2,073 results match your criteria Perfusion[Journal]


Heparin-induced thrombocytopenia in patients on extracorporeal membrane oxygenation and the role of a heparin-bonded circuit.

Perfusion 2019 Apr 12:267659119842056. Epub 2019 Apr 12.

1 Heart and Vascular Institute, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.

Background: In patients supported with extracorporeal membrane oxygenation, and who develop heparin-induced thrombocytopenia, there is no clear evidence to support changing to a non-heparin-coated extracorporeal membrane oxygenation circuit. Our goal was to evaluate clinical outcomes of patients who were continued on heparin-bonded circuits despite diagnosed heparin-induced thrombocytopenia.

Methods: We completed a single-center retrospective study of all patients who underwent extracorporeal membrane oxygenation support from July 2008 to July 2017 and were tested heparin-induced thrombocytopenia positive while on extracorporeal membrane oxygenation support. Read More

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http://dx.doi.org/10.1177/0267659119842056DOI Listing
April 2019
1 Read

Minimally invasive versus conventional extracorporeal circulation circuits in patients undergoing coronary artery bypass surgery: a propensity-matched analysis.

Perfusion 2019 Apr 12:267659119842060. Epub 2019 Apr 12.

1 Department of Cardiothoracic Surgery, University Hospital Magdeburg, Otto von Guericke University, Magdeburg, Germany.

Objectives: Minimally invasive extracorporeal circulation circuits provide several advantages compared to conventional extracorporeal circulation circuits. We compared the results of a minimally invasive extracorporeal circulation system with those of conventional extracorporeal circulation system, in patients undergoing isolated coronary artery bypass grafting.

Methods: We identified 753 consecutive patients who underwent coronary artery bypass grafting at our centre between October 2014 and September 2016. Read More

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http://dx.doi.org/10.1177/0267659119842060DOI Listing

Pressure and flow properties of cannulae for extracorporeal membrane oxygenation I: return (arterial) cannulae.

Perfusion 2019 Apr;34(1_suppl):58-64

3 Working Group on Innovation and Technology, EuroElso, Newcastle upon Tyne, UK.

Adequate extracorporeal membrane oxygenation support in the adult requires cannulae permitting blood flows up to 6-8 L/minute. In accordance with Poiseuille's law, flow is proportional to the fourth power of cannula inner diameter and inversely proportional to its length. Poiseuille's law can be applied to obtain the pressure drop of an incompressible, Newtonian fluid (such as water) flowing in a cylindrical tube. Read More

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http://dx.doi.org/10.1177/0267659119830521DOI Listing
April 2019
1 Read

Pressure and flow properties of cannulae for extracorporeal membrane oxygenation II: drainage (venous) cannulae.

Perfusion 2019 Apr;34(1_suppl):65-73

3 Working Group on Innovation and Technology, EuroELSO, Newcastle upon Tyne, UK.

The use of extracorporeal life support devices such as extracorporeal membrane oxygenation in adults requires cannulation of the patient's vessels with comparatively large diameter cannulae to allow circulation of large volumes of blood (>5 L/min). The cannula diameter and length are the major determinants for extracorporeal membrane oxygenation flow. Manufacturing companies present pressure-flow charts for the cannulae; however, these tests are performed with water. Read More

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http://dx.doi.org/10.1177/0267659119830514DOI Listing
April 2019
1 Read

Differential hypoxemia during venoarterial extracorporeal membrane oxygenation.

Perfusion 2019 Apr;34(1_suppl):22-29

1 ECMO Centre Karolinska, Department of Pediatric Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden.

Venoarterial extracorporeal membrane oxygenation, indicated for severe cardio-respiratory failure, may result in anatomic regional differences in oxygen saturation. This depends on cannulation, hemodynamic state, and severity of respiratory failure. Differential hypoxemia, often discrete, may cause clinical problems in peripheral femoro-femoral venoarterial extracorporeal membrane oxygenation, when the upper body is perfused with low saturated blood from the heart and the lower body with well-oxygenated extracorporeal membrane oxygenation blood. Read More

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http://dx.doi.org/10.1177/0267659119830513DOI Listing
April 2019
1 Read

Mesenchymal stem cells may ameliorate inflammation in an ex vivo model of extracorporeal membrane oxygenation.

Perfusion 2019 Apr;34(1_suppl):15-21

1 Critical Care Research Group, The Prince Charles Hospital, The University of Queensland, Brisbane, QLD, Australia.

Introduction: Mesenchymal stem cells exhibit immunomodulatory properties which are currently being investigated as a novel treatment option for Acute Respiratory Distress Syndrome. However, the feasibility and efficacy of mesenchymal stem cell therapy in the setting of extracorporeal membrane oxygenation is poorly understood. This study aimed to characterise markers of innate immune activation in response to mesenchymal stem cells during an ex vivo simulation of extracorporeal membrane oxygenation. Read More

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http://dx.doi.org/10.1177/0267659119830857DOI Listing
April 2019
1 Read

Hemoglobin trigger and approach to red blood cell transfusions during veno-venous extracorporeal membrane oxygenation: the international TRAIN-ECMO survey.

Perfusion 2019 Apr;34(1_suppl):39-48

1 Department of Anesthesia and Intensive Care, IRCCS-ISMETT (Istituto Mediterraneo per i Trapianti e Terapie ad alta specializzazione), Palermo, Italy.

Introduction: Optimal red blood cell transfusion practice during veno-venous extracorporeal membrane oxygenation (VV ECMO) is still under debate. This survey aimed to assess the Hb trigger (also comparing with other critically ill patients) and major physiologic determinants considered for transfusions during veno-venous extracorporeal membrane oxygenation.

Methods: Voluntary Web-based survey, endorsed by the European Society of Intensive Care Medicine, conducted among VV ECMO pratictioners worldwide. Read More

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http://dx.doi.org/10.1177/0267659119830526DOI Listing
April 2019
1 Read
1.083 Impact Factor

Perfusion and Euroelso 2019: In Sync.

Perfusion 2019 Apr;34(1_suppl)

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http://dx.doi.org/10.1177/0267659119837472DOI Listing

EuroELSO Steering Committee.

Authors:

Perfusion 2019 Apr;34(1_suppl)

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http://dx.doi.org/10.1177/0267659119829687DOI Listing

Index of abstract authors.

Authors:

Perfusion 2019 Apr;34(1_suppl):252-266

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http://dx.doi.org/10.1177/0267659119829705DOI Listing

Learning curve for multidisciplinary team setup in veno-venous extracorporeal membrane oxygenation for acute respiratory failure.

Perfusion 2019 Apr;34(1_suppl):30-38

2 Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea.

Background: Quality control is essential for a successful extracorporeal membrane oxygenation program. We investigated the learning curve for outcome improvement and focused on factors associated with failure of extracorporeal membrane oxygenation treatment.

Methods: Between August 2011 and May 2017, 150 patients were supported with veno-venous extracorporeal membrane oxygenation for acute respiratory failure. Read More

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http://dx.doi.org/10.1177/0267659119827424DOI Listing
April 2019
1 Read

Effect of ex vivo extracorporeal membrane oxygenation flow dynamics on immune response.

Perfusion 2019 Apr;34(1_suppl):5-14

1 Critical Care Research Group, Faculty of Medicine, University of Queensland and The Prince Charles Hospital, Brisbane, QLD, Australia.

Background: Extracorporeal membrane oxygenation is a life-saving support for heart and/or lung failure patients. Despite technological advancement, abnormal physiology persists and has been associated with subsequent adverse events. These include thrombosis, bleeding, systemic inflammatory response syndrome and infection. Read More

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http://journals.sagepub.com/doi/10.1177/0267659119830012
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http://dx.doi.org/10.1177/0267659119830012DOI Listing
April 2019
4 Reads

Long-term pulmonary function and quality of life in adults after extracorporeal membrane oxygenation for respiratory failure.

Perfusion 2019 Apr;34(1_suppl):49-57

2 Department of Pediatric Anaesthesia, Intensive Care and ECMO Services, Astrid Lindgren Children's Hospital, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.

Background: There is a significant long-term burden on survivors after acute respiratory distress syndrome, even 5 years after discharge. This is not well investigated in patients treated with extracorporeal membrane oxygenation. The objective of this study was to describe very-long-term (⩾3 years) disability in lung function and morphology, quality of life, mood disorders, walking capacity, and return to work status in extracorporeal membrane oxygenation survivors. Read More

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http://dx.doi.org/10.1177/0267659119830244DOI Listing

Management of accidental hypothermia: an established extracorporeal membrane oxygenation centre experience.

Perfusion 2019 Apr;34(1_suppl):74-81

5 2nd Department of Internal Medicine - Department of Cardiovascular Medicine, 1st Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.

Introduction: Data on management of severe accidental hypothermia published from an established high-volume extracorporeal membrane oxygenation centre are scarce.

Methods: A total of 28 patients with intravesical temperature lower than 28°C on admission were either treated with veno-arterial extracorporeal membrane oxygenation or rewarmed conservatively.

Results: A total of 10 patients rewarmed on veno-arterial extracorporeal membrane oxygenation (age: 37 ± 12. Read More

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http://dx.doi.org/10.1177/0267659119830551DOI Listing
April 2019
1 Read

Carbon dioxide removal using low bicarbonate dialysis in rodents.

Perfusion 2019 Apr 2:267659119839284. Epub 2019 Apr 2.

1 Division of Respiratory Medicine and Critical Care and Department of Medicine, National University of Singapore, Singapore.

Background:: Extracorporeal carbon dioxide removal may be used to manage hypercapnia, but compared to dialysis, it's not widely available. A recent in vitro study showed that dialysis with low bicarbonate dialysates removes CO.

Objective:: To show that bicarbonate dialysis removes CO in an animal model to validate in-vitro findings and quantify the effect on arterial pH. Read More

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http://dx.doi.org/10.1177/0267659119839284DOI Listing

Safe cross-clamp time using Custodiol-histidine-tryptophan-ketoglutarate cardioplegia in the adult.

Perfusion 2019 Mar 28:267659119837824. Epub 2019 Mar 28.

Division of Cardiac Surgery, Cardio-Thoracic and Vascular Department, Ospedale di Cattinara, University Hospital of Trieste, Trieste, Italy.

Introduction:: Safe cross-clamp time using single-dose Custodiol-histidine-tryptophan-ketoglutarate cardioplegia has not been established conclusively.

Methods:: Immediate post-operative outcomes of 1,420 non-consecutive, cardiac surgery patients were reviewed retrospectively. Predictors of a combined endpoint made of in-hospital mortality and any major complication post-surgery were found with the multivariable method. Read More

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http://dx.doi.org/10.1177/0267659119837824DOI Listing

Air removal capacity of two different minimal invasive ECC systems: an in vitro comparison.

Perfusion 2019 Mar 27:267659119837823. Epub 2019 Mar 27.

2 Department of Extracorporeal Circulation, HAGA Hospital, The Hague, The Netherlands.

Minimally invasive extracorporeal circulation systems are developed to decrease the deleterious effects of cardiopulmonary bypass. For instance, prime volume and foreign surface area are decreased in these systems. However, because of the lack of a venous reservoir in minimized systems, air handling properties of these minimally invasive extracorporeal circulation systems may be decreased as compared to conventional cardiopulmonary bypass systems. Read More

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http://dx.doi.org/10.1177/0267659119837823DOI Listing

Perfusionists and "Ozymandias" and "Desiderata".

Authors:
Mark Kurusz

Perfusion 2019 04;34(3):181-182

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http://dx.doi.org/10.1177/0267659119834795DOI Listing

Perioperative intraperitoneal metabolic markers in patients undergoing cardiac surgery with cardiopulmonary bypass: an exploratory pilot study.

Perfusion 2019 Mar 18:267659119835463. Epub 2019 Mar 18.

2 Department of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

Background:: Cardiopulmonary bypass and postoperative cardiac dysfunction cause splanchnic hypoperfusion resulting in intra-abdominal anaerobic metabolism and risk for gastrointestinal complications. The intra-abdominal metabolism can be monitored by intraperitoneal measurement of relevant metabolites using microdialysis. The aim of this study was to investigate the intraperitoneal metabolism using microdialysis during and after cardiopulmonary bypass at 34°C. Read More

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http://dx.doi.org/10.1177/0267659119835463DOI Listing
March 2019
1 Read

Continuous monitoring of membrane lung carbon dioxide removal during ECMO: experimental testing of a new volumetric capnometer.

Perfusion 2019 Mar 14:267659119833233. Epub 2019 Mar 14.

1 Cardio-Thoracic Surgery Department, Heart+Vascular Centre, Maastricht University Medical Center, Maastricht, The Netherlands.

Background:: Extracorporeal membrane oxygenation constitutes a complex support modality, and accurate monitoring is required. An ideal monitoring system should promptly detect ECMO malfunctions and provide real-time information to optimize the patient-machine interactions. We tested a new volumetric capnometer which enables continuous monitoring of membrane lung carbon dioxide removal (V'COML), to help in estimating the oxygenator performance, in terms of CO removal and oxygenator dead space (VDsML). Read More

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http://dx.doi.org/10.1177/0267659119833233DOI Listing
March 2019
3 Reads

Establishing an ECMO program in a developing country: challenges and lessons learned.

Perfusion 2019 Mar 14:267659119834489. Epub 2019 Mar 14.

3 Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon.

Aim:: The ECMO (extracorporeal membrane oxygenation) Program at the American University of Beirut Medical Center was established in November 2015 as the first program serving adult and pediatric population in a low-resource setting. The aim of the study is to describe the challenges faced during the establishment of the program and factors leading to its success.

Methods:: The program establishment is described. Read More

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http://dx.doi.org/10.1177/0267659119834489DOI Listing
March 2019
4 Reads

Evaluation of attention, perception, and stress levels of clinical cardiovascular perfusionists during cardiac operations: a pilot study.

Perfusion 2019 Mar 14:267659119828563. Epub 2019 Mar 14.

1 German Heart Center Berlin, Berlin, Germany.

Background:: Performing cardiopulmonary bypass is a complex task which involves evaluating visual input from patient monitors and technical parameters displayed at the heart-lung machine console as well as reacting to other sensory input. Only few studies are available concerning the competency requirements for clinical cardiovascular perfusionists, including attention, perception, and coping with mental stress. This study aims at evaluating attention, perception, and stress levels of clinical cardiovascular perfusionists during cardiopulmonary bypass. Read More

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http://dx.doi.org/10.1177/0267659119828563DOI Listing
March 2019
1 Read

Quantitative assessment of peripheral limb perfusion using a modified distal arterial cannula in venoarterial ECMO settings.

Perfusion 2019 Mar 13:267659118816934. Epub 2019 Mar 13.

6 Department of Anaesthesia, University Hospital Regensburg, Regensburg, Germany.

In cases of severe cardiopulmonary deterioration, quick establishment of venoarterial extracorporeal membrane oxygenation (ECMO) represents a support modality. After successful arterial peripheral cannulation, a certain grade of peripheral limb malperfusion is a fairly common phenomenon. Detection of peripheral malperfusion is vital, since it can result in compartment syndrome or even loss of the affected limb. Read More

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http://dx.doi.org/10.1177/0267659118816934DOI Listing
March 2019
1 Read

Reply to 'Using intraaortic balloon pump to increase afterload during extracorporeal membrane oxygenation'.

Authors:
Maria Rodriguez

Perfusion 2019 Mar 11:267659119833535. Epub 2019 Mar 11.

Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.

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http://dx.doi.org/10.1177/0267659119833535DOI Listing

Assessing association of early fluid balance with mortality after cardiovascular surgery.

Perfusion 2019 Mar 11:267659118820772. Epub 2019 Mar 11.

Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China.

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http://dx.doi.org/10.1177/0267659118820772DOI Listing

Myocardial protection and clinical outcomes in Tetralogy of Fallot patients undergoing intracardiac repair: a randomized study of two cardioplegic techniques.

Perfusion 2019 Mar 8:267659119828890. Epub 2019 Mar 8.

1 Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Background:: Myocardial protection in Tetralogy of Fallot patients undergoing intracardiac repair is suboptimal due to hypertrophied right ventricle. Hypertrophied myocardium is more susceptible to poor myocardial preservation because of inadequate capillary density as compared to the myocytes. There is a capillary to myocyte ratio mismatch. Read More

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http://dx.doi.org/10.1177/0267659119828890DOI Listing
March 2019
1 Read

Almost-certain malignant hyperthermia during cardiopulmonary bypass: a case report and literature review.

Perfusion 2019 Mar 7:267659119833230. Epub 2019 Mar 7.

Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, P.R. China.

Malignant hyperthermia is a well-known but potentially lethal disorder which is triggered by volatile anesthetics and depolarizing muscle relaxants. Early diagnosis and treatment could save lives. However, during cardiac surgery, hypothermia and cardiopulmonary bypass make the diagnosis of malignant hyperthermia extremely difficult than other surgeries. Read More

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http://dx.doi.org/10.1177/0267659119833230DOI Listing
March 2019
12 Reads

Early and long-term results of aortic valve sparing aortic root reimplantation surgery for bicuspid and tricuspid aortic valves.

Perfusion 2019 Mar 1:267659119831926. Epub 2019 Mar 1.

1 Department of Cardiac, Thoracic and Vascular Surgery, Hospital of Lithuanian University of Health Sciences Kauno Klinikos, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.

Introduction:: To evaluate early and long-term clinical outcomes following aortic valve sparing aortic root reimplantation surgery in patients with leaking bicuspid and tricuspid aortic valves.

Methods:: The study consisted of 92 consecutive adult patients (tricuspid aortic valve group = 63 and bicuspid aortic valve group = 29) who underwent aortic valve sparing aortic root reimplantation surgery with or without aortic cusp repair for dilatation of the aortic root and/or aortic valve regurgitation at our institution from April 2004 to October 2016. Clinical outcomes were investigated using Kaplan-Meier and log-rank tests between groups. Read More

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http://dx.doi.org/10.1177/0267659119831926DOI Listing
March 2019
3 Reads

Pregnancy in patients with prosthetic heart valve: ongoing challenges.

Perfusion 2019 Mar 1:267659119833236. Epub 2019 Mar 1.

2 Department of Cardiology, Kosuyolu Kartal Heart Training and Research Hospital, Istanbul, Turkey.

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http://dx.doi.org/10.1177/0267659119833236DOI Listing

Perfusion strategy and mid-term results of 58 consecutive pulmonary endarterectomy.

Perfusion 2019 Mar 1:267659119831518. Epub 2019 Mar 1.

1 Department of Cardiopulmonary Bypass, Fuwai Hospital, Chinese Academy of Medical science and Peking Union Medical College, Beijing, China.

Objective:: The aim of this retrospective study was to review and report short-term and mid-term outcomes of pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension at our institute in the recent 2 years and to describe perfusion strategy.

Methods:: A total of 58 consecutive patients with chronic thromboembolic pulmonary hypertension underwent pulmonary endarterectomy under deep hypothermia circulatory arrest with an established perfusion practice between November 2015 and December 2017. Peri-operative data and patients' outcome were retrospectively analyzed. Read More

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http://dx.doi.org/10.1177/0267659119831518DOI Listing
March 2019
2 Reads

A menu for all tastes.

Authors:
John M Toomasian

Perfusion 2019 01;34(1):7-8

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http://dx.doi.org/10.1177/0267659118814615DOI Listing
January 2019

Using intra-aortic balloon pump to increase afterload during extracorporeal membrane oxygenation.

Perfusion 2019 Feb 21:267659119831514. Epub 2019 Feb 21.

1 Department of Cardiovascular Surgery, Faculty of Medicine, Izmir Katip Celebi University, Izmir, Turkey.

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http://dx.doi.org/10.1177/0267659119831514DOI Listing
February 2019
1 Read

Extracorporeal membrane oxygenation in life-threatening massive pulmonary embolism.

Perfusion 2019 Feb 17:267659119830014. Epub 2019 Feb 17.

3 Department of Anaesthesiology and Intensive Medicine, Aalborg University Hospital, Aalborg, Denmark.

Introduction:: In massive pulmonary embolism (PE) with circulatory collapse or with cardiac arrest, treatment can be difficult. Often, the diagnosis is unclear, and the time to treatment is crucial. Our institution has had an out-of-hospital team intended for the treatment of accidental hypothermia with extra corporeal membrane oxygenation (ECMO) since 2004. Read More

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http://dx.doi.org/10.1177/0267659119830014DOI Listing
February 2019
6 Reads

The SLEFIE - slave of the selfie.

Perfusion 2019 03;34(2):96-97

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http://dx.doi.org/10.1177/0267659119827807DOI Listing
March 2019
2 Reads
1.083 Impact Factor

Constrictive pericarditis with a life-threatening giant pericardial cyst and pectus excavatum as unusual cause for malign cardiac arrhythmias.

Perfusion 2019 Feb 13:267659119826827. Epub 2019 Feb 13.

1 Department of Cardiothoracic Surgery, Heart Center, University of Cologne, Cologne, Germany.

Pericardial cysts are rare, abnormal, benign and usually congenital anomalies with an estimated incidence of 1:100.000 and are caused by an incomplete coalescence of foetal lacunae of pericardium development. The size of pericardial cysts varies from 1 to 5 cm and generally do not cause any symptoms. Read More

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http://dx.doi.org/10.1177/0267659119826827DOI Listing
February 2019
2 Reads

Long term veno-venous extracorporeal life support without intravenous anticoagulation for diffuse alveolar hemorrhage.

Perfusion 2019 Feb 11:267659119826828. Epub 2019 Feb 11.

1 University of Maryland School of Medicine, Baltimore, MD, USA.

Introduction:: Diffuse alveolar damage is the histologic hallmark for the acute phase of acute respiratory distress syndrome and can occasionally present as diffuse alveolar hemorrhage.

Case Report:: We report a patient with diffuse alveolar hemorrhage and acute respiratory distress syndrome requiring veno-venous extracorporeal life support for 210 days, who was successfully treated for a period of 130 consecutive days without intravenous anticoagulation.

Discussion:: Although there are a few brief reports detailing long extracorporeal life support runs, the literature is largely devoid of data regarding long-term extracorporeal life support without full systemic anticoagulation. Read More

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http://dx.doi.org/10.1177/0267659119826828DOI Listing
February 2019
3 Reads

Comparison of two cardiopulmonary bypass strategies with a miniaturized tubing system: a propensity score-based analysis.

Perfusion 2019 Feb 10:267659118825395. Epub 2019 Feb 10.

Department of Cardiac Surgery, Shenzhen Children's Hospital, Shenzhen, China.

Introduction:: The existing cardiopulmonary bypass tubing system has already been significantly improved in our hospital by reducing the priming volume; thus, we further employed a new cardiopulmonary bypass strategy in children based on a miniaturized cardiopulmonary bypass circuit. We aimed to compare the effectiveness of new and conventional strategies by analyzing the outcomes after congenital heart surgery.

Methods:: We performed a database analysis of all patients undergoing congenital heart surgery with cardiopulmonary bypass at Shenzhen Children's Hospital from 1 May 2015 to 30 June 2017. Read More

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http://dx.doi.org/10.1177/0267659118825395DOI Listing
February 2019
1 Read

Risk factors for critical limb ischemia in patients undergoing femoral cannulation for venoarterial extracorporeal membrane oxygenation: Is distal limb perfusion a mandatory approach?

Perfusion 2019 Feb 8:267659119827231. Epub 2019 Feb 8.

1 Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany.

Background:: Venoarterial extracorporeal membrane oxygenation support is a well-established tool in the care of severe refractory cardiac and respiratory failure. The application of this support may serve as a bridge to transplant, recovery or to implantation of a ventricular assist device. Venoarterial extracorporeal membrane oxygenation support can be administered through an open surgical access via the common femoral or axillary artery or a percutaneous approach using Seldinger technique. Read More

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http://dx.doi.org/10.1177/0267659119827231DOI Listing
February 2019
6 Reads

Pulmonary artery flotation catheter combined with pump-controlled retrograde trial off as a trial for weaning from veno-arterial extracorporeal membrane oxygenation: a case report.

Authors:
Ying Xu Qin Gu

Perfusion 2019 Feb 8:267659118824219. Epub 2019 Feb 8.

Department of Intensive Care Unit, The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.

Background:: The Swan-Ganz catheter is a reliable method used to monitor hemodynamics in intensive care units. Pump-controlled retrograde trial off is a new weaning test for veno-arterial extracorporeal membrane oxygenation in recent years. The objective of this report is to describe a case in which pulmonary artery flotation catheter hemodynamic monitoring in combination with pump-controlled retrograde trial off was sufficient for veno-arterial extracorporeal membrane oxygenation weaning. Read More

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http://dx.doi.org/10.1177/0267659118824219DOI Listing
February 2019
1 Read

Three consecutive cases of fatal intraoperative intracardiac thrombosis associated with the initiation of venoarterial extracorporeal membrane oxygenation in the presence of aprotinin.

Perfusion 2019 Feb 2:267659119826822. Epub 2019 Feb 2.

1 Department of Anaesthesia and Intensive Care, Royal Papworth Hospital, Cambridge, UK.

Central venoarterial extracorporeal membrane oxygenation has been used since the 1970s to support patients with cardiogenic shock following cardiac surgery. Despite this, in-hospital mortality is still high, and although rare, thrombus within the cardiac chambers or within the extracorporeal membrane oxygenation circuit is often fatal. Aprotinin is an antifibrinolytic available in Europe and Canada, though not currently in the United States. Read More

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http://dx.doi.org/10.1177/0267659119826822DOI Listing
February 2019
4 Reads

Current status of perfusionists in Brazil: a 2018 survey.

Perfusion 2019 Jan 31:267659119826491. Epub 2019 Jan 31.

1 Franciscana University, Santa Maria, Brazil.

Perfusionists have a fundamental role in multi-professional teams involved in cardiopulmonary bypass procedures. The main objective of this study is to outline the profile of Brazilian perfusionists in the labor market by considering the evolution, current scenario, and future perspectives of this profession. Data from socio-demographic and professional profiles in active duty in Brazil were obtained through an electronic survey. Read More

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http://dx.doi.org/10.1177/0267659119826491DOI Listing
January 2019
1 Read

The depth of anaesthesia associated with the administration of isoflurane 2.5% during cardiopulmonary bypass.

Perfusion 2019 Jan 12:267659118822946. Epub 2019 Jan 12.

5 Mass Spectrometry Core, Edinburgh Clinical Research Facility, Queen's Medical Research Institute, The University of Edinburgh, Edinburgh, UK.

Background:: Administering isoflurane 2.5% into the oxygenator during cardiopulmonary bypass results in no patient movement. However, doing so may result in an excessive depth of anaesthesia particularly, when hypothermia is induced. Read More

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http://dx.doi.org/10.1177/0267659118822946DOI Listing
January 2019
4 Reads

Mobile extracorporeal membrane oxygenation for children: single-center 10 years' experience.

Perfusion 2019 Jan 12:267659118824006. Epub 2019 Jan 12.

6 Anesthesia and Intensive Care Unit, Timone Children Hospital, Marseille, France.

Objectives:: Extracorporeal membrane oxygenation has become a gold standard in treatment of severe refractory circulatory and/or pulmonary failure. Those procedures require gathering of competences and material. Therefore, they are conducted in a limited number of reference centers. Read More

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http://dx.doi.org/10.1177/0267659118824006DOI Listing
January 2019
7 Reads

Quick atrial access by subxiphoid approach in extracorporeal cardiopulmonary resuscitation after bidirectional Glenn procedure.

Perfusion 2019 Jan 14:267659118823999. Epub 2019 Jan 14.

Department of Cardiovascular Surgery, Nagano Children's Hospital, Azumino, Japan.

Bidirectional Glenn procedure outcomes are very good; therefore, extracorporeal membrane oxygenation use as extracorporeal cardiopulmonary resuscitation is uncommon. We describe a 13-month-old female who required extracorporeal cardiopulmonary resuscitation for ventricular tachycardia provoked by transient myocarditis 6 months post-bidirectional Glenn procedure. After extracorporeal membrane oxygenation induction with cannulation on the cervical vessels, small skin incision was created on the subxiphoid area without sternotomy and the atrium was cannulated. Read More

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http://dx.doi.org/10.1177/0267659118823999DOI Listing
January 2019
3 Reads

Sufentanil pharmacokinetics in a full-term neonate treated with extracorporeal membrane oxygenation: a case report.

Perfusion 2019 Jan 11:267659118824011. Epub 2019 Jan 11.

2 Institute of Pharmacology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czech Republic.

Introduction:: Sufentanil is a potent analgesic drug used for pain management. A few studies describe the pharmacokinetics of sufentanil in neonates; however, no pharmacokinetic data about sufentanil during extracorporeal membrane oxygenation have been published yet.

Case Report:: A 1-day-old neonate with moderate hypoxic-ischemic encephalopathy received veno-arterial extracorporeal membrane oxygenation support for refractory respiratory and circulatory failure. Read More

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http://journals.sagepub.com/doi/10.1177/0267659118824011
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http://dx.doi.org/10.1177/0267659118824011DOI Listing
January 2019
10 Reads

Evaluation of disinfection processes for water heater devices used for extracorporeal life support.

Perfusion 2019 Jan 11:267659118819931. Epub 2019 Jan 11.

Queensland Paediatric Cardiac Service, Lady Cilento Children's Hospital, Brisbane, Queensland, Australia.

The Maquet Heater Unit 35 (HU35) is widely used to maintain patient body temperature during extracorporeal life support. Water is used as a medium for heat transfer though it also provides a medium for the growth of pathogens. Thus, the use of a heating unit presents a risk for transmission of water-borne pathogens in critically ill patients. Read More

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http://dx.doi.org/10.1177/0267659118819931DOI Listing
January 2019
15 Reads

In-hospital outcomes after emergency or prophylactic veno-arterial extracorporeal membrane oxygenation during transcatheter aortic valve implantation: a comprehensive review of the literature.

Perfusion 2019 Jan 11:267659118816555. Epub 2019 Jan 11.

1 Cardio-Thoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre, Maastricht, the Netherlands.

Veno-arterial extracorporeal membrane oxygenation (V-A ECMO) has been used to deal with life-threatening complications as well as back-up or active cardiovascular support during high-risk procedures in patients undergoing transcatheter aortic valve implantation (TAVI). PubMed and MEDLINE electronic databases were searched in order to identify studies with emergency or prophylactic V-A ECMO application in association with TAVI procedures. From November 2012 to November 2017, 14 relevant studies were identified that included 5,115 TAVI patients of whom 102 (2%) required V-A ECMO (22 prophylactically, 66 as an emergency and 14 without a reported indication). Read More

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http://dx.doi.org/10.1177/0267659118816555DOI Listing
January 2019
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Factors predictive for early and late mortality after surgical repair for Stanford A acute aortic dissection.

Perfusion 2019 Jan 11:267659118822947. Epub 2019 Jan 11.

Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.

Objectives:: The aim of this study was to evaluate independent risk factors predictive for mortality of patients with Stanford A acute aortic dissection.

Methods:: From January 2006 to March 2015, a total of 240 consecutive patients diagnosed with acute Stanford A acute aortic dissection underwent surgical aortic repair in our center. After analysis of pre- and perioperative variables, univariate logistic and multivariate logistic regression analyses were performed for mortality of patients. Read More

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http://dx.doi.org/10.1177/0267659118822947DOI Listing
January 2019
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Extracorporeal membrane oxygenation-induced fibrinolysis detected by rotational thromboelastometry and treated by oxygenator exchange.

Perfusion 2019 Jan 11:267659118824218. Epub 2019 Jan 11.

1 Department of Anaesthesiology and Intensive Care Medicine, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic.

Coagulopathy and bleeding is a frequent phenomenon in patients on extracorporeal membrane oxygenation. The cause may be multifactorial and it may change over time. We present a case when bleeding was caused by hyperfibrinolysis induced by oxygenator. Read More

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http://dx.doi.org/10.1177/0267659118824218DOI Listing
January 2019
3 Reads