Archives

thumbnail
0 comment

First Harvest of Pediatric and Congenital Heart Surgery Multicenter Database in Turkey: Novel Application of Real-Time Online Reporting

Abstract Objectives: A new congenital heart surgery database (CKCV) with real-time online reporting function was recently developed in Turkey. All standard international parameters were used, but Aristotle Comprehensive Complexity score..

Read More
thumbnail
0 comment

The Effect of Minimally Invasive Surgery and Sternotomy on Physical Activity and Quality of Life

Aim The aim of this study was to compare  (MI) and  (MS) in terms of post-procedure health-related quality of life (HRQoL) and functional outcome. Method We conducted a multicentre prospective cohort study..

Read More
thumbnail
0 comment

Platelets and extra-corporeal membrane oxygenation in adult patients: a systematic review and meta-analysis

Abstract Despite increasing improvement in extracorporeal membrane oxygenation (ECMO) technology and knowledge, thrombocytopenia and impaired platelet function are usual findings in ECMO patients and the underlying mechanisms are only partially..

Read More
thumbnail
0 comment

A survey of patient blood management for patients undergoing cardiac surgery in nine European countries

Abstract Study objective To describe and compare patient blood management (PBM) practices in cardiac surgery in nine European countries and identify the main risk factors for bleeding or transfusion according..

Read More
thumbnail
0 comment

Peripheral cannulation for extracorporeal membrane oxygenation yields superior neurologic outcomes in adult patients who experienced cardiac arrest following cardiac surgery

Abstract Background: Extracorporeal cardiopulmonary resuscitation (ECPR) for refractory cardiac arrest has improved mortality in post-cardiac surgery patients; however, loss of neurologic function remains one of the main and devastating complications...

Read More
thumbnail
0 comment

Pediatric Cardiac Surgical Patterns of Practice and Outcomes in Japan and Europe

Abstract Objectives: The Japan Cardiovascular Surgery Database–Congenital section (JCVSD-Congenital) and the European Congenital Heart Surgeons Association (ECHSA) Congenital Heart Surgery Database (CHSD) share the same nomenclature. We aimed at comparing..

Read More
thumbnail
0 comment

THE STANDARD POINT-OF-CARE HEMOCHRON® JR. ACT+ TEST IN MONITORING HEPARIN ADMINISTRATION FOR CARDIOPULMONARY BYPASS IN SEVERE FACTOR XII DEFICIENCY

Abstract Coagulation factor XII (fXII) is a plasma serine protease which belongs to the contact activation complex responsible for initiating the intrinsic coagulation pathway. fXII deficiency is a rare congenital..

Read More
thumbnail
0 comment

Multi-institutional Analysis of 100 Consecutive Patients with COVID-19 and Severe Pulmonary Compromise Treated with Extracorporeal Membrane Oxygenation: Outcomes and Trends…

Abstract The role of extracorporeal membrane oxygenation (ECMO) in the management of severely ill patients with coronavirus disease 2019 (COVID-19) continues to evolve. The purpose of this study is to..

Read More
thumbnail
0 comment

Monitoring of perfusion quality and prediction of donor heart function during ex-vivo machine perfusion by myocardial microcirculation versus surrogate parameters

Abstract Currently, lactate (Lac) is used to evaluate  (MP) of hearts, donated after circulatory death (DCD). We hypothesize that monitoring of myocardial  (mLDP) by Laser-Doppler-Perfusion is superior to Lac to evaluate perfusion..

Read More
thumbnail
0 comment

The Effects of Nitric Oxide in Oxygenator Sweep Gas During Extracorporeal Circulation in a Neonatal Ovine Model

Abstract Extracorporeal membrane oxygenation is a life-saving intervention, but bleeding complications are frequent. Given that the combination of platelet loss and dysfunction is a major contributor to this acquired bleeding..

Read More
thumbnail
0 comment

Microcirculatory effects of landiolol: a double-blind, randomised, controlled study after cardiac surgery

Abstract Microcirculatory disturbances are commonplace after cardiopulmonary bypass.  Postoperative atrial fibrillation (POAF) occurs in nearly 30% of patients undergoing conventional cardiac surgery.  Landiolol, a short-acting i.v. beta blocker, could reduce..

Read More
thumbnail
0 comment

SARS-CoV-2 Leakage From the Gas Outlet Port During Extracorporeal Membrane Oxygenation for COVID-19

Abstract Patients with the coronavirus disease 2019 (COVID-19) sometimes develop refractory respiratory failure and may require venovenous extracorporeal membrane oxygenation (VV-ECMO). It is known that the severe acute respiratory syndrome..

Read More
thumbnail
0 comment

I-PASS handover system: a decade of evidence demands action

Abstract In this issue of BMJ Quality and Safety, Jorro-Barón and colleagues report the findings of a stepped-wedge cluster randomised trial (SW-CRT) to evaluate the implementation of the I-PASS handover system among..

Read More
thumbnail
0 comment

Frequency domain analysis and clinical outcomes of pulsatile and non-pulsatile blood flow energy during cardiopulmonary bypass

Abstract Introduction: The superiority of pulsatile perfusion during cardiopulmonary bypass remains controversial. We analyzed the frequency-domain characteristics and organ protection of pulsatile and nonpulsatile flow in adult patients with valvular..

Read More
thumbnail
0 comment

Influence of administration of mesenchymal stromal cell on pediatric oxygenator performance and inflammatory response

Abstract Objective: Mesenchymal stromal cells have important immunomodulatory and neuroprotective properties. The aim of this study was to evaluate the feasibility of mesenchymal stromal cell administration into a cardiopulmonary bypass..

Read More
thumbnail
0 comment

Diabetic Pathophysiology Enhances Inflammation during Extracorporeal Membrane Oxygenation in a Rat Model

Abstract Systemic inflammatory responses in patients undergoing extracorporeal membrane oxygenation (ECMO) contribute significantly to ECMO-associated morbidity and mortality. In recent years, the number of type 2 diabetes mellitus patients has..

Read More
thumbnail
0 comment

The Effects of the Combined Argatroban/Nitric Oxide-Releasing Polymer on Platelet Microparticle-Induced Thrombogenicity in Coated Extracorporeal Circuits

Abstract Clotting, anticoagulation, platelet consumption, and poor platelet function are major factors in clinical extracorporeal circulation (ECC). We have shown that nitric oxide-releasing (NOReL) coatings prevent thrombosis in a rabbit..

Read More
thumbnail
0 comment

Prone Positioning May Improve Outcomes for Patients on ECMO for Severe ARDS

Prone positioning (PP) has shown benefits in patients with refractory hypoxemia from acute respiratory distress syndrome (ARDS).1 The EOLIA trial demonstrated extracorporeal membrane oxygenation (ECMO) can be used for patients with..

Read More
thumbnail
0 comment

20-year experience with pediatric heart transplant in a developing country

Abstract Background Cardiomyopathies in advanced stages and highly complex congenital heart disease may not be amenable to therapy or surgical correction thus being indicated pediatric heart transplant. In this study,..

Read More
thumbnail
0 comment

Optimal utilization of mechanical circulatory support and transplant resources in the comprehensive treatment of terminal heart failure

Abstract Treatment of end-stage heart failure has markedly evolved. With only a limited number of available heart transplants (24 in 2012) in our institution, mechanical circulatory support (MCS) has become..

Read More
thumbnail
0 comment

Albumin in adult cardiac surgery: a narrative review

Abstract Purpose Intravascular fluids are a necessary and universal component of cardiac surgical patient care. Both crystalloids and colloids are used to maintain or restore circulating plasma volume and ensure..

Read More
thumbnail
0 comment

Pre-transplant heart disease etiology has a major effect on post-transplant survival of patients bridged with heartmate II assist device

Abstract Left ventricular assist devices (LVAD) have become an established mode of treatment in bridging patients with advanced heart failure to cardiac transplantation. In certain groups of patients LVADs have..

Read More
thumbnail
0 comment

Altered Fibrinolysis during and after Surgery

Abstract Major surgery induces hemostatic changes related to surgical stress, tissue destruction, and inflammatory reactions. These changes involve a shift of volume from extravascular space to intravascular and interstitial spaces,..

Read More
thumbnail
0 comment

Chronic kidney disease in congenital heart disease patients: a narrative review of evidence

Abstract Purpose of review Patients with congenital heart disease have a number of risk factors for the development of chronic kidney disease (CKD). It is well known that CKD has..

Read More
thumbnail
0 comment

Preoperative anemia and transfusion in cardiac surgery: a single-centre retrospective study

Abstract Background Preoperative anemia and transfusion are associated with worse outcomes. This study aims to identify the prevalence of preoperative anemia, transfusion rates on surgery day, and predictors of transfusion..

Read More
thumbnail
0 comment

Impact of Venoarterial Extracorporeal Membrane Oxygenation Flow on Outcomes in Cardiogenic Shock

Abstract Venoarterial extracorporeal membrane oxygenation (VA ECMO) is used to provide cardiopulmonary support in cardiogenic shock; however, high extracorporeal flow may increase left ventricular (LV) afterload leading to LV distention..

Read More
thumbnail
0 comment

Does postoperative cognitive decline after coronary bypass affect quality of life?

Abstract Objective This study aimed to explore the influence of coronary artery bypass grafting (CABG) on both postoperative cognitive dysfunction and quality of life (QoL) and the association between the two..

Read More
thumbnail
0 comment

The effect of oxygenator choice on hypotension during cardiopulmonary bypass

Abstract Cardiopulmonary bypass (CPB) exposes blood to artificial surfaces, which induces a systemic inflammatory activation.This may contribute to hypotension during CPB. A perceived difference between two membrane oxygenators was noted...

Read More
thumbnail
0 comment

Never Change a Flowing System? The Effects of Retrograde Flow on Isolated Perfused Lungs and Vessels

Abstract Retrograde perfusion may occur during disease, surgery or extracorporeal circulation. While it is clear that endothelial cells sense and respond to changes in blood flow, the consequences of retrograde..

Read More