Yearly Archives: 2021

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ECMO combined with prone positioning strategies in COVID-19 respiratory distress syndrome

Abstract The coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has already become a global pandemic as a public health emergency of international concern. Previous..

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Redo surgery for a type A aortic dissection in a pregnant woman with Marfan syndrome: a complex clinical case

Abstract Aortic dissection during pregnancy is a very rare event in the general population but can be fatal to both the mother and the fetus. A rate of dissection as..

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Eco reference guide 2020

[pdf-embedder url="https://perfusfind.com/wp-content/uploads/2021/03/Echo_reference_guide_2020__1604693134_compressed.pdf"]

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Aorta & Aortic Valve replacement through ministernotomy

An aortic valve replacement is a type of open heart surgery used to treat problems with the heart's aortic valve. The aortic valve controls the flow of blood out from..

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Mitral Valve

Mitral valve replacement is a procedure whereby the diseased mitral valve of a patient's heart is replaced by either a mechanical or tissue (bioprosthetic) valve. The mitral valve may need to be replaced..

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Pericardectomy

Pericardiectomy is the surgical removal of a portion or all of the pericardium. It is also called pericardial stripping. The pericardium is a double-walled, membrane sac that surrounds the heart...

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Minimally invasive CABG

  Coronary artery bypass grafting (CABG) is the gold standard for the surgical therapy of multivessel coronary artery disease. It diverts blood around narrowed or clogged parts of the major..

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Pulmonary Thromboendarterectomy

Pulmonary artery  (PEA) is established as a successful method for the treatment of  (CTEPH). A significant fraction of patients indicated for the pulmonary endarterectomy has other severe comorbidities that generally increase..

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Minimally Invasive Mitral Valve Repair and Coronary Artery Bypass Grafting

Coronary artery bypass grafting could be performed simultaneously with minimally invasive mitral valve repair through the right minithoracotomy. Our experience in minimally invasive cardiac surgery allows us to perform 4..

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Association of D-dimer and Fibrinogen With Hypercoagulability in COVID-19 Requiring Extracorporeal Membrane Oxygenation

Abstract Background: D-dimer concentration has been used by institutions to identify candidates for intensified anticoagulant treatment for venous thromboembolism prevention and for the mitigation of the microthrombotic complications associated with..

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Extracorporeal life support in COVID‐19‐related acute respiratory distress syndrome: A EuroELSO international survey

Abstract Extracorporeal life support (ECLS) is a means to support patients with acute respiratory failure. Initially, recommendations to treat severe cases of pandemic coronavirus disease 2019 (COVID‐19) with ECLS have..

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Perioperative Outcomes of Thrombectomy Patients Using Venovenous Bypass and Suction Filtration With General Anesthesia

Abstract Objective AngioVac (Angiodynamics, Latham, NY) is a novel drainage system that offers a less-invasive approach compared with open surgical thromboembolectomy to remove intracardiac and intravascular thrombotic and embolic material...

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Concomitant Respiratory Failure Can Impair Myocardial Oxygenation in Patients with Acute Cardiogenic Shock Supported by VA-ECMO

Abstract Venous-arterial extracorporeal membrane oxygenation (VA-ECMO) treatment for acute cardiogenic shock in patients who also have acute lung injury predisposes development of a serious complication called “north-south syndrome” (NSS) which..

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Restrictive Transfusion Strategy after Cardiac Surgery: Role of Central Venous Oxygen Saturation Trigger: A Randomized Controlled Trial

Abstract Background Recent guidelines on transfusion in cardiac surgery suggest that hemoglobin might not be the only criterion to trigger transfusion. Central venous oxygen saturation (Svo2), which is related to..

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Using a roller pump for establishing extra-corporal membrane oxygenation (ECMO) – technical considerations for times of crisis

Abstract Objective: The COVID-19 pandemic requires thinking about alternatives to establish ECMO when often-limited hardware resources are exhausted. Heart-lung-machines may potentially be used for ECMO but contain roller pumps as..

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Prevalence and Nature of Sexist and Racial/Ethnic Microaggressions Against Surgeons and Anesthesiologists

Abstract Importance  Workplace mistreatment can manifest as microaggressions that cause chronic, severe distress. As physician burnout becomes a global crisis, quantitative research to delineate the impact of microaggressions is imperative. Objectives  To..

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Platelet Reactivity in Patients With Acute Coronary Syndromes Awaiting Surgical Revascularization

Abstract Background  is recommended for patients with  (ACS). Approximately 10% to 15% of these patients will undergo  (CABG) surgery for index events, and current guidelines recommend stopping  at least 5 days before CABG. This..

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Temperature management on cardiopulmonary bypass: Is it standardised across Great Britain and Ireland?

Abstract Temperature management is an essential element of cardiopulmonary bypass (CPB), as indicated in the Guide to Good Practice in Clinical Perfusion, ‘The safe conduct of CPB requires the clinical..

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Minimal invasive extracorporeal circulation preserves coagulation integrity

Abstract Introduction: Coagulopathy after cardiac surgery is a serious multifactorial complication that results in postoperative bleeding requiring transfusion of red blood cells and procoagulant products. Use of cardiopulmonary bypass represents..

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Porcelain aorta

Porcelain aorta (PA) is a structural aortic wall disease characterized by extensive heavy calcification of the ascending thoracic aorta extending to the aortic arch and descending aorta. Porcelain aorta prevents..

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From Conventional Circuit to MiECC

Abstract The major advantage of MiECC systems’ intrinsic characteristics is that they abet the best applying cardiovascular physiology to intraoperative perfusion, while they ultimately unify all three operative disciplinary techniques..

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Description of the Minimized Extracorporeal Circuit to perform Haematic Antegrade Repriming in Cardiopulmonary Bypass

Abstract Introduction: cardiac surgery is continuosly evolving towards a less invasive procedures and different perfusion techniques are also being studied to enhance the results. The aim of this study is to..

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