Perfusfind S.L.
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Hematologic evaluation of cardiopulmonary bypass circuits prepared with a novel block copolymer

Abstract Background. To decrease the complications associated with cardiopulmonary bypass, novel biomaterials have been introduced that may be less thrombogenic than standard synthetic surfaces.   Methods. Thirty-four patients undergoing coronary..

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mDixon ECG-gated 3-dimensional cardiovascular magnetic resonance angiography in patients with congenital cardiovascular disease

Take Home Points: modified Dixon (mDixon) 3D cardiovascular magnetic resonance angiography (CMRA) demonstrates reduced artefact burden and better delineation of head and neck vessels as well as pulmonary veins compared..

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Une première pour le CHU : un cœur qui bat, hors de tout corps

  De battre le cœur a continué. Le 26 mars 2021, les équipes de chirurgie cardiaque et d’anesthésie-réanimation du CHU de Rennes ont réalisé une transplantation cardiaque d’un genre nouveau..

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A cardiopulmonary bypass strategy to support a patient with vein of Galen malformation

Abstract We present a dissection of the patent ductus arteriosus and pulmonary artery for surgical repair utilising cardiopulmonary bypass in the setting of vein of Galen malformation. Several strategies were..

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The Effect of Priming Solutions and Storage Time on Plasticizer Migration in Different PVC Tubing Types—Implications for Wet Storage of…

Abstract The wet priming of extracorporeal membrane oxygenation systems and storage of these systems for rapid deployment is common practice in many clinical centers. This storage policy is, however, seen..

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Long‐term renal function after venoarterial extracorporeal membrane oxygenation

Abstract Background The utilization of venoarterial extracorporeal membrane oxygenation (VA‐ECMO) as a life‐supporting therapy has increased exponentially over the last decade. As more patients receive and survive ECMO, there are..

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Volatile and Intravenous Anesthetics for Brain Protection in Cardiac Surgery: Does the Choice of Anesthesia Matter?

Abstract Postoperative neurologic complications have a significant effect on morbidity, mortality, and long-term disability in patients undergoing cardiac surgery. The etiology of brain injury in patients undergoing cardiac surgery is..

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Simultaneous Mitral Valve Repair and Pectus Excavatum Correction

The authors present a case of mitral valve (MV) repair combined with pectus excavatum repair in a highly symptomatic 28-year-old woman. Her preoperative transesophageal (TEE) echo showed severe mitral insufficiency,..

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Minimally Invasive CABG Combined With Mitral Valve Repair and Left Ventricle Aneurysm Repair Through Left Anterior Thoracotomy

A 53-year-old man was admitted with a two-month history of anterior myocardial infarction, congestive heart failure, and a New York Heart Association III classification. Echocardiography showed severe mitral insufficiency (Carpentier..

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Subaortic Stenosis Resection Via Right Axillary Minithoracotomy

The patient was a 6-year-old boy with no symptoms and a finding of a systolic heart murmur on the left sternal border on a routine examination. Echocardiogram showed left ventricular..

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Minimally Invasive ToF Repair in Adult Patient

This video demonstrates a case report of a 33-year-old man diagnosed with Tetralogy of Fallot (ToF). He had progressive exertional dyspnea with oxygen saturation 91% and NYHA class II-III. The..

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Left Ventricle Pseudoaneurysm Repair and CABG Through the Left Anterior Minithoracotomy

We are presenting the case of minimally invasive repair of large left ventricle inferior pseudoaneurysm and concomitant CABG procedure. The patient was a 63-year-old man who presented with shortness of..

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TNOC 2019: The Physiology of Fluid Management Maintaining Colloid Oncotic Pressure (COP) on CPB

Keith Samolyk, CCP discusses the physiology of fluid management and the importance of maintaining Colloid Oncotic Pressure (COP).   

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TNOC 2019: Fluid, Volume, and Blood Management A multidisciplinary approach to autologous blood

Fluid, Volume, and Blood Management. A multidisciplinary approach to autologous blood.  

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Hemoadsorption eliminates remdesivir from the circulation: Implications for the treatment of COVID‐19

Abstract Both antiviral treatment with remdesivir and hemoadsorption using a CytoSorb® adsorption device are applied in the treatment of severe COVID‐19. The CytoSorb® adsorber consists of porous polymer beads that adsorb a..

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Hypercoagulopathy, acquired coagulation disorders and anticoagulation before, during and after extracorporeal membrane oxygenation in COVID-19: a case series.

Abstract Background: Thromboembolism and bleeding contribute to Coronavirus disease 2019 (COVID-19)’s morbidity and mortality and are also frequent complications of venovenous extracorporeal membrane oxygenation (vvECMO). As the interaction of the..

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Fraction of expired oxygen: an additional safety approach to monitor oxygen delivery to the heart lung machine oxygenator.

Abstract Background: Monitoring oxygen delivery to the oxygenator of a heart lung machine (HLM) is typically accomplished with an O2 analyzer connected to the gas inflow line. It is assumed when..

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Heparin-Free Lung Transplantation on Venovenous Extracorporeal Membrane Oxygenation Bridge.

Abstract Extracorporeal membrane oxygenation (ECMO) bridge to lung transplantation (LuTX) exposes the patients to a high risk of perioperative bleeding secondary to systemic anticoagulation and coagulation factors deficiency. With this..

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Cardiac surgery outcome during the COVID-19 pandemic: a retrospective review of the early experience in nine UK centres.

Abstract Background Early studies conclude patients with Covid-19 have a high risk of death, but no studies specifically explore cardiac surgery outcome. We investigate UK cardiac surgery outcomes during the..

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Modern practice and outcomes of reoperative cardiac surgery.

Abstract Objectives To evaluate recent practice and outcomes of reoperative cardiac surgery via re-sternotomy. Use of early versus late institution of cardiopulmonary bypass (CPB) before sternal re-entry was of particular..

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Different mechanisms of oxygenator failure and high plasma von Willebrand factor antigen influence success and survival of venovenous extracorporeal membrane…

Abstract Objective Failure of membrane oxygenator (MO) function of venovenous extracorporeal membrane oxygenators (VV ECMO) remains problematic. The development of device-induced coagulation disorder (COD) or worsened gas transfer (WGT) necessitates..

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Prognostic Utility of KDIGO Urine Output Criteria After Cardiac Surgery

Abstract Objectives Kidney Disease: Improving Global Outcomes (KDIGO) guidelines include assessment of creatinine and urine output to identify acute kidney injury (AKI). Whether urine output is an accurate indicator of..

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Neurological complications during veno-venous extracorporeal membrane oxygenation: Does the configuration matter? A retrospective analysis of the ELSO database

Abstract Background Single- (SL) and double-lumen (DL) catheters are used in clinical practice for veno-venous extracorporeal membrane oxygenation (V-V ECMO) therapy. However, information is lacking regarding the effects of the..

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Cerebrovascular autoregulation and arterial carbon dioxide in patients with acute respiratory distress syndrome: a prospective observational cohort study

Abstract Background Early hypercapnia is common in patients with acute respiratory distress syndrome (ARDS) and is associated with increased mortality. Fluctuations of carbon dioxide have been associated with adverse neurological..

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Determining Thresholds for Three Indices of Autoregulation to Identify the Lower Limit of Autoregulation During Cardiac Surgery

Abstract OBJECTIVES:  Monitoring cerebral autoregulation may help identify the lower limit of autoregulation in individual patients. Mean arterial blood pressure below lower limit of autoregulation appears to be a risk..

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Successful treatment of neonatal atrial flutter by synchronized cardioversion: case report and literature review

Abstract Background Atrial flutter (AFL) is a supraventricular tachyarrhythmia. In the ECG tracing, it is marked by a fast, irregular atrial activity of 280–500 beats per minute. AFL is known..

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Cannulation strategies & circulation management in type‐A aortic dissection

Abstract Type A aortic dissection most often requires emergent surgery to prevent malperfusion, stroke, and/or rupture of aorta. To achieve the structural goals of the operation, the conduct of the..

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Predicting acute kidney injury following nonemergent cardiac surgery: A preoperative scorecard

Abstract Objective To determine the predictors of postoperative acute kidney injury (AKI) following nonemergent cardiac surgery among patients with variable preoperative estimated glomerular filtration rate (eGFR) levels. Methods A retrospective..

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Use of CytoSorb in a patient with severe clonazepam and quetiapine overdosage

This case reports on a 24-year-old female patient who was admitted to the hospital in an unresponsive state with suspected overdose of clonazepam and quetiapine, presumably 1 hour post ingestion...

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CONDUÇÃO NA CEC EM ADULTO - WEBINAR 06

Aula sobre condução na CEC em pacientes adultos! Prof. Elio Carvalho é Biomédico, Microbiologista e Perfusionista pela Unicamp, CLAP e SBCEC. É perfusionista do Hospital de Clínicas da Unicamp e..

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