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Use of CytoSorb in a patient with severe polytrauma and ARDS following a motorbike accident

This case reports on a 20-year-old patient with no relevant medical history, who was admitted to the emergency room with severe polytrauma after hitting a stationary car whilst on his..

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LV aneurysm undergone surgical ventricular restoration

Patient with Very Very Low LVEF 10 percent and LV aneurysm undergone surgical ventricular restoration.   [playlist ids="37662"] Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as..

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Changes in Von Willebrand Factor Multimers, Concentration, and Function During Pediatric Extracorporeal Membrane Oxygenation

Abstract Objectives:  To investigate changes in von Willebrand factor (VWF) concentration, function, and multimers during pediatric extracorporeal membrane oxygenation (ECMO) and determine whether routine monitoring of VWF during ECMO would be useful..

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Ascending Aorta repair with coronary ostia involvement

Ascending Aorta repair with coronary ostia involvement undergone Ascending aorta reconstruction with cabrol technique and ostia reimplantation with interposing tubular graft.   [playlist ids="37653"] Dr.Sam Zeraatian Nejad Davani, CEO of..

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Mitral Valve Replacement with annulus décalcification

Patient with multiple scallops prolapse and mitral annulus calcification undergone MVR with annulus décalcification.   Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as well as Head..

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CABG with Y graft LIMA-LAD

Patient with 3VD and LMTO undergone CABG with Y graft and LIMA to LAD as well as distal anastomoses with SVG.   Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical..

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Survival and neurological outcome after out-of-hospital cardiac arrest treated with and without mechanical circulatory support

Abstract Aim The aim of this study was to describe the survival and neurological outcome in patients with  treated with and without mechanical  (MCS). Methods This was a retrospective observational  on patients with..

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Prognostic models for mortality risk in patients requiring ECMO

Abstract Purpose: To provide an overview and evaluate the performance of mortality prediction models for patients requiring extracorporeal membrane oxygenation (ECMO) support for refractory cardiocirculatory or respiratory failure. Methods: A..

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Patterns of Use in Transesophageal Echocardiography for Liver Transplantation: A Systematic Review

Abstract Transesophageal echocardiography is frequently but not always used to guide anesthetic management during liver transplantation. We performed a systematic review of the literature to identify and summarize any studies..

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The ProtekDuo dual-lumen cannula for temporary acute mechanical circulatory support in right heart failure: A systematic review

Abstract Introduction Acute right ventricular failure (aRVF) is associated with high mortality and morbidity. Mechanical circulatory support (MCS) may be considered as an advanced treatment option. The ProtekDuo is a..

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The Fetal series

                                                    Congenital Heart Academy  ..

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Tricuspid Valve repair and Pulmonary Valve Replacement and SVC reconstruction

Patient with bacterial endocarditis of SVC and RA and TV and Pulmonary valve undergone TV repair and PVR as well as SVC reconstruction with autologous pericardial patch RVOT also reconstructed..

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Dialysis catheter causing SVC rupture and lung injury

Patient with ESRD and dialysis catheter causing SVC rupture and lung injury undergone sternotomy and SVC repair blood evacuation and lung repair and catheter withdrawal.   Dr.Sam Zeraatian Nejad Davani,..

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Fluid Accumulation After Neonatal Congenital Cardiac Operation: Clinical Implications and Outcomes

Abstract Background This study was conducted to determine the association between fluid balance metrics and mortality and other postoperative outcomes after neonatal cardiac operation in a contemporary multicenter cohort. Methods..

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A review of European guidelines for patient blood management with a particular emphasis on antifibrinolytic drug administration for cardiac surgery

Abstract The concept of patient blood management (PBM) was introduced by the World Health Organization in 2011 and is defined as a “patient-focused, evidence-based and systematic approach for optimizing the..

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Effect of Intra-arrest Transport, Extracorporeal Cardiopulmonary Resuscitation, and Immediate Invasive Assessment and Treatment on Functional Neurologic Outcome in Refractory Out-of-Hospital…

Abstract Importance: Out-of-hospital cardiac arrest (OHCA) has poor outcome. Whether intra-arrest transport, extracorporeal cardiopulmonary resuscitation (ECPR), and immediate invasive assessment and treatment (invasive strategy) is beneficial in this setting remains uncertain...

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Decline in Functional Status While on the Waiting List Predicts Worse Survival After Lung Transplantation

Abstract Objectives To determine if decreases in the Karnofsky Performance Score (KPS) while on the waitlist predict decreased survival after lung transplantation (LTx). Design A retrospective evaluation of the United..

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Hemostatic Complications During Neonatal Extracorporeal Membrane Oxygenation: Roller Pump and Centrifugal Pump Driven Circuits

Abstract Recently three different neonatal extracorporeal membrane oxygenation (ECMO) circuits have been employed in our clinic. These circuits were compared for clotting and bleeding complications. Initially, we used an ECMO..

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Fatigue of red blood cells under periodic squeezes in ECMO

Abstract Hemolysis usually happens instantly when red blood cells (RBCs) rupture under a high shear stress. However, it is also found to happen gradually in the extracorporeal membrane oxygenation (ECMO)..

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Extracorporeal Membrane Oxygenation Cannulation Timing in the Pediatric Myocarditis Population: An Exploratory Analysis From the Extracorporeal Life Support Organization Registry

Abstract OBJECTIVES:  Children presenting with acute myocarditis may experience rapid clinical deterioration requiring extracorporeal membrane oxygenation (ECMO); however, our understanding of best practices and timing of ECMO initiation are lacking...

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Single-Center Experience Using the Cardiohelp System for Neonatal and Pediatric Extracorporeal Membrane Oxygenation

Abstract Objectives:  Extracorporeal membrane oxygenation (ECMO) systems have continued to evolve and improve with the development of smaller and portable systems. The Cardiohelp (Maquet Getinge Cardiopulmonary AG, Rastatt, Germany) portable..

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Organ Donation From Patients on Extracorporeal Membrane Oxygenation at the Time of Death

Abstract OBJECTIVES:  To describe the clinical characteristics and organ donation rate of patients supported by extracorporeal membrane oxygenation (ECMO) at the time of death. DESIGN:  Retrospective observational study. Pearson chi-square..

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Improving Quality in Cardiothoracic Surgery: Exploiting the Untapped Potential of Machine Learning

Abstract In its ongoing, multidecade quest to optimize patient outcomes in adult and congenital cardiothoracic surgery, The Society of Thoracic Surgeons (STS) has emphasized several key strategies, including quality measurement,..

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Very Low Driving-Pressure Ventilation in Patients With COVID-19 Acute Respiratory Distress Syndrome on Extracorporeal Membrane Oxygenation: A Physiologic Study

Abstract Objectives To determine in patients with acute respiratory distress syndrome (ARDS) on venovenous extracorporeal membrane oxygenation (VV ECMO) whether reducing driving pressure (ΔP) would decrease plasma biomarkers of inflammation..

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Improving access to extracorporeal membrane oxygenation for out of hospital cardiac arrest: pre‑hospital ECPR and alternate delivery strategies

Abstract Background: The use of extracorporeal membrane oxygenation (ECPR) in refractory out-of-hospital cardiac arrest (OHCA) patients is usually implemented in-hospital. As survival in ECPR patients is critically time-dependent, alternative models..

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Clinical approach to acute cellular rejection from the pediatric heart transplant society

Abstract Background Early detection of cardiac allograft rejection is crucial for post-transplant graft survival. Despite the progress made in immunosuppression strategies, acute cellular rejection remains a serious complication during and..

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Vitamin C supplementation attenuates oxidative stress and improves erythrocyte deformability in cardiac surgery with cardiopulmonary bypass

Abstract Cardiopulmonary bypass (CPB) depletes endogenous Vitamin C and generates oxidative stress in cardiac surgery. This study aimed to clarify whether Vitamin C supplementation reduces oxidant production and improves erythrocyte..

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A novel strategy to reduce the recirculation of venovenous extracorporeal membrane oxygenation: Inferior vena cava closure technology

Abstract The recirculation of venovenous extracorporeal membrane oxygenation (VV-ECMO) will decrease the efficiency of respiratory support. We report a patient with refractory severe acute respiratory distress syndrome (ARDS). Even with..

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Design and In Vitro Evaluation of an Artificial Placenta made from Hollow Fiber Membranes

Abstract For infants born at the border of viability, care practices and morbimortality rates vary widely between centers. Trends show significant improvement, however, with increasing gestational age and weight. For..

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Short and long-term outcomes after cardiac surgery in Jehovah’s Witnesses patients: a case–control study

Abstract Cardiac surgery in Jehovah’s Witnesses (JW) patients who refuse blood transfusion is challenging requiring dedicated strategies. We aimed to analyze non-selected JW patients undergoing cardiac surgery and to compare..

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