Carbon Dioxide Flushing Technique to Prevent Cerebral Arterial Air Embolism and Stroke During TEVAR
Standard
Carbon Dioxide Flushing Technique to Prevent Cerebral Arterial Air Embolism and Stroke During TEVAR. / Kölbel, Tilo; Rohlffs, Fiona; Wipper, Sabine; Carpenter, Sebastian W; Debus, Eike Sebastian; Tsilimparis, Nikolaos.
in: J ENDOVASC THER, Jahrgang 23, Nr. 2, 04.2016, S. 393-395.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Carbon Dioxide Flushing Technique to Prevent Cerebral Arterial Air Embolism and Stroke During TEVAR
AU - Kölbel, Tilo
AU - Rohlffs, Fiona
AU - Wipper, Sabine
AU - Carpenter, Sebastian W
AU - Debus, Eike Sebastian
AU - Tsilimparis, Nikolaos
N1 - © The Author(s) 2016.
PY - 2016/4
Y1 - 2016/4
N2 - PURPOSE: To describe the technique of carbon dioxide (CO2) flushing of thoracic stent-grafts to reduce the risk of cerebral air embolism.TECHNIQUE: To remove room air, thoracic stent-grafts were preoperatively flushed 2 minutes with carbon dioxide from a cylinder connected to the flushing chamber of the captor valves of Zenith custom-made endografts; this was followed by the standard saline flush. Thirty-six patients undergoing thoracic endovascular aortic repairs (TEVAR) involving the ascending aorta and the aortic arch received CO2-flushed Zenith endografts. One patient with a highly calcified arch experienced a minor stroke.CONCLUSION: Arterial air embolism is a potentially underappreciated problem of aortic endografting, especially in the proximal segments of the aorta. CO2 flushing may have the potential to reduce air embolization during TEVAR.
AB - PURPOSE: To describe the technique of carbon dioxide (CO2) flushing of thoracic stent-grafts to reduce the risk of cerebral air embolism.TECHNIQUE: To remove room air, thoracic stent-grafts were preoperatively flushed 2 minutes with carbon dioxide from a cylinder connected to the flushing chamber of the captor valves of Zenith custom-made endografts; this was followed by the standard saline flush. Thirty-six patients undergoing thoracic endovascular aortic repairs (TEVAR) involving the ascending aorta and the aortic arch received CO2-flushed Zenith endografts. One patient with a highly calcified arch experienced a minor stroke.CONCLUSION: Arterial air embolism is a potentially underappreciated problem of aortic endografting, especially in the proximal segments of the aorta. CO2 flushing may have the potential to reduce air embolization during TEVAR.
KW - Aged
KW - Aged, 80 and over
KW - Aortic Aneurysm, Thoracic/diagnostic imaging
KW - Aortography/methods
KW - Blood Vessel Prosthesis
KW - Blood Vessel Prosthesis Implantation/adverse effects
KW - Carbon Dioxide/therapeutic use
KW - Computed Tomography Angiography
KW - Embolism, Air/etiology
KW - Endovascular Procedures/adverse effects
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Prosthesis Design
KW - Risk Factors
KW - Stents
KW - Stroke/etiology
KW - Treatment Outcome
U2 - 10.1177/1526602816633705
DO - 10.1177/1526602816633705
M3 - SCORING: Journal article
C2 - 26896417
VL - 23
SP - 393
EP - 395
JO - J ENDOVASC THER
JF - J ENDOVASC THER
SN - 1526-6028
IS - 2
ER -