Monthly Archives: enero 2026

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Describing hemodynamic states: a plea for systematic terminology

Abstract A clear and systematic terminological framework is essential for exactly describing a patient’s hemodynamic state. After assessing absolute values of hemodynamic variables and considering the specific clinical context, the..

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Temporary Mechanical Circulatory Support and Shock Teams in High-Risk Cardiac Surgery: The Strategic Evolution of Protected Cardiac Surgery

Abstract Background Protected cardiac surgery is a proactive strategy that applies temporary mechanical circulatory support to prevent perioperative low cardiac output syndrome in high-risk cardiac surgery. Rather than escalating vasoactive..

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Bleeding and thrombotic events during micro-axial flow pump support: A European multicenter cohort study

Abstract Background Bleeding and thrombosis are major complications of micro-axial flow pump (mAFP) support in cardiogenic shock (CS), yet contemporary data on their incidence, temporal trends, and prognostic impact remain..

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Anticoagulants beyond coagulation: a narrative review of cardiovascular effects

Abstract Anticoagulants are widely used to prevent and treat thrombotic disorders, and continuous advances have refined their efficacy and safety. Beyond their established anticoagulant function, growing evidence indicates that some..

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Use of Extracorporeal Membrane Oxygenation for Management of Hemostasis After Complex Cardiac Surgery

Abstract Intractable bleeding during cardiac surgery is a rare but life-threatening complication. We describe a novel management approach in which the patient was supported with venoarterial extracorporeal membrane oxygenation until..

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ECMO Billing & Coding Tips for Building a Financially Successful Program

    Dr. Ara Balkian, Strategic Advisor to Integration Health, will lead an in-depth discussion on the financial and clinical significance of Extracorporeal Membrane Oxygenation (ECMO). Drawing on his deep..

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Bilateral Pneumonectomy + Lung Transplant with Dynamic ECMO Support (DREAM-style strategy)

  Conceptual Framework: Bilateral Pneumonectomy + Lung Transplant with Dynamic ECMO Support (DREAM-style strategy) 1. Clinical Context & Rationale This scenario typically applies to: * End-stage bilateral lung malignancy confined..

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NAFA VCU 45th Annual Meeting Advancing Cardiovascular Perfusion - Nov 30 / Dec 3

Monday, November 30, 2026 – Thursday, December 3, 2026 Disney's Yacht Club Resort 1700 Epcot Resorts Boulevard Lake Buena Vista, FL, 32830, United States Program Overview For over 45 years,..

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Paris International Diploma in ECMO & Simulation Course - Oct 28/31

Es el momento de transformar tu práctica profesional mediante una experiencia de aprendizaje inmersivo basada en la metodología del Hospital Pitié-Salpêtrière. Fechas • 28 y 29 de octubre: Experiencia teórica..

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Barts Heart Advanced ECHO Course - Sept 25/27

Description Audience:  Proficient in 2D echo Basic understanding of Doppler Those seeking higher qualifications (e.g., EDEC, BSE level 2, etc..) Physiologists seeking an understanding of critical care echo.   Outline:..

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Adult ECMO Specialist Course — Full Course - June 27

The “Full Program” is designed to prepare the learner for the ELSO Adult ECMO Certification Exam. Following completion of the course, it is the learner’s responsibility to ensure they have..

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First ELSO Technology & Innovation Webinar - Innovative Monitoring in ICU & ECMO

Innovative Monitoring in ICU and ECMO. Speakers will discuss the technical aspects of creating monitoring systems and algorithms for to identify patients that might need ECMO and to monitor progress..

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The Sooner, the Better: Neuroprotective Strategies in Fetuses With Congenital Heart Disease

Abstract Congenital heart disease (CHD) is the most frequent congenital malformation at birth and is associated with neurodevelopmental impairments. Alterations in cardiovascular physiology can lead to reduced cerebral blood perfusion..

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Parallel Dual-Lumen Venovenous Extracorporeal Membrane Oxygenation Following Extracorporeal Cardiopulmonary Resuscitation

Abstract Differential oxygenation may complicate extracorporeal cardiopulmonary resuscitation (ECPR) either due to the initial pathology or subsequent lung injury. The dual circulation phenomenon inherent to peripheral venoarterial extracorporeal membrane oxygenation..

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Viscoelastic point-of-care testing for monitoring unfractionated heparin in critically ill patients: a prospective observational study comparing ClotPro® IN/HI-Test, aPTT and…

Abstract Background Monitoring of unfractionated heparin (UFH) in critically ill patients is challenging due to disease-related alterations of the coagulation system, directly affecting conventional laboratory tests, including activated partial thromboplastin..

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Impact of amino acid supplementation on cardiovascular and chronic kidney diseases: a systematic review

Abstract Cardiovascular diseases (CVD) remain the leading cause of mortality worldwide, with chronic kidney disease (CKD) constituting a significant risk factor. Despite the crucial role of amino acids as fundamental..

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Elective Use of Veno-Venous Extracorporeal Membrane Oxygenation to Support Complex Surgery Involving the Central Airways

Abstract Introduction Veno-venous extracorporeal membrane oxygenation (VV-ECMO) supports oxygenation and carbon dioxide (CO2) clearance in the short- or mid-term, and is traditionally utilized in severe, refractory respiratory failure. There is..

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Epidemiology of nosocomial infections in ECMO patients in Qatar: the CLEAN-Q seven-year retrospective cohort study

Abstract Background Extracorporeal Membrane Oxygenation (ECMO) is a critical rescue therapy complicated by high rates of nosocomial infections (NIs). While Western data abound, evidence from the Middle East remains limited...

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The Impact of Body Temperature on Neurologic Outcomes in Neonatal Aortic Arch Surgery Using Antegrade Cerebral Perfusion: A Scoping Review

Abstract Antegrade cerebral perfusion (ACP) and hypothermia are widely used neuroprotective strategies during neonatal aortic arch repairs. Still, over 50% of neonates exhibit new or worsened white matter injury in..

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Early Postoperative Mitral Bioprosthetic Thrombosis During ECMO Support: Urgent Transcatheter Valve-in-Valve Implantation

Abstract Acute postoperative bioprosthetic valve thrombosis is a rare complication with challenging treatment. We present two consecutive cases of patients with myocardial infarction and papillary muscle rupture requiring urgent surgical..

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Predictors of Brain Infarction in Pediatric Patients During Extracorporeal Membrane Oxygenation

Abstract Introduction Brain infarction (BI) is a severe complication of extracorporeal membrane oxygenation (ECMO) with high morbidity and mortality. We aimed to determine the incidence of BI and identify predictors..

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Comment on: intra-aortic balloon pump can be used after acute type A aortic dissection repair

Abstract Dear Editor, We read with great interest the article by Tanaka et al. reporting their institutional experience with mechanical circulatory support (MCS) in patients undergoing surgical repair of acute..

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In-Hospital Mortality Prediction of Patients Requiring Extracorporeal Membrane Oxygenation Using Composite Lactate Metrics and Weight-of-Evidence Modeling

Abstract BACKGROUND:  Mortality prognostication in adult patients requiring extracorporeal membrane oxygenation (ECMO) is not accurate or established. We hypothesized that composite lactate-based metrics and machine-learning models would improve in-hospital mortality..

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Pathogenesis of gaseous microemboli in cardiac surgery. a comprehensive overview of deairing procedures, operative interactions and risk factors to mitigate…

Abstract Background In order to ensure both surgical safety and reliability, operative management of patients undergoing cardiac surgery requires stringent standards and awareness from cardiac surgeons, anesthesiologists and perfusionists. Among..

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Diffuse Correlation Spectroscopy for Non-invasive Monitoring of Peripheral Perfusion During Cardiogenic Shock and VA-ECMO Support: An Experimental Study

Abstract Introduction:  In cardiogenic shock (CS), persistent microcirculatory impairment despite improved macrocirculatory parameters is associated with poor outcomes. Therapeutic strategies must therefore address both macro- and micro-circulation. Conventional microcirculatory measures..

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Preventing ARDS, Not Treating It—Lessons From Sivelestat After Cardiopulmonary Bypass

Abstract Pan and colleagues report the findings of a large, blinded, placebo-controlled single-center randomized clinical trial of sivelestat for the prevention of acute respiratory distress syndrome (ARDS) among patients undergoing..

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Rhabdomyolysis-associated Acute Kidney Injury: from pathogenic mechanisms to the therapeutic use of sorbents

Abstract Rhabdomyolysis is a pathological process that results from the breakdown of skeletal muscle fibers, leading to the release of intracellular contents such as myoglobin, creatine kinase, potassium, and phosphate..

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Introducer–Cannula Diameter Mismatch and Difficult Veno-Venous Extracorporeal Membrane Oxygenation Cannulation: A Case Report

Abstract Obesity poses technical challenges during veno-venous extracorporeal membrane oxygenation (VV-ECMO) cannulation because of thick subcutaneous tissue and increased insertion resistance. While patient-related factors are well recognized, the impact of..

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Profile of Acute Kidney Injury in Patients Undergoing Cardiac Surgery with Use of Cardiopulmonary Bypass Machine

Abstract Introduction Acute kidney injury (AKI) is a well-known serious complication of cardiopulmonary bypass (CPB) surgery and one of the significant risk factors for mortality, prolonged hospital stay, and additional..

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