PMID: 9533120Apr 9, 1998Paper

Total extrathoracic cardiopulmonary support with kinetic assisted venous drainage: experience in 50 patients

Perfusion
J M Toomasian, J P McCarthy

Abstract

Extrathoracic cardiopulmonary bypass is used in special situations when normal access to the right atrium and aorta is difficult or not practicable. Femero-femoral bypass using gravity drainage is effective for partial cardiopulmonary support, but cannot usually provide adequate venous drainage for full circulatory support. Kinetic assisted venous drainage (KAVD) is the process of applying a controlled suction on the venous line with a kinetic pump to augment venous drainage. KAVD has been used in 50 patients where femero-femoral bypass was selected as the mode of circulatory support. These cases included: redo-operations with significant sternal adhesions (15), minimally invasive port-access cardiac surgery (12), haemodynamic instability (10), left thoracotomy (10), and others (3). In 11 cases, a second venous catheter was added because of protocol. No appreciable increase in venous return occurred with the addition of a second drainage catheter. All patients were adequately supported and a 20-40% increase in venous return was observed once KAVD was implemented. A wide variety of different venous catheters have been used with KAVD. Optimal use relates to having a thin-walled catheter with multiple side holes, not exerting an e...Continue Reading

References

Oct 1, 1992·The Annals of Thoracic Surgery·J G HillC Banchieri
Sep 1, 1990·Journal of Cardiac Surgery·R E JonesL H Cohn
Jan 1, 1990·The Annals of Thoracic Surgery·R T ReichmanB E Jaski
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May 1, 1993·The Annals of Thoracic Surgery·L SolomonK Casey
Mar 1, 1997·Perfusion·J M ToomasianJ H Stevens

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Citations

Aug 18, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Y M NiL K von Segesser
May 6, 2010·Annals of Cardiac Anaesthesia·Sandeep Chauhan, Subin Sukesan
May 29, 2013·Anesthesiology Clinics·William Vernick, Pavan Atluri
Oct 26, 2010·The Annals of Thoracic Surgery·Shinya UgakiShunji Sano
Oct 20, 1999·Journal of Cardiothoracic and Vascular Anesthesia·J CoddensH Vanermen
Apr 20, 2001·The Annals of Thoracic Surgery·J W OjitoR P Burke
Nov 5, 2014·Interactive Cardiovascular and Thoracic Surgery·Liang LiLudwig K von Segesser
Jun 11, 2015·Best Practice & Research. Clinical Anaesthesiology·Eugene A Hessel
Nov 21, 2007·Perfusion·William RileyLawrence Cohn
Mar 1, 2012·Seminars in Cardiothoracic and Vascular Anesthesia·William J Vernick, Joseph Y Woo
Apr 15, 2014·Seminars in Cardiothoracic and Vascular Anesthesia·Eugene A Hessel
Aug 2, 2014·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Mhedi BelkonieneLudwig-Karl von Segesser
Nov 11, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·D JeggerL K von Segesser
Aug 24, 1999·Perfusion·J M Toomasian

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