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Platelet Reactivity in Patients With Acute Coronary Syndromes Awaiting Surgical Revascularization

Abstract Background  is recommended for patients with  (ACS). Approximately 10% to 15% of these patients will undergo  (CABG) surgery for index events, and current guidelines recommend stopping  at least 5 days before CABG. This..

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Temperature management on cardiopulmonary bypass: Is it standardised across Great Britain and Ireland?

Abstract Temperature management is an essential element of cardiopulmonary bypass (CPB), as indicated in the Guide to Good Practice in Clinical Perfusion, ‘The safe conduct of CPB requires the clinical..

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Minimal invasive extracorporeal circulation preserves coagulation integrity

Abstract Introduction: Coagulopathy after cardiac surgery is a serious multifactorial complication that results in postoperative bleeding requiring transfusion of red blood cells and procoagulant products. Use of cardiopulmonary bypass represents..

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Porcelain aorta

Porcelain aorta (PA) is a structural aortic wall disease characterized by extensive heavy calcification of the ascending thoracic aorta extending to the aortic arch and descending aorta. Porcelain aorta prevents..

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From Conventional Circuit to MiECC

Abstract The major advantage of MiECC systems’ intrinsic characteristics is that they abet the best applying cardiovascular physiology to intraoperative perfusion, while they ultimately unify all three operative disciplinary techniques..

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Description of the Minimized Extracorporeal Circuit to perform Haematic Antegrade Repriming in Cardiopulmonary Bypass

Abstract Introduction: cardiac surgery is continuosly evolving towards a less invasive procedures and different perfusion techniques are also being studied to enhance the results. The aim of this study is to..

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Effect of retrograde autologous priming based on miniaturized cardiopulmonary bypass in children undergoing open heart surgery

Abstract To evaluate the effectiveness of retrograde autologous priming (RAP) based on miniaturized cardiopulmonary bypass (CPB) circuit in children undergoing open heart surgery. We performed a retrospective analysis of all..

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Is aortic valve replacement with a minimally invasive extracorporeal circuit a contemporary option for octogenarians?

Abstract OBJECTIVES Minimally invasive extracorporeal circuits have been introduced to cardiac surgery in an attempt to reduce the negative effects of cardiopulmonary bypass on patient outcome. On the other hand,..

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Conventional versus minimally invasive extracorporeal circulation in patients undergoing cardiac surgery: protocol for a randomised controlled trial (COMICS)

Abstract Introduction: Despite low mortality, cardiac surgery patients may experience serious life-threatening post-operative complications, often due to extracorporeal circulation and reperfusion. Miniaturised cardiopulmonary bypass (minimally invasive extracorporeal circulation) has been..

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Impact of miniaturized cardiopulmonary bypass circuits on ultrafiltration during congenital heart surgery

Abstract   Objective: To investigate whether the miniaturized cardiopulmonary bypass (CPB) system decreased the usage of ultrafiltration (UF), and to explore whether the non-UF with miniaturized CPB strategy could get..

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The impact of minimal invasive extracorporeal circulation on postoperative kidney function

Abstract Introduction: Acute kidney injury following cardiac surgery is a frequent complication associated with increased mortality and morbidity. Minimal invasive extracorporeal circulation is suggested to preserve postoperative renal function. The..

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Minimal invasive extracorporeal circulation (MiECC): the state-of-the-art in perfusion

Abstract From the dawn of open-heart surgery in the early 1950s, a sequence of significant scientific achievements rendered cardiac surgery as a routine practice in the treatment of heart diseases...

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Síndrome vasopléjico

Resumen Introducción La cirugía cardiovascular, que se realiza desde mediados del siglo XX, es un procedimiento ampliamente difundido y utilizado en la medicina asistencial contemporánea. Sus complicaciones son múltiples y..

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La circulación extracorpórea es la única técnica que asegura una revascularización miocárdica perfecta y completa. Argumentos a favor

Resumen La radicalidad de la afirmación que constituye el título de esta controversia obliga a hacer algunas matizaciones. En medicina hay muy pocos axiomas, y esta afirmación no puede defenderse..

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Contraindicaciones y complicaciones de la asistencia circulatoria mecánica

Resumen La asistencia circulatoria mecánica se emplea cuando han fracasado todos los tratamientos posibles. Por ello, antes de su aplicación bastantes pacientes presentan ya contraindicaciones, absolutas o relativas, que hay..

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Manejo de las complicaciones postoperatorias de la cirugía cardiaca en cuidados intensivos

RESUMEN La atención en cuidados intensivos del paciente sometido a cirugía cardiaca amerita una revisión especial, ya que la mayor complejidad y agresividad de la intervención quirúrgica y del soporte..

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Alteraciones fisiopatólogicas secundarias a circulación extracorpórea en cirugía cardíaca

Resumen La circulación extracorpórea (derivación cardiopulmonar) es uno de los métodos utilizados en la cirugía convencional de revascularización coronaria. Su uso puede asociarse con el desarrollo de eventos adversos que,..

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Complicaciones quirúrgicas de la circulación extracorpórea

Resumen Introducción: La circulación extracorpórea en cirugía cardiovascular sustituye la función cardiaca y pulmonar, lo cual genera cambios funcionales y sistémicos que exponen al paciente a complicaciones. Objetivo: determinar las..

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Vasoplegic syndrome and its treatment with vasopressin during cardiac surgery with cardiopulmonary bypass

Abstract Cardiac surgery with cardiopulmonary bypass is associated with systemic inflammatory response. In some cases this clinical condition is characterized by severe hypotension due to low systemic vascular resistance during..

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Cirugía cardiaca con circulación extracorpórea: síndrome vasoplégico y vasopresina

La cirugía cardiaca con circulación extracorpórea (CEC) se acompaña de una respuesta inflamatoria sistémica, caracterizada por vasodilatación y por disminución de la resistencia vascular sistémica (RVS). Esta condición patológica se..

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Efecto de la circulación extracorpórea sobre la perfusión microvascular en pacientes sometidos a cirugía cardíaca.

RESUMEN  La vía final común de los efectos de la circulación extracorpórea es la hipoperfusión periférica, que se valora indirectamente a través de la utilización de O2 en la periferia. El Orthogonal..

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