Yearly Archives: 2022

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Controversies in extracorporeal membrane oxygenation: Immediate versus watchful waiting for venoarterial extracorporeal membrane oxygenation venting

Abstract In patients in cardiogenic shock (CS), mechanical circulatory support (MCS) may improve systemic perfusion without increasing myocardial work. Restoration of oxygen delivery with reduced myocardial oxygen demand favors myocardial..

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Unloading the left ventricle in venoarterial extracorporeal life support: The urgent need of speaking the same language!

Abstract We have read the review article entitled “Controversies in ECMO: Immediate versus Watchful Waiting for VA-ECMO Venting” by Cavayas and colleagues, published in the Special Issue of Invited Presentations:..

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CytoSorb haemoadsorption for removal of apixaban—A proof-of-concept pilot case for a randomized controlled trial

Abstract What is known and objective Emergent cardiac surgery in patients under anticoagulant therapy is still a major point of concern. Recently approved reversal agents are often not available or..

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The Effects of Targeted Changes in Systemic Blood Flow and Mean Arterial Pressure on Urine Oximetry During Cardiopulmonary Bypass

Abstract Objectives Poor medullary oxygenation is implicated in the evolution of acute kidney injury. The authors sought to determine if increasing systemic flow and mean arterial pressure could improve urine..

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‘You can’t do quality between surgical cases and tea time’: barriers to surgeon engagement in quality improvement

Abstract Much has been written about the challenges of surgeon engagement in quality and safety improvement work. In Taitz and colleagues’ 2011 seminal work, one interviewee alluded to the difficulties..

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A nomogram to predict nosocomial infection in patients on venoarterial extracorporeal membrane oxygenation after cardiac surgery

Abstract Introduction After cardiac surgery, patients on venoarterial extracorporeal membrane oxygenation (VA-ECMO) have a higher risk of nosocomial infection in the intensive care unit (ICU). We aimed to establish an..

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Retrograde cerebral perfusion for intracardiac air embolism in Fontan procedure

Abstract We report the case of a 5-year-old boy who suffered from an intracardiac air influx with suspected cerebral air embolism during the Fontan procedure. We immediately transformed the cardiopulmonary..

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Right axillary artery cannulation in acute type A aortic dissection with involvement of the right axillary artery

Abstract Objective Right axillary artery is currently recommended for arterial cannulation in surgery for acute type A aortic dissection. However, the feasibility of cannulation on a dissected right axillary artery..

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Aortic valve bacterial endocarditis and fistula between ascending aorta and RV

Patient with dialysis and aortic valve bacterial endocarditis and fistula between ascending aorta and RV and block undergone AVR fistula closure and good course.   [playlist ids="36620"] Dr.Sam Zeraatian Nejad..

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Interdigitating Technique for Repair of Aortic Coarctation and Arch Hypoplasia in a Neonate

he patient was a two-day-old, 3.6 kilogram neonate who was diagnosed prenatally with aortic coarctation. After birth, a prostaglandins infusion was initiated, and a transthoracic echocardiogram showed critical aortic coarctation..

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Bacterial endocarditis in coronary sinus

Patient with abnormal bacterial endocarditis in coronary sinus due to RA catheter for dialysis undergone beating repair with CS reconstruction with autologous pericardial patch weaned from CPB uneventfully. [audio ogg="https://perfusfind.com/wp-content/uploads/2022/11/Bacterial-endocarditis-in-coronary-sinus.ogg"][/audio]..

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SynCardia Temporary Total Artificial Heart: Single-Center Experience at a Children’s Hospital

Abstract The SynCardia temporary total artificial heart (TAH-t) is a pneumatically driven pulsatile device that replaces a patient’s ventricles and all four valves. It is now available in two sizes..

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Extracorporeal Membrane Oxygenation in the Therapy of Cardiogenic Shock: Results of the ECMO-CS Randomized Clinical Trial

Abstract Background: Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is increasingly being used for circulatory support in cardiogenic shock patients, although the evidence supporting its use in this context remains insufficient. The aim..

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Vasoplegia is Predicted by Preoperative Platelet-Leucocyte conglomerate Indices in Cardiac Surgery (VASOPLEGICS): A retrospective single-center study

Abstract Background: Post-cardiotomy vasoplegia syndrome (VS) is often linked to an exaggerated inflammatory response to cardiopulmonary bypass (CPB). At the same time, the prognostic role of platelet-leucocyte indices (PLIs) and leucocyte..

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PerfWeb 86 (2 days event)

  Day 1 - An Exploration of New Technologies for Perfusion, and Returning to Perfusion Joe Basha, CCP and guest discusses the challenges and rewards of returning to clinical perfusion..

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Parachute mitral syndrome with CVA and LA clot filled

Patient with congenital anomaly of LA and parachute mitral syndrome came with CVA and LA clot filled LA undergone MVR myxoma removal and and LAA closure and LA size reduction..

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Vasoplegic Syndrome after Cardiopulmonary Bypass in Cardiovascular Surgery: Pathophysiology and Management in Critical Care

Abstract Vasoplegic syndrome (VS) is a common complication following cardiovascular surgery with cardiopulmonary bypass (CPB), and its incidence varies from 5 to 44%. It is defined as a distributive form..

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Effect of Hypoxemia on Outcome in Respiratory Failure Supported With Extracorporeal Membrane Oxygenation: A Cardinality Matched Cohort Study

Abstract Venovenous extracorporeal membrane oxygenation (ECMO) is recommended in adult patients with refractory acute respiratory failure (ARF), but there is limited evidence for its use in patients with less severe..

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Associations of cephalad drainage in neonatal veno-venous ECMO – A mixed-effects, propensity score adjusted retrospective analysis of 20 years of…

Abstract Background Neurologic complications can occur during neonatal Veno-Venous (VV) ECMO. The addition of a cephalad drainage cannula (i.e., VVDL+V) to dual lumen cannulation (i.e., VVDL) has been advocated to..

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Ascending aorta aneurysm: classic florida operation with sinus preservation technique

Patient with Ascending aorta aneurysm and IMH 90 years old undergone classic florida operation with sinus preservation technique Zeraatiannejaddavani intra operative TEE confirmed no any evidence of AI neither ostial..

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Pulmonary trunc: total correction via left antrolateral thoracotomy and florida

Patient with pulmonary trunc aneurysm and impingement in left main bronchus patient was one variant of TF undergone total correction via left antrolateral thoracotomy and florida for pulmonary trunc.  ..

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Surgical correction of the ascending aorta and an aortic root aneurysm associated with coarctation of the descending aorta

This case report shows how to perform simultaneously an open surgical correction of an aortic root aneurysm and aortic stenosis by interposition of an aortic composite graft and the transdiaphragmatic..

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CABG undergone posterolateral thoracotomy off pump

Patient with previous CABG and just patent graft LIMA to LAD with occlusion of other SVG grafts undergone posterolateral thoracotomy off pump ! And graft to descending thoracic aorta by..

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Cor triatriatum sinister: Long-term surgical outcomes in children and a proposal for a new classification

Abstract Background: Cor Triatriatum Sinister (CTS) is a rare congenital anomaly with an estimated incidence of 0.4%, resulting from abnormal left atrial septation. It may present in isolation or in association..

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Hemostatic alterations during extracorporeal membrane oxygenation in ovine veno-venous and veno-arterial models

Abstract Background Extracorporeal membrane oxygenation (ECMO) has salvaged many people's life during global pandemics. However, ECMO is associated with a high incidence of hemostatic complications. This study aims to explore..

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Considerations for Reoperative Heart Valve Surgery

Abstract Reoperative valve surgery is being performed with increasing frequency in the last decades. This is mainly due to the increasing use of bioprosthetic valves, a growing population of patients..

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Use of CytoSorb in drug-induced rhabdomyolysis

This report describes the case of a 73-year-old male patient (known pre-existing conditions: bilateral peripheral vascular disease grade 2b, hypercholesterolemia with long-term simvastatin medication) who was admitted to the Emergency..

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'Enhanced Lung Rest' with CytoSorb and ECMO Achieves High Survival in 100 Critically Ill COVID-19 Patients with Refractory Lung Failure…

Abstract PRINCETON, N.J., Nov. 2, 2022 /PRNewswire/ -- CytoSorbents Corporation (NASDAQ: ), a leader in the treatment of life-threatening conditions in the intensive care unit and cardiac surgery using its CytoSorb® blood purification technology,..

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Association Between Early Change in Arterial Carbon Dioxide Tension and Outcomes in Neonates Treated by Extracorporeal Membrane Oxygenation

Abstract The primary objective was to investigate the association between partial pressure of carbon dioxide (PaCO2) change after extracorporeal membrane oxygenation (ECMO) initiation and neurologic outcome in neonates treated for respiratory..

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Extracorporeal versus conventional cardiopulmonary resuscitation for refractory out‑of‑hospital cardiac arrest: a secondary analysis of the Prague OHCA trial

Abstract Background: Survival rates in refractory out-of-hospital cardiac arrest (OHCA) remain low with conventional advanced cardiac life support (ACLS). Extracorporeal life support (ECLS) implantation during ongoing resuscitation, a method called..

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