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/ZeitungSCORING: ZeitschriftenaufsatzForschungBegutachtung

Harvard

APA

Vancouver

Bibtex

@article{b7fd2bd8e63c43a29503c911a43fff00,
title = "Carbon Dioxide Flushing Technique to Prevent Cerebral Arterial Air Embolism and Stroke During TEVAR",
abstract = "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.",
keywords = "Aged, Aged, 80 and over, Aortic Aneurysm, Thoracic/diagnostic imaging, Aortography/methods, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation/adverse effects, Carbon Dioxide/therapeutic use, Computed Tomography Angiography, Embolism, Air/etiology, Endovascular Procedures/adverse effects, Female, Humans, Male, Middle Aged, Prosthesis Design, Risk Factors, Stents, Stroke/etiology, Treatment Outcome",
author = "Tilo K{\"o}lbel and Fiona Rohlffs and Sabine Wipper and Carpenter, {Sebastian W} and Debus, {Eike Sebastian} and Nikolaos Tsilimparis",
note = "{\textcopyright} The Author(s) 2016.",
year = "2016",
month = apr,
doi = "10.1177/1526602816633705",
language = "English",
volume = "23",
pages = "393--395",
journal = "J ENDOVASC THER",
issn = "1526-6028",
publisher = "International Society of Endovascular Specialists",
number = "2",

}

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 -