Search for dissertations about: "gaseous cerebral microemboli"

Found 2 swedish dissertations containing the words gaseous cerebral microemboli.

  1. 1. Lund Concept for De-airing of the Left Heart. Clinical Evaluation

    Author : Maya Landenhed Smith; Thoraxkirurgi; []
    Keywords : open left heart surgery; de-airing; gaseous cerebral microemboli; transcranial Doppler sonography;

    Abstract : Background: Residual air accumulated air in the pulmonary veins constitutes a challenge to achievment of complete de-airing in open left heart surgery. To adress this problem, a conceptual method for de-airing was developed in Lund comprising bilateral opening of the pleurae to induce pulmonary collapse and a strategy with gradual pulmonary reperfusion and ventilation at weaning from cardiopulmonary bypass (CPB). READ MORE

  2. 2. Measures to prevent microembolization in cardiac surgery and during angiography with special reference to carbon dioxide

    Author : Jesper Nyman; Karolinska Institutet; Karolinska Institutet; []
    Keywords : ;

    Abstract : Background: Cardiovascular interventions including open heart surgery using cardiopulmonary bypass (CPB) and coronary angiography may introduce air and particulate arterial embolism that may lead to tissue lesions of the brain and other organs. Aims: To assess: if CO2-insufflation of an empty CPB circuit decreases number of gaseous emboli in the prime compared with a conventional CPB circuit, which holds air before fluid priming (Study I); the efficacy of a new mini-diffuser device for CO2 de-airing in a minimally invasive open cardiothoracic wound cavity model and in patients undergoing minimally invasive open aortic valve surgery (Study II); if an extra separate venous reservoir abolishes CO2-insufflation induced hypercapnia and retains sweep gas flow of the oxygenator constant during open heart surgery (Study III); if there is a difference in the incidence of cerebral microemboli when using either the femoral or the radial approach during coronary angiography (Study IV). READ MORE