Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Vacuum-assisted venous return reduces blood usage.

Michael K Banbury1, Jennifer A White, Eugene H Blackstone

  • 1Departments of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, 9500 Euclid Avenue/Desk F25, Cleveland, OH 44195, USA. banburm@ccf.org

The Journal of Thoracic and Cardiovascular Surgery
|September 23, 2003
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Sex Differences in the Etiology of Surgical Mitral Valve Disease.

Circulation·2018
Same author

The COMMENCE trial: 2-year outcomes with an aortic bioprosthesis with RESILIA tissue.

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery·2017
Same author

Cancer of the esophagus and esophagogastric junction-Major changes in the American Joint Committee on Cancer eighth edition cancer staging manual.

CA: a cancer journal for clinicians·2017
Same author

Documentation of vital status in the United States of America.

The Journal of thoracic and cardiovascular surgery·2017
Same author

Bilateral versus Single Internal-Thoracic-Artery Grafts.

The New England journal of medicine·2017
Same author

8th edition AJCC/UICC staging of cancers of the esophagus and esophagogastric junction: application to clinical practice.

Annals of cardiothoracic surgery·2017

Vacuum-assisted venous return significantly improves patient outcomes by increasing hematocrit levels and reducing the need for red blood cell and total blood product transfusions during cardiac surgery.

Area of Science:

  • Cardiovascular Surgery
  • Medical Device Technology
  • Anesthesiology

Background:

  • Conventional gravity drainage in cardiac surgery necessitates larger cannulas and longer tubing.
  • Vacuum-assisted venous return (VAVR) offers a potential alternative to gravity drainage.
  • Previous VAVR versions allowed for smaller cannulas and shorter tubing, but clinical advantages beyond this were unclear.

Purpose of the Study:

  • To evaluate the clinical advantages of VAVR compared to conventional gravity drainage.
  • To assess if VAVR offers benefits beyond enabling smaller cannulas and shorter tubing.
  • To compare priming volume, hematocrit, and blood product usage between VAVR and gravity drainage techniques.

Main Methods:

  • A comparative study involving 150 valve operations using small-cannula VAVR.

Related Experiment Videos

  • Comparison groups included prior VAVR implementations (83 operations) and conventional gravity drainage (124 operations).
  • Multivariable analysis, covariate adjustment, and propensity-matched pairs were used to compare priming volume, hematocrit, and blood product usage.

    • Main Results:

    • VAVR with small cannulas resulted in significantly lower priming volumes (1.4 L) compared to initial VAVR (1.7 L) and gravity drainage (2.0 L).
    • Higher hematocrit values were observed during cardiopulmonary bypass with VAVR.
    • Red cell and total blood product usage were significantly reduced in patients undergoing VAVR (17% and 19%, respectively) compared to gravity drainage (37% and 39%, respectively).

    Conclusions:

    • Vacuum-assisted venous return leads to higher hematocrit values during cardiopulmonary bypass.
    • VAVR significantly decreases the requirement for red cell and total blood product transfusions.
    • These findings highlight VAVR as a beneficial technique in cardiac surgery, independent of cannula size or tubing length.