Publications by authors named "Mathew Jose Chakaramakkil"

4 Publications

  • Page 1 of 1

ECMO in cardiogenic shock and bridge to heart transplant.

Indian J Thorac Cardiovasc Surg 2021 Apr 11;37(Suppl 2):319-326. Epub 2020 Feb 11.

Department of Cardiothoracic Surgery, National Heart Centre Singapore, 5 Hospital drive, Singapore, 169609 Singapore.

Purpose: The aim of this review is to discuss the role of extracorporeal membrane oxygenation (ECMO) in cardiogenic shock and its use to bridge patients to heart transplantation.

Methods And Results: Consideration of published literature reveals indications for ECMO in cardiogenic shock and tools for patient selection, adequate evidence of its efficacy, its advantages when compared with other temporary mechanical circulatory support devices and details of its use as a bridge to decision, bridge to recovery, bridge to bridge (durable ventricular assist device) and bridge to heart transplant.

Conclusion: ECMO is invaluable in treating patients with medically refractory profound cardiogenic shock and allows for cardiac recovery or planning for permanent heart replacement treatments.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1007/s12055-020-00923-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8062637PMC
April 2021

in a post thaw pulmonary valve homograft as a result of contaminated heater cooler unit in use during the implant surgery.

Ann Pediatr Cardiol 2020 Jul-Sep;13(3):277-278. Epub 2020 Jun 29.

National Heart Centre Singapore, National Cardiovascular Homograft Bank, 169609 Singapore. E-mail:

View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_72_20DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7437619PMC
June 2020

ECMO and Short-term Support for Cardiogenic Shock in Heart Failure.

Curr Cardiol Rep 2018 08 16;20(10):87. Epub 2018 Aug 16.

Department of Cardiothoracic Surgery, Level 12, National Heart Centre Singapore, 5 Hospital Drive, Singapore, 169609, Singapore.

Purpose Of Review: This review aims to discuss the role of ECMO in the treatment of cardiogenic shock in heart failure.

Recent Findings: Trials done previously have shown that IABP does not improve survival in cardiogenic shock compared to medical treatment, and that neither Impella 2.5 nor TandemHeart improves survival compared to IABP. The "IMPRESS in severe shock" trial compared Impella CP with IABP and found no difference in survival. A meta-analysis of cohort studies comparing ECMO with IABP showed 33% improved 30-day survival with ECMO (risk difference 33%; 95% CI 14-52%; p = 0.0008; NNT 3). ECMO is indicated in medically refractory cardiogenic shock. ECMO can be considered in cardiogenic shock patients with estimated mortality of more than 50%. ECMO is probably the MCS of choice in cardiogenic shock with; biventricular failure, respiratory failure, life-threatening arrhythmias and cardiac arrest.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11886-018-1041-4DOI Listing
August 2018

Continuous absorbable suture technique for tracheobronchial sleeve resections.

Asian Cardiovasc Thorac Ann 2011 Feb;19(1):44-7

National Heart Center Singapore, 17 Third Hospital Avenue, Singapore.

From January 2000, we changed from the traditional interrupted suture technique for tracheobronchial sleeve resections to a continuous suture technique with absorbable suture. This retrospective study reviewed our experience in the first 50 consecutive patients operated on between January 2000 and August 2006. The median age was 61 years (range, 30 to 80 years). There were 35 men and 15 women, 49 had malignant disease, and 1 had a benign tumor. Two patients had tracheal resection without removal of lung parenchyma; all others underwent sleeve lobectomy. There was 1 (2%) operative death due to pneumonia, and 8 (16%) postoperative complications including atrial fibrillation, lobar atelectasis, prolonged parenchymal air leak, empyema, paralytic ileus, and chylothorax. There was no anastomotic dehiscence or bronchopleural fistula. None of the patients developed stricture at the anastomotic site when followed up for a mean duration of 18.6 months. The continuous suture technique is easy to perform and the results are comparable with those of the interrupted suture technique. The use of absorbable suture appears to reduce the incidence of stricture at the anastomotic site.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1177/0218492310396085DOI Listing
February 2011