journal
https://read.qxmd.com/read/38537032/direct-aortic-cannulation-versus-femoral-arterial-cannulation-for-early-outcomes-in-acute-type-a-aortic-dissection-a-study-level-meta-analysis
#1
REVIEW
Yoshiyuki Yamashita, Serge Sicouri, Stephanie Kjelstrom, Georgia Montone, Aleksander Dokollari, Khalid Ridwan, Nicholas Clarke, Roberto Rodriguez, Scott M Goldman, Basel Ramlawi
PURPOSE: To investigate the impact of direct aortic cannulation (DAC) versus femoral arterial cannulation (FAC) on clinical outcomes of surgery for acute type A aortic dissection. METHODS: PubMed/MEDLINE, Scopus, and Cochrane Central Register of Controlled Trials were searched until August 25, 2023, to conduct a meta-analysis. Primary endpoints of the study were operative mortality and postoperative stroke. Secondary endpoints were cardiopulmonary bypass time, myocardial ischemic time, hypothermic circulatory arrest time, temporary neurological dysfunction (TND), combined stroke and TND, re-exploration for bleeding, and need for renal replacement therapy...
March 27, 2024: Perfusion
https://read.qxmd.com/read/38519444/the-role-of-fetal-hemoglobin-in-the-artificial-placenta-a-premature-ovine-model
#2
JOURNAL ARTICLE
Brianna L Spencer, Brian P Fallon, Jennifer S McLeod, Marie Cornell, Erin E Perrone, David M Manthei, Alvaro Rojas-Peña, Ronald B Hirschl, Robert H Bartlett, George B Mychaliska
INTRODUCTION: A radical paradigm shift in the treatment of premature infants failing conventional treatment is to recreate fetal physiology using an extracorporeal Artificial Placenta (AP). The aim of this study is to evaluate the effects of changing fetal hemoglobin percent (HbF%) on physiology and circuit function during AP support in an ovine model. METHODS: Extremely premature lambs ( n = 5) were delivered by cesarean section at 117-121 d estimated gestational age (EGA) (term = 145d), weighing 2...
March 22, 2024: Perfusion
https://read.qxmd.com/read/38513672/plasma-hyperosmolality-during-cardiopulmonary-bypass-is-a-risk-factor-for-postoperative-acute-kidney-injury-results-from-double-blind-randomised-controlled-trial
#3
JOURNAL ARTICLE
Staffan Svenmarker, Helena Claesson Lingehall, Gunnar Malmqvist, Micael Appelblad
INTRODUCTION: The study objective was to investigate whether a Ringer's acetate based priming solution with addition of Mannitol and sodium concentrate increases the risk of cardiac surgery associated kidney injury (CSA-AKI). METHODS: This is a double blind, prospective randomized controlled trial from a single tertiary teaching hospital in Sweden including patients aged ≥65 years ( n = 195) admitted for routine cardiac surgery with cardiopulmonary bypass...
March 21, 2024: Perfusion
https://read.qxmd.com/read/38509448/comparison-of-percutaneous-decannulation-and-open-surgical-repair-for-large-bore-arterial-access-sites-of-extracorporeal-membrane-oxygenation
#4
REVIEW
Alison Y Zhu, Charis Qy Tan, Graham Meredith
INTRODUCTION: Following weaning of peripheral venoarterial extracorporeal membrane oxygenation (ECMO) support, removal of cannulas and repair of large-bore arterial sites is traditionally by open surgical repair (OSR). The use of a percutaneous vascular closure device (VCD) offers a minimally invasive alternative to OSR with potential for reduced operative complications, reduced hospital length of stay and in-hospital mortality. METHODS: A systematic review of Medline and Embase databases was conducted for studies comparing VCD-assisted decannulation with OSR following decannulation of peripheral ECMO...
March 20, 2024: Perfusion
https://read.qxmd.com/read/38503431/normalizing-anti-thrombin-iii-for-heparin-management-during-routine-cardiopulmonary-bypass-for-congenital-cardiothoracic-surgery-a-single-institution-practice-review
#5
JOURNAL ARTICLE
Joseph Deptula, Vincent Olshove, Molly Oldeen, Deborah Kozik, Bahaaldin Alsoufi
INTRODUCTION: Over the past decade, there has been an increase in the use of recombinant Anti-Thrombin III (AT-III) administration during neonatal and pediatric short- and long-term mechanical support for the replacement of acquired deficiencies. Recombinant AT-III (Thrombate) administration is an FDA licensed drug indicated primarily for patients with hereditary deficiency to treat and prevent thromboembolism and secondarily to prevent peri-operative and peri-partum thromboembolism. Herein we propose further use of Thrombate for primary AT-III deficiency of the newborn as well as for acquired dilution and consumption secondary to cardiopulmonary bypass (CPB)...
March 19, 2024: Perfusion
https://read.qxmd.com/read/38498943/a-novel-approach-to-retrograde-autologous-priming-for-infant-pediatric-and-adult-populations-undergoing-congenital-heart-surgery
#6
JOURNAL ARTICLE
Joseph Deptula, Vincent Olshove, Molly Oldeen, Deborah Kozik, Bahaaldin Alsoufi
INTRODUCTION: Retrograde Autologous Priming (RAP) of cardiopulmonary bypass (CPB) circuits is an effective way to reduce prime volume, commonly through the transfer of prime into separate reservoirs or circuit manipulation. We describe a simple and safe technique for RAP without the need for any circuit modifications or manipulations. METHODS: For this technique, a separate roller pump for ultrafiltration (UF) is used. After adequate heparinization and arterial cannulation, the UF pump is initiated slowly, removing prime through the effluent of the UF, replacing with the patient's blood from the aortic cannula...
March 18, 2024: Perfusion
https://read.qxmd.com/read/38491948/effect-of-blood-conservation-protocol-on-the-utilisation-of-blood-and-outcome-of-patients-undergoing-open-heart-surgery
#7
JOURNAL ARTICLE
Vivek Bagaria, Lahari Badragiri, C S Hiremath
INTRODUCTION: Cardiac surgery is fraught with increased consumption of blood and blood products. Various strategies for blood conservation have been described. Our aim was to study the impact of a structured blood conservation protocol (BCP) on the utilization of blood and patient outcome. METHODS: Retrospective analysis of prospectively collected data comparing adult patients undergoing open heart surgery with BCP with those undergoing surgery without BCP. The primary objective was to compare the amount of blood utilized and the hematocrit at discharge...
March 16, 2024: Perfusion
https://read.qxmd.com/read/38487837/the-association-between-cerebral-blood-flow-variations-during-on-pump-coronary-artery-bypass-grafting-surgery-and-postoperative-delirium
#8
JOURNAL ARTICLE
Caterina Sampaolesi, Erika Casarotta, Giacomo Gresti, Giulia Mariotti, Leonardo Pisani, Diego Veccia, Marco Di Eusanio, Pietro Giorgio Malvindi, Abele Donati, Christopher Maria Münch
INTRODUCTION: Postoperative delirium (POD) has a major impact on patient recovery after cardiac surgery. Although its pathophysiology remains unclear, there could be a correlation between cerebral blood flow (CBF) variations during cardio-pulmonary bypass (CPB) and POD. Our study aimed to evaluate whether variations in on-pump CBF, compared to pre-anesthesia and pre-CPB values, are associated with POD following coronary artery bypass grafting (CABG) surgery. METHODS: This prospective observational cohort study included 95 adult patients undergoing elective on-pump CABG surgery...
March 15, 2024: Perfusion
https://read.qxmd.com/read/38486379/effect-of-oxygen-delivery-during-cardiopulmonary-bypass-on-postoperative-neurological-outcomes-in-patients-undergoing-cardiac-surgery-a-scoping-review-of-the-literature
#9
REVIEW
Abdelrahman Elsebaie, Ayesha Shakeel, Shetuan Zhang, Marianne Alarie, Mohamed El Tahan, Mohammad El-Diasty
BACKGROUND: Reduced oxygen delivery (DO2 ) during cardiopulmonary bypass (CPB) was proposed as a risk factor for the development of postoperative neurological complications (PONCs), including cerebrovascular accidents (CVA), delirium, and postoperative cognitive dysfunction (POCD). We aimed to review the current evidence on the association between intraoperative DO2 and the incidence of PONCs. METHODS: MEDLINE, Embase, the Cochrane Library, and Web of Science were electronically searched to identify comparative studies from inception until July 2023 that reported the association between intraoperative DO2 levels and the incidence of PONCs (as defined by the scales and diagnostic tools utilized by the studies' authors) in adults patients undergoing cardiac surgery using CPB...
March 14, 2024: Perfusion
https://read.qxmd.com/read/38485936/extracorporeal-cardio-pulmonary-resuscitation-in-a-patient-with-missed-diagnosis-of-sodium-nitrite-intoxication
#10
JOURNAL ARTICLE
Francesco Gaiani, Marco Giani, Beatrice Vergnano, Jeff Sardella, Fabrizio Cappellini, Marco Casati, Matteo Pozzi, Giuseppe Foti
INTRODUCTION: Critical poisoning with sodium nitrite (NaNO2 ) can present challenges in promptly identifying and managing acute methemoglobinemia. CASE REPORT: We report the case of an overt self-intoxication by an initially unknown agent, leading to cardiac arrest. Despite prodromal signs of cyanosis, coma, desaturation, and hypotension, methemoglobinemia went unrecognized during extracorporeal cardiopulmonary resuscitation (ECPR) as the point-of-care test failed to provide methemoglobin levels, leading to untreated methemoglobinemia...
March 14, 2024: Perfusion
https://read.qxmd.com/read/38482847/utilizing-cell-salvage-devices-to-return-blood-post-extracorporeal-membrane-oxygenation-circuit-decannulation-a-letter-to-the-editor
#11
LETTER
Mazen F Odish, Samira Najmaii, Cassia Yi, Travis L Pollema
No abstract text is available yet for this article.
March 14, 2024: Perfusion
https://read.qxmd.com/read/38480524/letter-re-loss-of-pioneer-physician-perfusionist
#12
LETTER
Dereck Wheeldon
No abstract text is available yet for this article.
March 13, 2024: Perfusion
https://read.qxmd.com/read/38472159/meta-analysis-of-central-and-peripheral-cannulation-for-type-a-aortic-dissection
#13
JOURNAL ARTICLE
Noritsugu Naito, Hisato Takagi
BACKGROUND: Acute type A aortic dissection necessitates rapid and effective arterial cannulation techniques for optimal outcomes. This meta-analysis compares the safety and effectiveness of direct aortic cannulation (AoC) with peripheral cannulation (PC) via the femoral or axillary arteries in aortic surgery for acute type A aortic dissection. METHODS: A systematic review following PRISMA guidelines identified 10 retrospective studies encompassing 2518 patients (961 AoC, 1557 PC)...
March 12, 2024: Perfusion
https://read.qxmd.com/read/38458155/comparing-clinical-outcomes-of-hybrid-coronary-revascularization-with-open-coronary-artery-bypass-in-patients-with-multi-vessels-lesions
#14
JOURNAL ARTICLE
Ji Lin, Guang Li, Yuan Ji, Yi Xu, Shuo Liu, Zheng Qu, Ping Li, Bin You
OBJECTIVES: Hybrid coronary revascularization (HCR) involves the use of minimally invasive direct coronary artery bypass grafting (CABG) to treat the left anterior descending artery (LAD), and percutaneous coronary intervention to treat non-LAD vessels. We reported the results of a comparative analysis between HCR and off-pump CABG via sternotomy (OPCABG). METHODS: Data were retrospectively collated from patients who underwent HCR or OPCABG for multivessel coronary artery disease between 2011 and 2022...
March 8, 2024: Perfusion
https://read.qxmd.com/read/38446911/endarterectomy-may-be-an-effective-additional-treatment-for-three-diffuse-coronary-artery-disease-complicated-with-diabetes
#15
JOURNAL ARTICLE
Haiming Li, Chengxiong Gu, Bo Li
OBJECTIVE: In order to evaluate the clinical efficacy of coronary endarterectomy (CE) and coronary artery bypass grafting (CABG) in patients with diabetes complicated with three diffuse coronary artery stenosis. METHODS: A retrospective analysis was conducted on 460 patients with diabetes mellitus and diffuse three-vessel coronary artery disease who underwent CABG in our department from September 2015 to December 2021. The patients were divided into two groups according to whether they underwent CE: the simple CABG group (group A, n = 254) and the CABG combined CE group (group B, n = 206)...
March 6, 2024: Perfusion
https://read.qxmd.com/read/38430242/concomitant-interventions-in-mitral-valve-surgery-a-european-perspective
#16
JOURNAL ARTICLE
Vinci Naruka, Arian Arjomandi Rad, Jacob Chacko, Guiqing Liu, Jonathan Afoke, Prakash P Punjabi
INTRODUCTION: In recent years, major findings on concomitant procedures and anticoagulation management have occurred in Mitral Valve (MV) surgery. Therefore, we sought to evaluate the current practices in MV interventions across Europe. METHODS: In October 2021, all national cardio-thoracic societies in the European region were identified following an electronic search and sent an online survey of 14 questions to distribute among their member consultant/attending cardiac surgeons...
March 2, 2024: Perfusion
https://read.qxmd.com/read/38420972/the-effect-of-air-free-administration-of-intravenous-drugs-on-microemboli-during-cardiopulmonary-bypass
#17
JOURNAL ARTICLE
Amber den Ouden, Marco C Stehouwer, Bernd Geurts, Erik Hofman, Peter Bruins
OBJECTIVE: During cardiopulmonary bypass (CPB), gaseous microemboli (GME) that originate from the extracorporeal circuit are released into the arterial blood stream of the patient. Gaseous microemboli may contribute to adverse outcome after cardiac surgery with CPB. Possibly, air may be collected in the right atrium during induction of anesthesia and released during CPB start. The aim of this study was to assess if the GME load entering the venous line of the CPB circuit could be reduced by training of anesthesia personal in avoiding air introduction during administration of intravenous medication...
February 29, 2024: Perfusion
https://read.qxmd.com/read/38411443/the-effects-of-prone-position-ventilation-on-patients-with-acute-respiratory-distress-syndrome-after-cardiac-surgery
#18
JOURNAL ARTICLE
Yujie Zhang, Wangtao Zhou, Jing Ma
BACKGROUND: This study aimed to investigate the effects of prone position ventilation treatment on patients with acute respiratory distress syndrome (ARDS) after cardiac surgery. METHODS: Clinical data were collected from 93 hospitalized patients with acute respiratory distress syndrome (ARDS) in the intensive care unit (ICU) of cardiology from February 2021 to February 2023. Patients were divided into supine position group ( n = 45) and prone position group ( n = 48)...
February 27, 2024: Perfusion
https://read.qxmd.com/read/38411111/perfusion-education-and-training-in-europe-anno-2023
#19
JOURNAL ARTICLE
Gerdy Debeuckelaere
Background: In the absence of uniform European regulations, there have been many differences in the training of perfusionists across Europe. Furthermore, there has been no uniform or single European accreditation of the profession. One of the objectives of The European Board of Cardiovascular Perfusion (EBCP) is to standardise and monitor training of perfusionists across Europe whilst offering support in accordance with national regulations. This goal is particularly imminent as there have been numerous newly founded National perfusion societies, particularly from Eastern European countries, which are now established members of EBCP...
February 27, 2024: Perfusion
https://read.qxmd.com/read/38409657/assessment-of-a-goal-directed-perfusion-strategy-through-an-oxygen-delivery-audit
#20
JOURNAL ARTICLE
Andrew Lahanas, Paul W Argerakis, Beatrice A Hayward, Peter W Grant
INTRODUCTION: Evidence supports the role of oxygen delivery (DO2 ) in ameliorating acute kidney injury (AKI). While instrumentation for continuous DO2 measurement exists, a simplified method has been reported for targeting a specific DO2 index (DO2 i), commonly referred to as a goal-directed perfusion (GDP) strategy, by using a reference table and available data such as body surface area and continuous haematocrit values. This simplified approach can also be used for quality auditing via archived data...
February 26, 2024: Perfusion
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