Use of heparinized saline flush during endovascular thrombectomy for acute ischemic stroke; a survey of clinical practice in the Netherlands
Abstract Background and introduction Information about optimal use of heparin in flush fluids during endovascular thrombectomy (EVT) for acute ischemic stroke (AIS) is lacking. Variables that determine total heparin dose entering the patient by flush fluids are mostly unknown. We aim to provide insi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2021-10-01
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| Series: | CVIR Endovascular |
| Online Access: | https://doi.org/10.1186/s42155-021-00264-0 |
| _version_ | 1828956439091085312 |
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| author | Faysal Benali Christiaan van der Leij Julie Staals Wim H. van Zwam |
| author_facet | Faysal Benali Christiaan van der Leij Julie Staals Wim H. van Zwam |
| author_sort | Faysal Benali |
| collection | DOAJ |
| description | Abstract Background and introduction Information about optimal use of heparin in flush fluids during endovascular thrombectomy (EVT) for acute ischemic stroke (AIS) is lacking. Variables that determine total heparin dose entering the patient by flush fluids are mostly unknown. We aim to provide insight in these unknown but highly relevant variables. Methods and results We performed a survey including all Dutch interventionists performing EVT (n = 79) collecting data on used concentration of heparin in infusion bags, number of infusion bags connected, timing of connecting the flush line and the dripping rate (ml/sec). We calculated potential heparin dose entering the patient per hour through flush fluids (IU/h). Twenty-eight interventionists (35%) representing 17 Dutch stroke centers completed the survey. Eight interventionists responded not to add any heparin to flush fluids (18%). The highest amount of heparin entering the patients was 13,500 IU/h, reported by 2 interventionists from the same center (4%). Conclusions We provide insight in the use of heparinized flush during EVT in the Netherlands. Total amounts of heparin administered via flush fluids may go up to 13,500 IU/h. With this paper we intend to set a starting for future research and development of guidelines on the use of heparinized flush fluids during EVT for AIS. |
| first_indexed | 2024-12-14T08:10:47Z |
| format | Article |
| id | doaj.art-5ec0eb4418d141e182ec59c01e5c7fe3 |
| institution | Directory Open Access Journal |
| issn | 2520-8934 |
| language | English |
| last_indexed | 2024-12-14T08:10:47Z |
| publishDate | 2021-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | CVIR Endovascular |
| spelling | doaj.art-5ec0eb4418d141e182ec59c01e5c7fe32022-12-21T23:10:04ZengSpringerOpenCVIR Endovascular2520-89342021-10-01411410.1186/s42155-021-00264-0Use of heparinized saline flush during endovascular thrombectomy for acute ischemic stroke; a survey of clinical practice in the NetherlandsFaysal Benali0Christiaan van der Leij1Julie Staals2Wim H. van Zwam3Department of Radiology & Nuclear Medicine, Maastricht University Medical Center (MUMC+)Department of Radiology & Nuclear Medicine, Maastricht University Medical Center (MUMC+)Department of Neurology, Maastricht University Medical Center (MUMC+)Department of Radiology & Nuclear Medicine, Maastricht University Medical Center (MUMC+)Abstract Background and introduction Information about optimal use of heparin in flush fluids during endovascular thrombectomy (EVT) for acute ischemic stroke (AIS) is lacking. Variables that determine total heparin dose entering the patient by flush fluids are mostly unknown. We aim to provide insight in these unknown but highly relevant variables. Methods and results We performed a survey including all Dutch interventionists performing EVT (n = 79) collecting data on used concentration of heparin in infusion bags, number of infusion bags connected, timing of connecting the flush line and the dripping rate (ml/sec). We calculated potential heparin dose entering the patient per hour through flush fluids (IU/h). Twenty-eight interventionists (35%) representing 17 Dutch stroke centers completed the survey. Eight interventionists responded not to add any heparin to flush fluids (18%). The highest amount of heparin entering the patients was 13,500 IU/h, reported by 2 interventionists from the same center (4%). Conclusions We provide insight in the use of heparinized flush during EVT in the Netherlands. Total amounts of heparin administered via flush fluids may go up to 13,500 IU/h. With this paper we intend to set a starting for future research and development of guidelines on the use of heparinized flush fluids during EVT for AIS.https://doi.org/10.1186/s42155-021-00264-0 |
| spellingShingle | Faysal Benali Christiaan van der Leij Julie Staals Wim H. van Zwam Use of heparinized saline flush during endovascular thrombectomy for acute ischemic stroke; a survey of clinical practice in the Netherlands CVIR Endovascular |
| title | Use of heparinized saline flush during endovascular thrombectomy for acute ischemic stroke; a survey of clinical practice in the Netherlands |
| title_full | Use of heparinized saline flush during endovascular thrombectomy for acute ischemic stroke; a survey of clinical practice in the Netherlands |
| title_fullStr | Use of heparinized saline flush during endovascular thrombectomy for acute ischemic stroke; a survey of clinical practice in the Netherlands |
| title_full_unstemmed | Use of heparinized saline flush during endovascular thrombectomy for acute ischemic stroke; a survey of clinical practice in the Netherlands |
| title_short | Use of heparinized saline flush during endovascular thrombectomy for acute ischemic stroke; a survey of clinical practice in the Netherlands |
| title_sort | use of heparinized saline flush during endovascular thrombectomy for acute ischemic stroke a survey of clinical practice in the netherlands |
| url | https://doi.org/10.1186/s42155-021-00264-0 |
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