Commentary: How to Deal With Air Released From Thoracic Endografts: Ignore It or Fear It?

Abstract

Keywords

air embolism carbon dioxide delivery system endograft flush port thoracic endovascular aortic repair saline flush stent-graft stroke

Get full access to this article

View all access options for this article.

References

Foley

Criado

Farber

et al . Results with the Talent thoracic stent graft in the VALOR trial. J Vasc Surg. 2012;56:1214–1221.e1.

Gillen

Schaheen

Yount

et al . Cost analysis of endovascular versus open repair in the treatment of thoracic aortic aneurysms. J Vasc Surg. 2015;61:596–603.

Fang

Leshnower

et al . Contemporary evaluation of mortality and stroke risk after thoracic endovascular aortic repair. J Vasc Surg. 2017;66:718–727.e5.

Ullery

McGarvey

Cheung

et al . Vascular distribution of stroke and its relationship to perioperative mortality and neurologic outcome after thoracic endovascular aortic repair. J Vasc Surg. 2012;56:1510–1517.

Perera

Rudarakanchana

Monzon

et al . Cerebral embolization, silent cerebral infarction and neurocognitive decline after thoracic endovascular aortic repair. Br J Surg. 2018;105:366–378.

Mouse

Dombrovskiy

Haser

et al . Thoracic aortic trauma: outcomes and hospital resource utilization after endovascular and open repair. Vascular. 2010;18:250–255.

Heckmann

Lang

Kindler

et al . Neurologic manifestations of cerebral air embolism as a complication of central venous catheterization. Crit Care Med. 2000;28:1621–1625.

Segan

Permezel

Ch’ng

et al . Cerebral arterial gas embolism from attempted mechanical thrombectomy: recovery following hyperbaric oxygen therapy. Pract Neurol. 2018;18:134–136.

Judge

Mello

Bradley

et al . A systematic review of the causes and management of ischaemic stroke caused by nontissue emboli. Stroke Res Treat. 2017;10:7565702.

10.

Kölbel

Rohlffs

Wipper

et al . Carbon dioxide flushing technique to prevent cerebral arterial air embolism and stroke during TEVAR. J Endovasc Ther. 2016;23:393–395.

11.

Inci

Koutouzi

Chernoray

et al . Air bubbles are released by thoracic endograft deployment: an in vitro experimental study. SAGE Open Med. 2016;4:2050312116682130.

12.

Brull

Prielipp

RC.

Vascular air embolism: A silent hazard to patient safety. J Crit Care. 2017;42:255–263.

13.

Rohlffs

Tsilimparis

Trepte

et al . Air embolism during TEVAR: an additional flush port on the delivery system pusher significantly reduces the amount of air released during deployment of a thoracic stent-graft in an experimental setting. J Endovasc Ther. 2018;25:435–439.