Bubble Counter for Measurement of Air Bubbles During Thoracic Stent-Graft Deployment in a Flow Model.

Makaloski, Vladimir; Rohlffs, Fiona; Spanos, Konstantinos; Debus, Sebastian; Tsilimparis, Nikolaos; Kölbel, Tilo (2018). Bubble Counter for Measurement of Air Bubbles During Thoracic Stent-Graft Deployment in a Flow Model. The journal of surgical research, 232, pp. 121-127. Elsevier 10.1016/j.jss.2018.06.016

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BACKGROUND The aim of our study was to describe and validate the use of a bubble counter in an aortic flow model assessing the distribution of air bubbles in the supra-aortic vessel during thoracic stent-graft deployment. MATERIALS AND METHODS In an aortic flow model made by glass, identical tubular thoracic stent grafts (Zenith TX2 ProForm; Cook Medical, Bjaeverskov, Denmark) were deployed distal to the left subclavian artery. Four steps were defined during deployment: (1) introduction of the stent graft in the arch; (2) deployment of the stent graft; (3) proximal release of the stent graft; and (4) retrieval of the introduction system. On both sides, the common carotid and the vertebral artery were connected together, and the air bubbles were measured with one bubble counter probe per side. The number of air bubbles, as well as their size and distribution, is analyzed during these four steps for the left and right sides with a bubble counter. RESULTS Ten thoracic stent grafts were included in the study. The total number of air bubbles measured during all steps was significantly higher on the left side (1091 ± 255 versus 545 ± 288, P < 0.00001). During the third step, significantly higher numbers of bubbles were observed on the left side (P = 0.0000001) compared with the right side. The analysis of all bubbles by size revealed that a higher number of bubbles ranged 100-200 μm (P < 0.02) and 200-300 μm (P < 0.03) on the left side. Small bubbles were observed during all steps of deployment, whereas large bubbles appeared more commonly during the second and third steps. CONCLUSIONS A significant number of air bubbles are released during deployment of tubular thoracic stent grafts distally of the left subclavian artery in an aortic flow model. The distribution of air bubbles is bilateral with a higher number of air bubbles released on the left side.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery

UniBE Contributor:

Makaloski, Vladimir

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1095-8673

Publisher:

Elsevier

Language:

English

Submitter:

Daniela Huber

Date Deposited:

05 Feb 2019 09:56

Last Modified:

03 Dec 2019 23:46

Publisher DOI:

10.1016/j.jss.2018.06.016

PubMed ID:

30463707

Uncontrolled Keywords:

Aortic flow model Bubble counter Quantification of air bubbles Thoracic stent-graft deployment

BORIS DOI:

10.7892/boris.123099

URI:

https://boris.unibe.ch/id/eprint/123099

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