Yearly Archives: 2022

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Single-Center Experience With a Self-Expandable Venous Cannula During Minimally Invasive Cardiac Surgery

Abstract Objective: Venous drainage is often problematic in minimally invasive cardiac surgery (MICS). Here, we describe our experience with a self-expandable stent cannula designed to optimize venous drainage. Methods: The smart canula® was used..

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Continuous field flooding versus final one-shot CO2 insufflation in minimally invasive mitral valve repair

Abstract Background Insufflation of carbon dioxide (CO2) into the operative field to prevent cerebral or myocardial damage by air embolism is a well known strategy in open-heart surgery. However, here..

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The arresting LVAD patient: A review of the updated recommendations

By Stephanie Louka, MD Case scenario: Paramedics are called to the home of a 59-year-old male patient with an LVAD who was found unconscious and unresponsive by family members. He..

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Pump up the volume

Abstract Assessment and treatment of a patient with a  (VAD) is slightly different than what is expected in any other patient out there. Let’s look at what we need to know..

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Higher Mean Arterial Pressure during Cardiopulmonary Bypass May Not Prevent Acute Kidney Injury in Elderly Patients Undergoing Cardiac Surgery

Abstract We aimed to evaluate the role of higher mean arterial pressure (MAP) during cardiopulmonary bypass (CPB) in preventing development of acute kidney injury (AKI).  Methods. We evaluated a population..

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Intraoperative hyperoxygenation may negatively affect postoperative cognitive functions in coronary artery bypass graft operations: A randomized controlled study

Abstract Objective In this study, it was aimed to compare various parameters during surgery and postoperative cognitive functions in patients undergoing coronary artery bypass graft (CABG) surgery using different levels..

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Neurocognitive decline in cardiac surgery patients: What do we know?

Abstract Neurocognitive decline (NCD) is common after patients undergo cardiac surgery and has important implications for acute and long-term clinical outcomes and patient quality of life. Patients with atherosclerotic cardiovascular..

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Randomised controlled trial comparing intraoperative cell salvage and autotransfusion with standard care in the treatment of hip fractures: a protocol…

Abstract Introduction People who sustain a hip fracture are typically elderly, frail and require urgent surgery. Hip fracture and the urgent surgery is associated with acute blood loss, compounding patients’ pre-existing..

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Mortality Reduction After a Preincision Safety Check Before Cardiac Surgery: Is It the Aorta?

Abstract Objectives The introduction and use of a preincision safety check were associated with lower mortality after mixed adult cardiac surgery; however, an explanatory mechanism is lacking. Stroke, one of..

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Three Observations for Improving Efforts in Surgical Quality Improvement

Abstract An overarching goal for surgery is to deliver high-quality care, defined as being safe, effective, efficient, patient-centered, timely, and equitable, but achieving this multicomponent goal has proved challenging. The last..

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Predicting Therapeutic Response to Unfractionated Heparin Therapy: Machine Learning Approach

Abstract Background: Unfractionated heparin (UFH) is an anticoagulant drug that is considered a high-risk medication because an excessive dose can cause bleeding, whereas an insufficient dose can lead to a..

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CABG & PV reconstruction & fistula closure & pulmonary size reduction

Patient with Mid LAD stenosis and RCA stenosis and LAD to pulmonary trunc fistula undergone CABG and PV reconstruction and fistula closure and pulmonary size reduction. [playlist ids="36488"]   Dr.Sam..

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Zeraatian TOF and tricuspid atresia Double channel technique

Patient with Right sided heart hypoplasia and sub aortic comitted VSD and persistent LSVC TOF undergone total correction by bicaval cannulation and Autologous pericardial VSD Patch as well as Zeraatian's..

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Medicating patients during extracorporeal membrane oxygenation: the evidence is building

Abstract Extracorporeal membrane oxygenation (ECMO), which can support gas exchange or hemodynamics in patients with severe respiratory or cardiac failure, has demonstrated considerable evolution over the last decade [], with..

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Choosing the appropriate configuration and cannulation strategies for extracorporeal membrane oxygenation: the potential dynamic process of organ support and importance…

Abstract Extracorporeal membrane oxygenation (ECMO) is becoming a common procedure to support patients with severe cardio-circulatory or respiratory failure as well as in case of combined compromise of the two..

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Concomitant ECMO And IABP Support in Postcardiotomy Cardiogenic Shock Patients

Abstract Objectives Simultaneous mechanical  (MCS) with intra-aortic balloon pump (IABP) to  (ECMO) is common in postcardiotomy  (PCS). This study aimed to analyse the effect of concomitant ECMO and IABP therapy on the short-term..

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Mechanical Circulatory Support in Delayed Surgery of Post-Infarction Ventricular Septal Rupture in Patients in Cardiogenic Shock-A Review

Abstract Post-infarction ventricular septal rupture (VSR) is a serious complication of myocardial infarction, which, in its natural course or treated medically, is related to high mortality rate. Surgical intervention remains..

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How to Optimize ECLS Results beyond Ventricular Unloading: From ECMO to CentriMag® eVAD

Abstract CentriMag® extracorporeal VAD support could represent a more physiological choice than conventional ECMO in primary cardiogenic shock. We therefore evaluated the outcome of patients with primary cardiogenic shock who were..

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Primary graft failure after cardiac transplantation: prevalence, prognosis and risk factors

Abstract Objectives: Primary graft failure (PGF) is a common and devastating complication, despite the advances in perioperative treatment. We aim to evaluate the prevalence of PGF and its impact on survival..

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The impact of Centre's heart transplant status and volume on in-hospital outcomes following extracorporeal membrane oxygenation for refractory post-cardiotomy cardiogenic…

Abstract Background: Postcardiotomy cardiogenic shock (PCS) that is refractory to inotropic support remains a major concern in cardiac surgery and is almost universally fatal unless treated with mechanical support. While reported..

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Acute right ventricular injury phenotyping in ARDS

Abstract The presence of right ventricular (RV) injury in the context of acute respiratory distress syndrome (ARDS) is significantly associated with increased mortality posing a clinical challenge []. In a..

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UNOS Registry Study: The Impact of Preoperative Mechanical Circulatory Support Devices to Heart Transplant Outcomes in over 78,000 Patients

Abstract Purpose Preoptimizing the hemodynamics and volume status prior to heart transplant is essential for the outcome. Temporary mechanical circulatory support (MCS) has been expanding especially after recent changes to..

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Association of Extracorporeal Membrane Oxygenation With New Mental Health Diagnoses in Adult Survivors of Critical Illness

Abstract Importance  Extracorporeal membrane oxygenation (ECMO) is used as temporary cardiorespiratory support in critically ill patients, but little is known regarding long-term psychiatric sequelae among survivors after ECMO. Objective  To investigate the..

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Simple open-heart surgery protocol for sickle-cell disease patients: a retrospective cohort study comparing patients undergoing mitral valve surgery

Abstract OBJECTIVES Sickle-cell disease (SCD) patients are considered to be at high risk from open-heart surgery. This study assessed the role of a simple sickling-prevention protocol. METHODS Perioperative non-specific and..

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Perioperative Management of a Patient With Combined Bernard Soulier syndrome and Storage Pool Disease During On-Pump Cardiac Surgery

Abstract Bernard Soulier syndrome is a rare hereditary macrothrombocytopenia, with an incidence of <1 per million.  Patients may have variable platelet counts, ranging from <10 × 109/L to normal, as well as..

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Benefits of Intra-Aortic Balloon Pump Support in Patients with Postcardiotomy Shock Requiring Venoarterial Extracorporeal Membrane Oxygenation

Abstract Background: The benefit of the combined use of an intra-aortic balloon pump (IABP) and venoarterial extracorporeal membrane oxygenation (VA-ECMO) for postcardiotomy shock remains unclear. We aimed to analyse the potential..

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Abiomed Successfully Completes All Impella Post-Approval Studies for High-Risk PCI, Cardiogenic Shock, Post-Cardiotomy Cardiogenic Shock and Right Heart Failure

Abstract Danvers, Mass., October 21, 2022 –  (Nasdaq: ABMD) announces the U.S. Food and Drug Administration (FDA) has accepted and closed the post-approval study reports related to the pre-market approvals (PMA)..

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Pressure and flow properties of cannulae for extracorporeal membrane oxygenation I: return (arterial) cannulae

Abstract Adequate extracorporeal membrane oxygenation support in the adult requires cannulae permitting blood flows up to 6-8 L/minute. In accordance with Poiseuille's law, flow is proportional to the fourth power..

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Impact of Cannula Size on Clinical Outcomes in Peripheral Venoarterial Extracorporeal Membrane Oxygenation

Abstract Venoarterial extracorporeal membrane oxygenation (VA ECMO) is an effective mechanical circulatory support for cardiopulmonary failure. Conventionally, an arterial cannula over 15 Fr is inserted for full circulatory support in..

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According to a recent study designed to evaluate the efficacy and feasibility of lung transplantation for respiratory failure from COVID-19,…

Abstract According to a recent study designed to evaluate the efficacy and feasibility of lung transplantation for respiratory failure from COVID-19, transplantation can produce acceptable results if it is performed..

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