Monthly Archives: marzo 2026

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ETS 2026 - EXTRACORPOREAL TECHNIQUES SYMPOSIUM 2026 - 18/19 Sept

We are thrilled to share the full and official programme of this first edition of ETS2026. A heartful thank you to all member of the Faculty for sharing experience and..

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39es Journées de la Pitié - 14/16 Oct

Chers collègues, chers amis, L’équipe de La Pitié est heureuse de vous accueillir pour ces 39èmes Journées de Transplantation et d’Assistance Circulatoire, autour de valeurs communes pour ces 3 journées..

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ECMOBARNA 2026 - 26/30 Oct - 3/6 Nov

Presentación Nos complace presentar la décima edición de ECMOBARNA, un programa de formación consolidado como una referencia nacional e internacional en soporte vital extracorpóreo (ECLS/ECMO). A lo largo de estos..

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Beating Heart Implantation: A Comprehensive Technical Perspective

Abstract Traditional methods of heart transplantation utilizing allografts from donors after circulatory death (DCD) involve 2 periods of ischemia and 2 ischemia reperfusion injuries (IRI). Both ischemia and IRI are..

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Evidence-based clinical applications of minimal invasive extracorporeal circulation: From pathophysiological protection to a precision perfusion platform

Abstract Conventional cardiopulmonary bypass (cCPB) remains fundamental to modern cardiac surgery, yet its associated hemodilution, blood–air interaction, inflammatory activation, coagulation disturbance, and microembolic burden continue to affect perioperative organ protection..

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Role of Sex Hormones in Early Neurocognitive Decline After Cardiac Surgery: An Exploratory Analysis

Abstract Background Female patients have a higher incidence and greater severity of neurocognitive decline (NCD) after cardiac surgery. We investigated whether sex hormones play a role in this difference. Methods..

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Association between intrarenal venous flow and postoperative acute kidney injury in cardiac surgery patients following cardiopulmonary bypass: a prospective cohort…

Abstract Objective Postoperative acute kidney injury (AKI) after cardiac surgery is a major complication that worsens patient outcomes and increases healthcare costs. This study aimed to investigate the association between..

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Quantitative Cerebral Perfusion Monitoring Using Transit-Time Flow Measurement During Neonatal Aortic Arch Surgery: A Case Report

Abstract Neurological injury remains a major concern during neonatal aortic arch surgery. Near-infrared spectroscopy (NIRS) is commonly used to monitor cerebral oxygenation but does not provide direct quantitative information on..

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Considerations to practice a safe and minimal administration of heparin and protamine during cardiopulmonary bypass

Abstract A critical aspect of cardiopulmonary bypass (CPB) is achieving full anticoagulation to prevent thrombosis and consumptive coagulation (CCA). Systemic anticoagulation with heparin during CPB should be completely neutralized by..

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Preoperative IV iron and postoperative blood transfusion reduction in non-anaemic patients undergoing cardiac surgery: a systematic review and meta-analysis of…

Abstract Background Preoperative intravenous iron has become increasingly popular as a strategy to optimize hemoglobin before major surgery. However, its potential benefit in non-anaemic patients undergoing cardiac surgery remains unclear...

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Perioperative Normoxia Versus Hyperoxia in Cyanotic Congenital Heart Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Abstract Background Optimal oxygenation strategies during cardiopulmonary bypass (CPB) in children with cyanotic congenital heart disease remain controversial. Although hyperoxia has traditionally been used to compensate for chronic hypoxemia, concerns..

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Cardiopulmonary bypass elevates the neutrophil-to-lymphocyte ratio and reduces lymphocyte counts: a comparison of on-pump versus off-pump CABG

Abstract Objective To evaluate the effects of cardiopulmonary bypass (CPB) on peripheral white blood cell counts, neutrophil surface marker expression, and neutrophil function by comparing patients undergoing on-pump CABG (ONCAB)..

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Hemodynamic principles of arterial cannulation: Orientation, wall shear stress, turbulence, plaque destabilization, and cerebral microembolization

Abstract Background Arterial cannulation during cardiopulmonary bypass (CPB) significantly alters native aortic hemodynamics by generating a high-velocity jet that interacts with the ascending aorta and aortic arch geometry. These flow..

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Patient blood management protocol reduces allogeneic transfusion, morbidity, and mortality in coronary artery bypass surgery

Abstract Background Allogeneic blood is a limited and globally scarce resource. Protocols based on the Patient Blood Management (PBM) program, incorporating therapeutic alternatives to reduce the use of red blood..

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The role of biomarkers in the preoperative evaluation of cardiac surgical patients – A narrative review

Abstract Background Biomarkers play a crucial role in the preoperative assessment for cardiac surgery, aiding in risk stratification and evaluating comorbid diseases. Objective This narrative review summarizes current evidence on..

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Palliative Care Throughout the Entire Perioperative Pathway in Cardiovascular Surgery

Abstract Cardiovascular surgery has substantially improved survival and quality of life for patients with cardiovascular disease, yet contemporary surgical populations are increasingly older, multimorbid, and affected by advanced disease, rendering..

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Perioperative hyperoxia versus normoxia during cardiopulmonary bypass in adult cardiac surgery: a systematic review and meta-analysis of randomized controlled trials

Abstract Background While hyperoxia has conventionally been the standard during cardiopulmonary bypass (CPB) to prevent hypoxemia, recent concerns regarding oxygen-induced oxidative stress have sparked debate over whether a normoxic strategy..

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Challenging Venous Cannulation Pre-Cardiopulmonary Bypass During Aortic Surgery: An Interesting TEE Finding

Introduction Here, we present a case of forme fruste (incomplete) cor triatriatum dexter (ff-CTD), an incidental finding on pre–cardiopulmonary bypass (CPB) transesophageal echocardiography (TEE) that prevented appropriate venous cannulation, leading..

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A pilot study of the impact of enhanced cardiac index coupled with pulsatile flow on goal direct perfusion during cardiopulmonary…

Abstract Introduction: Providing sufficient organ perfusion during cardiopulmonary bypass (CPB) is a common research topic among extracorporeal technology researchers. The application of an elevated cardiac index (CI) to enhance CPB..

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Advances in Cardiovascular Pharmacotherapy. VIII. Angiotensin II in Vasodilatory Shock

Abstract An imbalance between the classical and alternative renin-angiotensin system (RAS) is a characteristic feature of the multifactorial pathophysiology responsible for vasodilatory shock and provides a rationale for its treatment..

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Crystalloid fluids choices during cardiopulmonary bypass, outcomes of acid–base and lactate levels in cardio surgery

Abstract Background Ultrafiltration is integral to cardiopulmonary bypass, yet the optimal replacement fluid for zero-balance ultrafiltration requires further investigation to guide clinical practice. This study aimed to compare the efficacy..

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Management of anticoagulation in patients with heparin-induced thrombocytopenia requiring cardiac surgery with cardiopulmonary bypass: guidance from the ISTH SSC on…

Abstract Heparin-induced thrombocytopenia (HIT) is an immune-mediated adverse drug reaction characterized by thrombocytopenia and a high risk of thrombosis. Patients with HIT and a need for cardiac surgery with cardiopulmonary..

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Plasma PF4 is a reliable biomarker of platelet reactivity and predictive of bleeding risk in DAPT patients undergoing cardiac surgery

Abstract Background Platelet activation is crucial for hemostasis and thrombosis, particularly in patients on antiplatelet therapy. Managing bleeding risk during cardiac surgery requires understanding platelet dynamics, especially when antiplatelet agents..

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Accelerated epigenetic ageing in congenital heart disease: the AccelerAGE study

Abstract Background and Aims Adults with congenital heart disease tend to develop both cardiac and noncardiac age-related comorbidities earlier in life than the general population, suggesting accelerated biological ageing. Epigenetic..

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Association of serum lactate and one-year mortality among women with coronary artery bypass grafting surgery: filling gaps in female

Abstract Background An abnormal perioperative blood lactate level has been reported to be associated with poor outcomes after cardiac surgery. However, their impact on female patients remains underexplored. This large-scale..

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Perioperative management of adult sickle cell disease patients requiring cardiac surgery: A 25-year experience in a referral center

Abstract Introduction Cardiac surgery with cardiopulmonary bypass (CPB) induces extreme disturbances in physiological homeostasis, which may trigger vaso‑occlusive crises and hemolysis in patients with sickle cell disease (SCD). The aim..

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Trends and Outcomes of Mechanical Circulatory Support in Acute Myocardial Infarction and Cardiogenic Shock Patients Undergoing Coronary Artery Bypass Grafting

Abstract Background We sought to describe trends and outcomes of mechanical circulatory support (MCS) use in acute myocardial infarction and cardiogenic shock (AMI-CS) patients undergoing coronary artery bypass grafting (CABG)...

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Standard-dose unfractionated heparin versus low-dose unfractionated heparin and low-molecular-weight heparin in extracorporeal life support (RATE): an open-label, randomised, non-inferiority trial

Abstract Background In patients receiving extracorporeal membrane oxygenation (ECMO), standard practice is full-dose intravenous unfractionated heparin (UFH) targeting an activated partial thromboplastin time of 2·0–2·5 times baseline to reduce thrombotic..

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Intraoperative continuous noninvasive hemoglobin monitoring in patients undergoing thoracic surgery

Abstract Background This study aims to assess the agreement between noninvasive hemoglobin (SpHb) and invasive hemoglobin (InvHb) monitoring in guiding blood transfusions during thoracic procedures. Methods This study was not..

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A highly biocompatible chip for continuous blood electrolyte detection based on hydrophilic surface modification

Abstract In the course of extracorporeal circulation (ECC), real-time monitoring of blood electrolyte levels is crucial for ensuring patient safety and improving outcomes. A continuous detection chip of blood electrolytes..

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