TABLE 1.
Troubleshooting table.
Step | Problem | Possible reason | Solution |
---|---|---|---|
9 | Air bubbles | Solution not prewarmed | Ensure solution is prewarmed to at least 40–50 °C |
Air pockets in catheters | Agitate the catheters as they are flushed to ensure all air is purged. | ||
17 | Arterial leak | Pierced or punctured wall | An arterial leak can be fixed by suturing the vascular wall to the catheter downstream of the leak (Supplementary Fig. 2 and Supplementary Video 2) |
21 | Arterial rigor | Excessive delay | Surgical processes improve over time, decreasing the delay, but as a short-term solution the umbilical vein and artery can be separated after the uterine artery has been cannulated, reducing umbilical contraction and stiffening |
24 | Venous collapse | Elevated negative pressure | Lowering negative pressure and removing the complete vascular seal can improve perfusion efficiency, but it does lead to reduced collection rate |
Vascular wall suction | Use of a larger-diameter catheter can prevent possible wall suction, as the larger diameter is more difficult to obstruct |