Archivos mensuales: marzo2022

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Effect of Portable, In-Hospital Extracorporeal Membrane Oxygenation on Clinical Outcomes

Abstract The time between onset of cardiogenic shock and initiation of mechanical circulatory support is inversely related to patient survival as delays in transporting patients to the operating room (OR)..

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2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of…

Abstract Aim The “2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease” provides recommendations to guide clinicians in the diagnosis, genetic evaluation and family screening, medical therapy, endovascular..

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A novel veno-arteriovenous extracorporeal membrane oxygenation with double pump for the treatment of Harlequin syndrome

Abstract Objectives: The Harlequin syndrome is a complication observed in patients receiving peripheral venoarterial extracorporeal membrane oxygenation. This condition is defined as a critical variation in the oxygen saturation between..

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The Choice of Protamine Sulfate Dosing Regimen for Coronary Artery Bypass Graft Surgery

Abstract Changes in hemodynamics and coagulation hemostasis during the use of protamine sulfate to neutralize heparin in a ratio of 0.5:1 in coronary artery bypass graft surgery have been studied...

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Regional analgesia for cardiac surgery

Abstract Purpose of review  Regional anesthesia is gaining attention as a valuable component of multimodal, opioid-sparing analgesia in cardiac surgery, where improving the patient's quality of recovery while minimizing the harms..

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CABG off pump

Step by Step fron A to Z CABG off pump with SVG to LAD and SVG to OM as well MVI and PMA for ischemic MR.   Dr.Sam Zeraatian Nejad..

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Aortic cannulation

An arterial cannula is usually inserted into the ascending aorta. Alternate sites include the femoral, innominate or axillary artery in situations such as emergency, redo surgery, minimally invasive surgery or..

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Confirmation of Dual Lumen Cannula Position Before Extracorporeal Membrane Oxygenation Initiation Using a Microbubbles Contrast Technique

Abstract Dual lumen cannulas (DLCs) for venovenous extracorporeal membrane oxygenation (ECMO) therapy are introduced in the right internal jugular vein, passing through the superior vena cava and the right atrium (RA) down..

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Transesophageal Echocardiography Complications in Adult Cardiac Surgery: A Retrospective Cohort Study

Abstract Background Although there have been several large reviews documenting the complications following intraoperative  (TEE), most of these prior reports are almost 2 decades old and may not reflect current practices...

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A prospective randomized study comparing volume-standardized modified and conventional ultrafiltration in pediatric cardiac surgery

Abstract Background: Modified ultrafiltration has been touted as superior to conventional ultrafiltration for attenuating the consequences of hemodilution after cardiac surgery with cardiopulmonary bypass in children. We conducted a prospective randomized..

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Association between Transesophageal Echocardiography and Clinical Outcomes after Coronary Artery Bypass Graft Surgery

Abstract Background Coronary artery bypass graft (CABG) surgery is the most widely performed cardiac surgery in the United States.  (TEE) is frequently used in a variety of cardiac surgical procedures, but..

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Enhanced recovery after minimally invasive heart valve surgery: Early and midterm outcomes

Abstract Background: Although the use of protocols for "enhanced recovery after surgery" (ERAS) have been associated with improved results in different surgical specialties, only a few data are available for ERAS..

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Acute kidney injury following cardiopulmonary bypass in Jamaica

Abstract Objectives The study objectives were to describe the incidence, risk factors, and outcomes of acute kidney injury after cardiopulmonary bypass in Jamaica. Method We performed a review of the..

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Impact of occurrence of cardiac arrest in the donor on long-term outcomes of pediatric heart transplantation

Abstract Objective: The impact of cardiac arrest in the donor on long-term outcomes of pediatric heart transplantation has not been studied. Methods: The UNOS database was queried for primary pediatric heart transplantation..

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Fifteen-minute consultation: When to consider extracorporeal membrane oxygenation

Abstract Extracorporeal membrane oxygenation (ECMO) is a form of organ support which is used for severe, potentially reversible respiratory, cardiac or cardiorespiratory failure. While it is associated with significant risk..

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Pulmonary embolism

Patient with pulmonary embolism and hemodynamic instability and hypoxemia undergone CPB bicaval cannulation and single incision technique or Zeraatian's technique of pulmonary embolectomy with good post operative course.    Dr.Sam..

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Anticoagulation polyvinyl chloride extracorporeal circulation catheters for heparin-free treatment†

Abstract Extracorporeal circulation (ECC) catheters have potential to be blood compatible and could be used to prevent thrombotic occlusion. Here, we produced heparin-mimicking anticoagulation PVC tubing on a large scale..

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In-hospital and 6-month outcomes in patients with COVID-19 supported with extracorporeal membrane oxygenation (EuroECMO-COVID): a multicentre, prospective observational study

Abstract Background Extracorporeal membrane oxygenation (ECMO) has been widely used in patients with COVID-19, but uncertainty remains about the determinants of in-hospital mortality and data on post-discharge outcomes are scarce...

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A prospective randomized study of a modified technique of ultrafiltration during pediatric open-heart surgery

Abstract Conventional ultrafiltration (UF) fails to reverse satisfactorily hemodilution and the rise in total body water (TBW) seen after cardiopulmonary bypass (CPB). We have modified the technique, timing, and placement..

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Targeting the contact system in a rabbit model of extracorporeal membrane oxygenation

Abstract Previous studies suggested that contact pathway factors drive thrombosis in mechanical circulation. We used a rabbit model of veno-arterial extracorporeal circulation (VA-ECMO) to evaluate the role of factors XI..

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Modified ultrafiltration in surgical correction of congenital heart disease with cardiopulmonary bypass

Abstract The surgical correction of congenital heart disease using haemodilution and hypothermia with cardiopulmonary bypass (CPB) may expose patients to tissue ischaemia and initiate a systemic inflammatory response, increasing the..

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Surgical Maneuver for Ventricular Septal Defect Exposure During Congenital Heart Surgery Through the Right Axillary Transverse Minithoracotomy

Abstract Right axillary transverse minithoracotomy is not conventionally used for ventricular septal defect (VSD) repair because of complicated VSD exposure and the need for a temporary tricuspid valve leaflet detachment..

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EchoGuide™

NOW AVAILABLE! Download ASE’s EchoGuideTM today and gain access to a powerful echocardiography calculator and algorithm app. EchoGuideTM provides access to over 50 calculators, algorithms, and charts based on key ASE guidelines..

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Cor Triatriatum Sinister (Andrei Satsuk)

The cor triatriatum sinister is a rare congenital heart defect, the product of an embryonic defect in the incorporation of the common pulmonary vein to the left atrium, this being..

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Heparin Resistance During Cardiopulmonary Bypass in Adult Cardiac Surgery

Abstract The use of heparin for anticoagulation has changed the face of cardiac surgery by allowing a bloodless and motionless surgical field throughout the introduction of cardiopulmonary bypass (CPB). However,..

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A successful modification of ultrafiltration for cardiopulmonary bypass in children

Abstract Total body water (TBW) is increased after cardiopulmonary bypass (CPB) resulting in tissue oedema and organ dysfunction. Ultrafiltration has been used to reduce this accumulation of water, although conventional..

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The cost of blood: a study of the total cost of red blood cell transfusion in patients with β-thalassemia using…

Abstract BACKGROUND To accurately quantify the costs of care for patients with transfusion-dependent thalassemia (TDT), and to evaluate cost-effectiveness of new treatments, data are required on costs of regular red..

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Cardiac surgery with cardiopulmonary bypass markedly lowers SARS-COV-2 antibody titer

Abstract Background This study aims to investigate the effect of cardiopulmonary bypass on antibody titers in patients vaccinated against the severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) undergoing cardiac surgery with..

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Transfusion practice in patients receiving VV ECMO (PROTECMO): a prospective, multicentre, observational study

Abstract Background In patients receiving venovenous (VV)  (ECMO) packed red blood cell (PRBC) transfusion thresholds are usually higher than in other patients who are critically ill. Available guidelines suggest a restrictive..

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CytoSorb hemoadsorption for removal of apixaban – a proof-of-concept pilot case for a randomized controlled trial

This case reports on an 81-year-old man who presented to the hospital with methicillin-sensitive Staphylococcus aureus prosthetic aortic valve endocarditis and hemodynamic instability requiring an urgent operation (EuroSCORE II 31.05%)..

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