Efficiency of an Air Filter at the Drainage Site in a Closed Circuit with a Centrifugal Blood Pump: An In Vitro Study

In a closed circuit with a centrifugal blood pump, one of the serious obstacles to clinical application is sucking of air bubbles into the drainage circuit. The goal of this study was to investigate the efficiency of an air filter at the drainage site. We used whole bovine blood and the experimental circuit consisted of a drainage circuit, two air filters, a centrifugal blood pump, a membrane oxygenator, a return circuit, and a reservoir. Air was injected into the drainage circuit with a roller pump, and the number and size of air bubbles were measured. The air filter at the drainage site could remove the air bubbles (>40 &mgr;m) by itself, but adding a vacuum removed more bubbles (>40 &mgr;m) than without vacuum. Our results suggest that an air filter at the drainage site could effectively remove air bubbles, and that adding the filter in a closed circuit with a centrifugal blood pump would be safer.

[1]  R. Yozu,et al.  Closed circuit cardiopulmonary bypass with centrifugal pump for open-heart surgery: new trial for air removal. , 2000, Artificial organs.

[2]  R. Yozu,et al.  Development of a completely closed circuit using an air filter in a drainage circuit for minimally invasive cardiac surgery. , 2000, Artificial Organs.

[3]  M. Borger,et al.  Cerebral microemboli during cardiopulmonary bypass: increased emboli during perfusionist interventions. , 1999, The Annals of thoracic surgery.

[4]  Y. Tomizawa,et al.  Comparative study of biocompatibility between the open circuit and closed circuit in cardiopulmonary bypass. , 1999, Artificial organs.

[5]  S. Allen,et al.  Cooling gradients and formation of gaseous microemboli with cardiopulmonary bypass: an echocardiographic study. , 1997, The Annals of thoracic surgery.

[6]  T. Treasure,et al.  The Impact of Microemboli During Cardiopulmonary Bypass on Neuropsychological Functioning , 1994, Stroke.

[7]  D. Prough,et al.  Significance of Gaseous Microemboli in the Cerebral Circulation During Cardiopulmonary Bypass in Dogs , 1993, Circulation.

[8]  J. Crouse B‐Mode Ultrasound in Clinical Trials Answers and Questions , 1993, Circulation.

[9]  J. Gaer,et al.  Intraabdominal complications after cardiopulmonary bypass. , 1991, The Annals of thoracic surgery.

[10]  L. Marshall Filtration in cardiopulmonary bypass: past, present and future , 1988 .

[11]  T. Thorsen,et al.  A method for production of N2 microbubbles in platelet-rich plasma in an aggregometer-like apparatus, and effect on the platelet density in vitro. , 1986, Undersea biomedical research.

[12]  C. Junqué,et al.  Arterial line filtration during cardiopulmonary bypass. Neurologic, neuropsychologic, and hematologic studies. , 1986, The Journal of thoracic and cardiovascular surgery.

[13]  Jdw Pathophysiology and Techniques of Cardiopulmonary Bypass , 1984 .

[14]  B. G. Wisoff,et al.  The effect of arterial filtration during open heart surgery on cerebral function. , 1983, Circulation.

[15]  T. Åberg,et al.  Cerebral protection during open-heart surgery. , 1977, Thorax.

[16]  M. Branthwaite Prevention of neurological damage during open-heart surgery. , 1973, Thorax.