+/-0.2 for the Smart Stat 12/20F cannula. The 43 cm self-expanding 12/20F Smartcannula outperforms the 14F standard cannula. The results described herein allow us to conclude that usage of the self-expanding Smartcannula also in the pediatric patients improves the flow and the drainage capacity, avoiding the insufficient and excessive drainage. We believe that similar results may be expected in the clinical settings.
Keywords
Animals, Animals, Newborn, Blood Pressure, Cardiac Surgical Procedures, Cardiopulmonary Bypass, Catheterization, Central Venous/instrumentation, Cattle, Equipment Design, Humans, Infant, Jugular Veins/physiology, Models, Animal, Perfusion/instrumentation, Regional Blood Flow
Pubmed
Web of science
Open Access
Yes
Create date
01/10/2010 19:54
Last modification date
20/08/2019 14:58
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