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research article

How to prevent venous cannula orifice obstruction during extracorporeal circulation

Abdel-Sayed, S.
•
Favre, J.  
•
Von Segesser, L. K.
2015
Perfusion-Uk

Venous cannula orifice obstruction is an underestimated problem during augmented cardiopulmonary bypass (CPB), which can potentially be reduced with redesigned, virtually wall-less cannula designs versus traditional percutaneous control venous cannulas. A bench model, allowing for simulation of the vena cava with various affluent orifices, venous collapse and a worst case scenario with regard to cannula position, was developed. Flow (Q) was measured sequentially for right atrial + hepatic + renal + iliac drainage scenarios, using a centrifugal pump and an experimental bench set-up (afterload 60 mmHg). At 1500, 2000 and 2500 RPM and atrial position, the Q values were 3.4, 6.03 and 8.01 versus 0.77*, 0.43* and 0.58* l/min: p<0.05* for wall-less and the Biomedicus((R)) cannula, respectively. The corresponding pressure values were -15.18, -31.62 and -74.53 versus -46.0*, -119.94* and -228.13* mmHg. At the hepatic position, the Q values were 3.34, 6.67 and 9.26 versus 2.3*, 0.42* and 0.18* l/min; and the pressure values were -10.32, -20.25 and -42.83 versus -23.35*, -119.09* and -239.38* mmHg. At the renal position, the Q values were 3.43, 6.56 and 8.64 versus 2.48*, 0.41* and 0.22* l/min and the pressure values were -9.64, -20.98 and -63.41 versus -20.87 -127.68* and -239* mmHg, respectively. At the iliac position, the Q values were 3.43, 6.01 and 9.25 versus 1.62*, 0.55* and 0.58* l/min; the pressure values were -9.36, -33.57 and -44.18 versus -30.6*, -120.27* and -228* mmHg, respectivly. Our experimental evaluation demonstrates that the redesigned, virtually wall-less cannulas, allowing for direct venous drainage at practically all intra-venous orifices, outperform the commercially available control cannula, with superior flow at reduced suction levels for all scenarios tested.

  • Details
  • Metrics
Type
research article
DOI
10.1177/0267659114560042
Web of Science ID

WOS:000351596400003

Author(s)
Abdel-Sayed, S.
Favre, J.  
Von Segesser, L. K.
Date Issued

2015

Publisher

Sage Publications Ltd

Published in
Perfusion-Uk
Volume

30

Issue

3

Start page

187

End page

194

Subjects

extracorporeal circulation

•

cardiopulmonary bypass

•

cannulation

•

venous drainage

•

augmentation

•

flow rate

•

negative pressure

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LMAM  
Available on Infoscience
May 29, 2015
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/114393
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