Yearly Archives: 2022

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The outcomes of ultrafiltration in on-pump versus off-pump coronary artery bypass grafting in patients with renal impairment

Abstract Objective In chronic kidney disease (CKD), using cardiopulmonary bypass (CPB) may contribute to renal dysfunction. Off-pump coronary artery bypass grafting (OPCAB) is one technique that preserved renal function, but..

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Delivering optimal renal replacement therapy to critically ill patients with acute kidney injury

Abstract Critical illness is often complicated by acute kidney injury (AKI). In patients with severe AKI, renal replacement therapy (RRT) is deployed to address metabolic dysfunction and volume excess until..

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The relationship between antithrombin administration and inflammation during veno-venous ECMO

Abstract Veno-venous Extracorporeal Membrane Oxygenation (ECMO) is used in the most severe cases of respiratory failure and further exacerbates the patients’ inflammatory status. Antithrombin is supplemented during ECMO for its..

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In vitro comparison of spatiotemporal fibrin clot formation dynamics in plasma treated with different protamine-heparin ratios

Abstract Introduction Our study aim was to explore how different protamine-heparin ratios impacted enzymatic coagulation and acellular fibrin clot growth in plasma using an in vitro model. We hypothesized that..

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Outcome of type and screen versus crossmatch in cardiovascular surgery patients: A comparative study

Abstract BACKGROUND: The need for an anti-human globulin (AHG) cross-match (XM) when the antibody screen (ABS) is negative is debatable and a matter of policy. AIM: (1) To compare the outcomes of..

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Effect of Different Blood Groups on Long-Term Outcomes of Surgical Revascularisation

Abstract Background  are considered to be associated with cardiovascular disease. Nonetheless, the definite effect of  on the clinical outcome of  (CABG) is still undetermined. We evaluated whether ABO blood groups can predict..

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Getting the best from the Heart Team: guidance for cardiac multidisciplinary meetings

Abstract The purpose of this document is to update the existing joint British Societies recommendations on multidisciplinary meetings (MDMs) published in 2015 to reflect changes in practice. We aim to..

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Inferior and Superior Vena Cava Saturation Monitoring After Neonatal Cardiac Surgery

Abstract OBJECTIVES:  Superior vena cava oxygen saturation (SVC O2) monitoring is well described for early detection of hemodynamic deterioration after neonatal cardiac surgery but inferior vena cava vein oxygen saturation (IVC O2) monitoring data..

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Diagnosis and Management of Hyponatremia

Abstract Importance  Hyponatremia is the most common electrolyte disorder and it affects approximately 5% of adults and 35% of hospitalized patients. Hyponatremia is defined by a serum sodium level of less..

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Cardiac myxomas: clinical presentation, diagnosis and management

Abstract Cardiac myxomas (CM) are the most common type of primary cardiac tumours in adults, which have an approximate incidence of up to 0.2% in some autopsy series. The purpose..

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Heart harvest with SVC choking and total Arch isolation

Heart harvest with minimum cardioplegia solution usage with SVC choking and total Arch isolation technique and Root Cardioplegia administration just one UW used.   Dr.Sam Zeraatian Nejad Davani, CEO of..

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Use of hemoadsorption therapy in neonatal surgery – A case of extreme tetralogy of Fallot and severe pulmonary stenosis undergoing…

This case reports on a 20-day old newborn (weight 3.1 kg, body surface area 0.20 m2), who was diagnosed with an extreme tetralogy of Fallot presenting in a severe cyanotic..

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Coronary artery stents show no benefit in treating heart failure

Abstract Every year,  are diagnosed with heart failure, and many are treated with stents. In a  published in the New England Journal of Medicine, my colleagues and I discovered that these procedures..

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Algorithm for systematic valve-crossing in transcatheter aortic valve implantation Get access Arrow

Abstract Summary   The retrograde valve-crossing of a stenotic aortic valve is a crucial step in the transcatheter aortic valve implantation procedure. In addition to being time-consuming and associated with..

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Transition from V-A ECMO to more advanced therapies (VAD or Heart Transplant) in adults: the actual numbers and results

EuroELSO Webinar  Transition from V-A ECMO to more advanced therapies (VAD or Heart Transplant) in adults: the actual numbers and results Speaker: Roberto Lorusso (Maastricht) Mara Scandroglio (Milan) Udo Boeken..

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PerfWeb 85 (2 days event) - 13/14 Oct

  Day 1— Journal Club How to Do It: A Safe Bedside Protocol for Dual-Lumen ECMO catheter Joe Basha, CCP discusses an article describing a safe approach to insertion of..

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PerfWeb 84 (2 days event) - 29/30 Sept

  Day 1— Journal Club and COVID ECMO Outcomes Joe Basha, CCP reviews an article published from the Cleaveland Clinic. The article reviews the use of ex-vivo lung perfusion and..

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AVR plus MVR with continued manner both from aortotomy

Patient with Aortic stenosis and severe MR 90 years old and AF undergone AVR plus MVR with continued manner both from aortotomy.   Dr.Sam Zeraatian Nejad Davani, CEO of rockingham..

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Meandering Pulmonary Vein

Meandering Pulmonary Vein is a very rare pulmonary venous anomaly with less than 20 reported cases in literature and this case is the 21th case. [gallery ids="32003,31999"] Mohamed Gibreel ,..

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Leriche Syndrome

CT Angiography. Patent axillobifemoral bypass in a patient with Leriche syndrome. Dr. Mario Finazzo : General radiologist with more than 20 years ofexperience in the public and  private sector. Expertise..

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Twin LCX

36Y male with chest pain, CT coronary shows a very rare anomaly. Twin LCX, (less than 10 cases in literature ). The original LCX originates from LMCA , it supplies..

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SVCS and BE undergone SVC mass excision and SVC reconstruction

Patient with SVCS and BE undergone SVC mass excision and SVC reconstruction off pump. [playlist ids="31916"]   Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as well..

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Pulmonary valve replacement REDO

Redo PVR in patient with previous TOF and severe PI undergone PVR with resillia inspiris Valve beating! Partial CPB.  Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center..

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Rvao with concomitant CABG or aortoplasty

Different usage of resillia inspiris valve in aortic position with concomitant CABG or aortoplasty courtesy of Sam Zeraatian Nejad Davani ADKWA RMRC.   Dr.Sam Zeraatian Nejad Davani, CEO of rockingham..

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Transesophageal Echocardiography-Guided Extracorporeal Membrane Oxygenation Cannulation in COVID-19 Patients

Abstract Objectives A paucity of data supports the use of transesophageal echocardiography (TEE) for bedside extracorporeal membrane oxygenation (ECMO) cannulation. Concerns have been raised about performing TEEs in patients with..

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High-dose adenosine versus saline-induced cardioplegic arrest in coronary artery bypass grafting: A randomized double-blind clinical feasibility trial

Abstract Background and objective: In this clinical trial, we evaluated if a short-acting nucleoside, adenosine, as a high-dose bolus injection with blood cardioplegia induces faster arrest and provides better myocardial..

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Subclavian artery aneurysm

Subclavian artery aneurysm which was not suitable for endovascular repair undergone trap door incision of sternum as well supra clavicular incision with complete control from proximal and distal and interposition..

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Percutaneous Femoral Cannulation and Decannulation Using A Plug-Based Vascular Closure Device in Minimally Invasive Cardiac Surgery

Minimally invasive cardiac surgery such as a mitral valve procedure requires femoral arterial cannulation for extracorporeal circulation access. Currently, surgical cutdown and arterial puncture under direct vision comprise  the predominant..

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