Yearly Archives: 2022

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Use of the CytoSorb® filter for elimination of residual therapeutic argatroban concentrations during heparinized cardiopulmonary bypass for heart transplantation

This case reports on a 34-year-old male patient with a medical history of corrected Fallot tetralogy, who was scheduled for heart transplantation. [pdf-embedder url="https://perfusfind.com/wp-content/uploads/2021/06/CoW_25_2022_E_web_compressed.pdf"]

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Early post operative constrictive pericarditis and fungal mediastinal infection (with echo images)

In this video you can see patient with early post operative constrictive pericarditis and fungal mediastinal infection undergone thoracotomy and pericardiectomy as well as irrigation [gallery ids="29682,29686,29690"]   Dr.Sam Zeraatian..

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Intra-aortic balloon pump for left ventricular unloading in VA-ECMO: timing is everything

Abstract An editorial published in April 2022 discusses the benefits and pitfalls of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) combined with intra-aortic balloon pumps (IABP) to manage CS. The complete manuscript,..

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Limiting calcium overload after cardiac arrest: The role of human albumin in controlled automated reperfusion of the whole body

Abstract Background Regarding the overall inadequate results after cardiopulmonary resuscitation, the development of new treatment concepts is urgently needed. Controlled Automated Reperfusion of the whoLe body (CARL) represents a therapy..

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Acute air embolism caused by autotransfusion during percutaneous atrial septal defect closure: A case report

Abstract Atrial septal defect is a common congenital heart disease in adults and it is often asymptomatic. Percutaneous device closure is gaining popularity, but percutaneous repair of atrial septal defect..

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Biomaterials as Haemostatic Agents in Cardiovascular Surgery: Review of Current Situation and Future Trends

Abstract Intraoperative haemostasis is of paramount importance in the practice of cardiovascular surgery. Over the past 70 years, topical haemostatic methods have advanced significantly and today we deal with various..

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Warm humidified CO2 insufflation improves pericardial integrity for cardiac surgery: a randomized control study

Abstract BACKGROUND: Flooding the surgical field with dry cold CO2 during open-chamber cardiac surgery has been used to mitigate air entrainment into the systemic circulation. However, exposing epithelial surfaces to cold,..

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Whole Blood Adsorber During CPB and Need for Vasoactive Treatment After Valve Surgery in Acute Endocarditis: A Randomized Controlled Study

Abstract Objectives Patients with endocarditis requiring urgent valvular surgery with cardiopulmonary bypass are at a high risk of developing systemic inflammatory response syndrome and septic shock, necessitating intensive use of..

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Effect of aortic cannulation depth on air emboli transport during cardiopulmonary bypass: A computational study

Abstract Introduction Varying the insertion depth of the aortic cannula during cardiopulmonary bypass (CPB) has been investigated as a strategy to mitigate cerebral emboli, yet its effectiveness associated with CPB..

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The Pathophysiology of The Antiphospholipid Syndrome: A Perspective From The Blood Coagulation System

Abstract The antiphospholipid syndrome (APS), a systemic autoimmune disease characterized by a hypercoagulability associated to vascular thrombosis and/or obstetric morbidity, is caused by the presence of antiphospholipid antibodies such as..

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Gaseous Microemboli in the Cardiopulmonary Bypass Circuit: Presentation of a Systematic Data Collection Protocol Applied at Istituto Cardiocentro Ticino

Abstract Air emboli are reported to enter the cardiovascular system during cardiac surgery despite air-bubble filters in the arterial line of the cardiopulmonary bypass (CPB). A potential association with stroke,..

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Predictors of Survival and Ventricular Recovery Following Acute Myocardial Infarction Requiring Extracorporeal Membrane Oxygenation Therapy

Abstract The use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) following acute myocardial infarction with cardiogenic shock (AMI-CS) is increasing, but the ability to predict favorable outcomes with support remains limited...

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Organ donation

In this video you can see complete step by step organ donation of patient with borderline organs including heart liver and kidneys undergone sternotomy and aortic cannulation as blood exit..

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Extracorporeal membrane oxygenation and left ventricular unloading: What is the evidence?

Abstract Although mechanical circulatory support (MCS) has been used to support patients with cardiogenic shock (CS) for many years, recent advances in device technology, together with the lackluster performance of..

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Glycemic Control in Coronary Artery Bypass Graft Surgery: A Different Perspective

Abstract Background Hyperglycemia during coronary artery bypass graft surgery (CABG) strongly predicts intra- and post-operative adverse consequences. Objectives This study aimed to evaluate the quality of glycemic management during CABG..

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Computational fluid dynamics analysis of endoluminal aortic perfusion

Abstract Introduction In peripheral percutaneous (VA) extracorporeal membrane oxygenation (ECMO) procedures the femoral arteries perfusion route has inherent disadvantages regarding poor upper body perfusion due to watershed. With the advent..

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Clinical outcomes among out-of-hospital cardiac arrest patients treated by extracorporeal cardiopulmonary resuscitation: the CRITICAL study in Osaka

Abstract Aim Extracorporeal cardiopulmonary resuscitation (ECPR) is performed in refractory out-of-hospital cardiac arrest (OHCA) patients, and the eligibility has been conventionally determined based on three criteria (initial cardiac rhythm, time..

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Comparison of coagulation monitoring using ROTEM and Sonoclot devices in cardiac surgery. A single-centre prospective observational study

Abstract BACKGROUND: Viscoelastic tests (VETs) are recommended during cardiac surgery to monitor coagulation status and guide transfusion. We compared the results of two VETs, the Sonoclot Analyzer and the ROTEM..

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Blood Product Utilization in Patients With COVID-19 on ECMO

Abstract Introduction Although extracorporeal membrane oxygenation (ECMO) has been associated with improved outcomes in COVID patients with respiratory failure, data regarding the need for blood product utilization in this population..

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The Use of Hemoglobin-Based Oxygen Carriers in Ex Vivo Machine Perfusion of Donor Organs for Transplantation

Abstract There has been significant progress in the development of ex vivo machine perfusion for the nonischemic preservation of donor organs. However, several complications remain, including the logistics of using human blood..

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Preparing Clinicians for a Clinical World Influenced by Artificial Intelligence

Abstract Artificial intelligence (AI) and machine learning (ML) are poised to transform the way health care is delivered. AI is the use of computers to simulate intelligent tasks typically performed..

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Use of Percutaneous Cannulation in Robotic Mitral Valve Surgery

Abstract Minimally invasive cardiac surgery (MICS) has evolved in its practice over the past several years. Percutaneous cannulation is a technique that can be used during MICS to facilitate cardiopulmonary..

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Sonoclot’s usefulness in prediction of cardiopulmonary arrest prognosis: A proof of concept study

Abstract The aim of the present study was to evaluate the usefulness of measuring whole blood coagulation with Sonoclot to predict return of spontaneous circulation (ROSC) in patients with out-of-hospital..

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Oxygen Delivery in Pediatric Cardiac Surgery and its Association with Acute Kidney Injury using Machine Learning

Abstract Objective Acute kidney injury (AKI) following pediatric cardiac surgery with cardiopulmonary bypass is a frequently reported complication. This study aims to determine the critical oxygen delivery (DO2i) threshold associated..

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Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study

Abstract Objectives Despite training and the recognition that speaking up can mitigate harm to patients and save lives, healthcare professionals do not consistently speak up when they have patient safety concerns...

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Pediatric aortic valve neocuspidization

Treatment of pediatric aortic valve disease is controversial. In this regard, interest is growing in the neocuspidization of the aortic valve according to Ozaki. In this video tutorial, we illustrate..

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Extracorporeal Life Support Organization Guidelines for the Provision and Assessment of Nutritional Support in the Neonatal and Pediatric ECMO Patient

Abstract This guideline discusses nutritional support for neonatal and pediatric patients requiring extracorporeal membrane oxygenation (ECMO) support. Data for nutrient delivery during ECMO support and its impact on outcomes are..

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Myxomatosis change in aortic valve position

Rare patient with myxomatosis change in aortic valve position undergone AVR with mechanical valve with good post operative course and TEE and TTE.  Dr.Sam Zeraatian Nejad Davani, CEO of rockingham..

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Reduced sevoflurane loss during cardiopulmonary bypass when using a polymethylpentane versus a polypropylene oxygenator

Abstract Purpose: The goal of this investigation was to examine the influence of two oxygenators with different membranes, made of either polypropylene (PPL) or polymethylpentane (PMP), on the plasma concentration of..

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Use of CytoSorb in a patient with hemorrhagic shock and multiple organ failure due to complicated secondary cesarean section

This case reports on a 31-year-old previously healthy female patient, who was admitted post-operatively to the intensive care unit (ICU) with hemorrhagic shock and dilutional/ disseminated intravascular coagulopathy following secondary..

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