Vacuum-Assisted Venous Drainage in Complex Congenital Cardiac Surgery

Walther, Thomas; Tsang, VT; Hawkey, D.; Leval, Marc de

doi:10.1055/s-2002-26689

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…Concerns have been expressed about the exacerbation of arterial air embolism owing to entrainment of air in the venous system [Davila 2001;Carrier 2002;Walther 2002], but other authors have not experienced this as a problem. Carrier et al [2002] showed that vacuum-assisted venous drainage does not significantly increase air microembolism and was not associated with increased neurological risk following surgery.…”

Section: Introductionmentioning

confidence: 99%

Clinical Experience with Assisted Venous Drainage Cardiopulmonary Bypass in Elective Cardiac Reoperations

Nyawo¹,

Botha²,

Pillay³

et al. 2008

The Heart Surgery Forum

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Reoperative cardiac surgery is associated with substantial morbidity and mortality due to technical problems at sternal reentry, which can result in laceration of the right ventricle, innominate vein injury, or embolization from patent grafts. To minimize the risk associated with reentry, we adopted the method of assisted venous drainage in the cardiopulmonary bypass circuit with peripheral cannulation for cardiac reoperations. From March 1999 to May 2003, a series of 52 patients (38 males; mean age 48.7 years, range 4 months to 78 years) underwent cardiac reoperations performed with centrifugal pump venous-assisted cardiopulmonary bypass. EuroSCORE was 7.34 +/- 3.9 (range, 4-19). The reoperations were coronary artery bypass graft (25 patients), valve replacement/repair (18 patients), and complex pediatric procedures (11 patients). The studied adverse events were structural damage at reentry, mortality, blood loss, stroke, and hemolysis. Complications at sternotomy were damage to the innominate vein (1 patient) and aorta (1 patient) with blood loss of 625 and 225 mL, respectively. Four patients required intraaortic balloon pump or extracorporeal membrane oxygenation (n = 1) for hemodynamic support on weaning off cardiopulmonary bypass. Three patients died in the postoperative period. Our experience with centrifugal pump-assisted venous drainage in cardiac reoperations has shown excellent results, with reduced risk of damage to vital structures on sternal reentry. In cases in which structural damage did occur, blood loss was minimal.

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Section: Introductionmentioning

confidence: 99%

Clinical Experience with Assisted Venous Drainage Cardiopulmonary Bypass in Elective Cardiac Reoperations

Nyawo¹,

Botha²,

Pillay³

et al. 2008

The Heart Surgery Forum

View full text Add to dashboard Cite

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Venous drainage method for cardiopulmonary bypass in single-access minimally invasive cardiac surgery: siphon and vacuum-assisted drainage

et al. 2005

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Vacuum-assisted venous drainage (VAVD) can facilitate venous drainage in single-access minimally invasive cardiac surgery (SAMICS). We retrospectively examined the use of VAVD in SAMICS in our hospital for this report. VAVD has been performed according to a VAVD protocol since 2000. Data from the 110 patients who underwent SAMICS in our institute from January 2000 to June 2002 were reviewed retrospectively. The total negative pressure was maintained at no greater than -90 mmHg. Indications for use of VAVD (protocol) were: insufficient venous return by siphon drainage alone, persistent elevation of the central venous pressure (CVP), and, insufficient venous drainage in the operative field. Of 110 patients, 97 (88.2%) underwent VAVD. The body surface area was significantly smaller in the group that did not require VAVD (the non-VAVD group) than in the group that did (VAVD group) (VAVD group versus non-VAVD group: 1.586 +/- 0.175 versus 1.408 +/- 0.153 m(2), P < 0.001). Other factors such as cardiopulmonary bypass time, aortic cross-clamp time, postoperative maximum lactate dehydrogenase, postoperative maximum creatinine, postoperative maximum blood urea nitrogen were similar in the two groups. VAVD is necessary in SAMICS except for small patients. A VAVD total negative pressure of -90 mmHg did not hinder operative procedures or cause clinical problems.

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Vacuum-Assisted Venous Drainage in Complex Congenital Cardiac Surgery

Cited by 2 publications

References 4 publications

Clinical Experience with Assisted Venous Drainage Cardiopulmonary Bypass in Elective Cardiac Reoperations

Clinical Experience with Assisted Venous Drainage Cardiopulmonary Bypass in Elective Cardiac Reoperations

Venous drainage method for cardiopulmonary bypass in single-access minimally invasive cardiac surgery: siphon and vacuum-assisted drainage

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