The impact of increasing saline flush volume to reduce the amount of residual air in the delivery system of aortic prostheses – a randomized controlled trial Article Swipe
András Szentiványi
,
Sarolta Borzsák
,
Milán Vecsey-Nagy
,
András Süvegh
,
Artúr Hüttl
,
Daniele Mariastefano Fontanini
,
Zoltán Szeberin
,
Csaba Csobay-Novák
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-2815976/v1
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-2815976/v1
Air embolism during thoracic endovascular aortic repair (TEVAR) is associated to an incomplete deairing of the delivery system (DS) despite the saline lavage recommended by the instructions for use (IFU). As the DSs are identical, endovascular aortic repair (EVAR) can be used to examine the effectiveness of deairing maneuvers. We aimed to evaluate if a more complete deairing can be achieved with increasing the flush volume. EVAR patients were randomised according to flushing volume (Group A:1xIFU & Group B: 4xIFU). Air trapped in the aneurysm sac was quantified on pre-discharge CTA. 30 patients were enrolled and equally distributed between the two groups. There were no differences in any demographic or anatomical factors. Presence of air was less frequent in Group A than in Group B (7 (47%) vs. 13 (87%), p = .02), volume of air was less in Group A compared to Group B (103.5 ± 210.4 vs. 175.5 ± 175.0 mm3, p = .04). Volume of trapped air was higher with Anaconda graft type (p = .025). Increased flushing volume is associated with more trapped air, thus following the IFU might be associated with smaller risk of air embolization. Significant differences were identified between devices regarding the amount of trapped air.
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Metadata
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.21203/rs.3.rs-2815976/v1
- https://www.researchsquare.com/article/rs-2815976/latest.pdf
- OA Status
- green
- References
- 18
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4382049790
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4382049790Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.21203/rs.3.rs-2815976/v1Digital Object Identifier
- Title
-
The impact of increasing saline flush volume to reduce the amount of residual air in the delivery system of aortic prostheses – a randomized controlled trialWork title
- Type
-
preprintOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-06-26Full publication date if available
- Authors
-
András Szentiványi, Sarolta Borzsák, Milán Vecsey-Nagy, András Süvegh, Artúr Hüttl, Daniele Mariastefano Fontanini, Zoltán Szeberin, Csaba Csobay-NovákList of authors in order
- Landing page
-
https://doi.org/10.21203/rs.3.rs-2815976/v1Publisher landing page
- PDF URL
-
https://www.researchsquare.com/article/rs-2815976/latest.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://www.researchsquare.com/article/rs-2815976/latest.pdfDirect OA link when available
- Concepts
-
Flushing, Medicine, Saline, Air embolism, Embolization, Volume (thermodynamics), Aortic repair, Surgery, Anesthesia, Aneurysm, Complication, Physics, Endocrinology, Quantum mechanicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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18Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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