A new expandable cannula to increase venous return during peripheral access cardiopulmonary bypass surgery.

Details

Serval ID
serval:BIB_857ECF28EBCA
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
A new expandable cannula to increase venous return during peripheral access cardiopulmonary bypass surgery.
Journal
International Journal of Artificial Organs
Author(s)
Jegger D., Mueller X., Mucciolo G., Mucciolo A., Boone Y., Seigneul I., Horisberger J., von Segesser L.K.
ISSN
0391-3988 (Print)
ISSN-L
0391-3988
Publication state
Published
Issued date
2002
Volume
25
Number
2
Pages
136-140
Language
english
Notes
Publication types: Comparative Study ; Evaluation Studies ; Journal Article
Publication Status: ppublish
Abstract
Peripheral cannulation for cardiopulmonary bypass (CPB) is of prime interest in minimally invasive open heart surgery. As CPB is initiated with percutaneous cannulae, venous drainage is impeded due to smaller vessel and cannula size. A new cannula was developed which can change shape in situ and therefore may improve venous drainage. An in vitro circuit was set-up with a penrose latex tubing placed between the preload reservoir and the cannula, encasing the cannula's inlet and simulating the vena cava. The preload (P) was stabilised at 2 and at 5 mmHg respectively. The maximum flow rate was determined for 4 conditions: passive venous drainage (PVD) and assisted venous drainage (AVD) using a centrifugal pump at the 2 preload settings. We compared the results of the prototype cannula to classical femoral venous cannulae: basket 28Fr, a thoracic 28Fr and a percutaneous 27Fr. Under PVD conditions and a CVP of 2 mmHg, the prototype cannula's flow rate outperformed the next best cannula by 14% (p=0.0002) and 13% under AVD conditions (p=0.0001). Under PVD conditions and a CVP of 5 mmHg, the prototype cannula outperformed the percutaneous cannula by 19% (p=0.0001) and 14% under AVD conditions (p=0.0002). The new cannula outperforms the classical percutaneous venous cannulae during all of the four conditions tested in vitro.
Keywords
Cardiopulmonary Bypass/instrumentation, Cardiopulmonary Bypass/methods, Catheterization/instrumentation, Equipment Design, Humans, Surgical Procedures, Minimally Invasive/instrumentation, Surgical Procedures, Minimally Invasive/methods
Pubmed
Web of science
Create date
28/01/2008 10:28
Last modification date
20/08/2019 15:44
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