2,039 results match your criteria Perfusion[Journal]


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

The SLEFIE - slave of the selfie.

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

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http://dx.doi.org/10.1177/0267659119827807DOI Listing

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
1 Read

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
2 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
1 Read

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
1 Read

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
3 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
1 Read

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
2 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
5 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
7 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
3 Reads

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
2 Reads

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

Therapeutic hypothermia as an adjunct to extracorporeal membrane oxygenation for acute respiratory distress and refractory hypoxemia.

Perfusion 2019 Jan 10:267659118822941. Epub 2019 Jan 10.

2 Division of Cardiac Surgery, Department of Surgery, University of Alberta, Edmonton, AB, Canada.

Legionella community-acquired pneumonia necessitating veno-venous extracorporeal membrane oxygenation for severe acute respiratory distress syndrome has been reported in adults. However, few options remain in cases of refractory hypoxemia on veno-venous extracorporeal membrane oxygenation. Herein, we describe adjunctive extended therapeutic hypothermia for refractory hypoxemia despite veno-venous extracorporeal membrane oxygenation for successful management of severe acute respiratory distress syndrome secondary to Legionella. Read More

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http://dx.doi.org/10.1177/0267659118822941DOI Listing
January 2019
2 Reads
1.083 Impact Factor

Falsely low activated clotting time measured in a patient with sickle cell trait.

Perfusion 2019 Jan 10:267659118822945. Epub 2019 Jan 10.

Department of Perfusion, Great Ormond Street Hospital for Children, London, UK.

Sickle cell anaemia results from homozygosity of an A-T point mutation leading to a substitution of glutamic acid for valine at point 6 of the β-globin gene. A person with sickle cell trait inherits one normal and one mutated allele. Patients with sickle cell anaemia, and to a lesser extent sickle cell trait, have a wide spectrum of haemostatic abnormalities. Read More

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http://dx.doi.org/10.1177/0267659118822945DOI Listing
January 2019
4 Reads

Quality evaluation of the emergency program of three contemporary cell-washing machines.

Perfusion 2019 Jan 10:267659118819927. Epub 2019 Jan 10.

1 Laboratory for Experimental Cardiac Surgery, Ghent University, Belgium.

This study evaluates the efficiency of emergency programs used by three contemporary cell washers. Both time necessary to process a given amount of blood and quality of the processed blood are investigated. The Fresenius Kabi Smart, Haemonetics Elite and LivaNova Xtra were validated using bovine blood, with a starting hematocrit of 13% or 21%. Read More

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http://dx.doi.org/10.1177/0267659118819927DOI Listing
January 2019
9 Reads

The effect of methylprednisolone prophylaxis on inflammatory monocyte subsets and suppressive regulatory T cells of patients undergoing cardiopulmonary bypass.

Perfusion 2019 Jan 9:267659118820777. Epub 2019 Jan 9.

1 Center for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.

Background:: Cardiopulmonary bypass (CPB) during open-heart surgery triggers an inflammatory response that can cause significant morbidity and mortality. Human monocytes and regulatory T (Treg) cells are phenotypically and functionally heterogeneous and have been shown to play a significant role in the inflammatory dysfunction triggered by CPB. Glucocorticoids (GCs) have been widely administered for decades in patients undergoing CPB to reduce this inflammatory response. Read More

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http://dx.doi.org/10.1177/0267659118820777DOI Listing
January 2019
1 Read

Impact of prosthetic heart valves on pregnancy in Bangladeshi women.

Perfusion 2019 Jan 9:267659118817712. Epub 2019 Jan 9.

1 Department of Cardiac Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.

Background:: This study evaluated pregnancy outcome in women with a prosthetic heart valve, especially with the oral anticoagulation therapy that must be weighed against the risk of intracardiac thrombosis.

Methods:: This multicenter, retrospective, cohort study was undertaken between January 2012 and June 2017. The principal maternal outcome variables included bleeding and thromboembolic complications, infective endocarditis, prosthetic valve thrombosis and heart failure. Read More

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http://dx.doi.org/10.1177/0267659118817712DOI Listing
January 2019
3 Reads
1.083 Impact Factor

Changes in right ventricular longitudinal function: primary mitral and concomitant tricuspid valve repair.

Perfusion 2018 Dec 31:267659118820776. Epub 2018 Dec 31.

1 Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.

Objectives:: To evaluate the impact of concomitant tricuspid valve (TV) repair on the right ventricular (RV) function postoperatively and within the 6 months following degenerative mitral valve (MV) repair.

Methods:: The prospective study included 37 patients (mean age 57.32 ± 2. Read More

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http://dx.doi.org/10.1177/0267659118820776DOI Listing
December 2018
9 Reads
1.083 Impact Factor

The influence of ultrafiltration on red blood cell transfusion during cardiopulmonary bypass.

Perfusion 2018 Dec 25:267659118821026. Epub 2018 Dec 25.

Medical Department, SpecialtyCare, Inc., Nashville, TN, USA.

Background:: Ultrafiltration during cardiopulmonary bypass (CPB) reduces fluid overload and inflammatory mediators in open-heart surgery and is thought to reduce the risk of red blood cell (RBC) transfusion. We evaluated its effectiveness in reducing RBC transfusions in a large population undergoing cardiac surgery, among patients in general as well as by gender.

Methods:: We analyzed 40,650 propensity-matched adult cardiac surgery cases conducted over a 61-month period at 195 hospitals. Read More

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http://dx.doi.org/10.1177/0267659118821026DOI Listing
December 2018
9 Reads

A 24-hour perioperative case study on argatroban use for left ventricle assist device insertion during cardiopulmonary bypass and veno-arterial extracorporeal membrane oxygenation.

Perfusion 2018 Dec 25:267659118813043. Epub 2018 Dec 25.

3 Division of Cardiac Surgery, London Health Sciences Centre, London, Ontario, Canada.

A 44-year-old male with ongoing chest pain and left ventricular ejection fraction <20% was transferred from a peripheral hospital with intra-aortic balloon pump placement following a non-ST-elevation myocardial infarction (STEMI). The patient underwent emergent multi-vessel coronary artery bypass grafting requiring veno-arterial (VA) extracorporeal membrane oxygenation (ECMO) on post-operative day (POD)#9 secondary to cardiogenic shock with biventricular failure. Due to clot formation, an oxygenator change-out was necessary shortly after initiation. Read More

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http://dx.doi.org/10.1177/0267659118813043DOI Listing
December 2018
5 Reads
1.083 Impact Factor

Hemodynamic energy during pulsatile extracorporeal circulation using flexible and rigid arterial tubing: a reassessment.

Perfusion 2018 Dec 22:267659118819925. Epub 2018 Dec 22.

University of Ulm Medical Center, Department of Cardiothoracic and Vascular Surgery, Ulm, Germany.

Introduction:: Pulsatile extracorporeal circulation may improve organ perfusion during cardiac surgery. Some minimally invasive extracorporeal circulation (MiECC) systems allow pulsatile perfusion. The present study investigated the influence of arterial tubing compliance on hemodynamic energy transfer into the patient. Read More

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http://dx.doi.org/10.1177/0267659118819925DOI Listing
December 2018
1 Read

Extracorporeal cardiopulmonary resuscitation after pulmonary artery rupture.

Perfusion 2018 Dec 22:267659118815311. Epub 2018 Dec 22.

1 Department of Pediatric Cardiac Surgery, E.N. Meshalkin National Medical Research Center, Novosibirsk, Russian Federation.

Pulmonary artery rupture during pulmonary balloon valvuloplasty is a rare and life-threatening complication. Here, we present a pulmonary artery rupture in a 10-month-old infant. The patient had a tamponade, ineffective cardiac massage for 40 minutes and extreme hemodilution due to blood loss. Read More

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http://dx.doi.org/10.1177/0267659118815311DOI Listing
December 2018
2 Reads

Fundamental clinical skills of adult cardiopulmonary bypass: results of the 2017 national survey.

Perfusion 2018 Dec 22:267659118816036. Epub 2018 Dec 22.

2 Departments of Biology & Science Teaching, Syracuse University, Syracuse, NY, USA.

Introduction:: Training students to become entry-level perfusionists requires evaluation and assessment of their clinical skills. While our professional organizations have compiled resources which identify the profession's knowledge base and categorical skills applied to clinical practice, these resources are lacking the necessary detail to develop validated clinical assessment rubrics. Therefore, the purpose of this project is to identify, through expert opinion, the detailed fundamental skills necessary to perform adult cardiopulmonary bypass (CPB). Read More

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http://dx.doi.org/10.1177/0267659118816036DOI Listing
December 2018
10 Reads

Minimally invasive direct coronary artery bypass graft surgery versus percutaneous coronary intervention of the LAD: costs and long-term outcome.

Perfusion 2018 Dec 21:267659118820771. Epub 2018 Dec 21.

2 Department of Cardiology, Pneumology and Angiology, Heart Center, University Hospital of Cologne, Cologne, Germany.

Objective:: Outcomes and treatment costs for coronary artery disease involving the left anterior descending coronary artery (LAD) are influenced by the type of treatment, which can be either isolated minimally invasive revascularization of the LAD using the internal thoracic artery (ITA) (MIDCAB) or percutaneous coronary intervention (PCI) on the LAD. This retrospective study sought to evaluate long-term survival, freedom from re-intervention and cost analysis after MIDCAB compared to PCI on the LAD.

Methods:: Between 2006 and 2012, from a total of 561 patients, 106 consecutive patients with LAD stenosis underwent a MIDCAB procedure whereas 100 patients underwent elective PCI. Read More

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http://dx.doi.org/10.1177/0267659118820771DOI Listing
December 2018
1 Read

Clinical implementation of a novel myocardial protection pathway in coronary artery bypass surgery with minimal extracorporeal circulation.

Perfusion 2018 Dec 19:267659118815287. Epub 2018 Dec 19.

Department of Cardiac Surgery, University Hospital Basel, Basel, Switzerland.

Introduction:: The aim of this study was to report the clinical implementation of the joint use of the Myocardial Protection System (MPS) and the minimal extracorporeal circulation system (MiECC), in conjunction with an institutionally refined dose/volume-dependent microplegia in coronary artery bypass grafting (CABG).

Methods:: Patients with isolated CABG surgery were included. The final protocol to achieve cardioplegic arrest consisted of warm blood cardioplegia with 20 mmol potassium (K), 1. Read More

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http://dx.doi.org/10.1177/0267659118815287DOI Listing
December 2018
9 Reads

Long-term quality of life in patients treated with extracorporeal membrane oxygenation for postcardiotomy cardiogenic shock.

Perfusion 2018 Dec 19:267659118815291. Epub 2018 Dec 19.

5 Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.

Objective:: The aim of our study was to explore long-term health-related quality of life (HRQOL) and incidence of post-traumatic stress disorder (PTSD) in extracorporeal membrane oxygenation (ECMO) survivors.

Methods:: Single-center prospective follow-up study. All patients in whom ECMO was initiated due to refractory cardiogenic shock between 2009 and 2014 were included in the study. Read More

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http://dx.doi.org/10.1177/0267659118815291DOI Listing
December 2018
3 Reads

Clampless cardioplegia: an alternative to conventional cardioplegia administration.

Perfusion 2018 Dec 19:267659118817711. Epub 2018 Dec 19.

Department of Cardiovascular Perfusion, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

Myocardial protection is of the utmost importance during cardiac surgery. At times, there are patients who present to the operating room who make the typical use of cardioplegia difficult or impossible. For these patients, a separate protocol and process must be in place. Read More

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http://dx.doi.org/10.1177/0267659118817711DOI Listing
December 2018
1 Read

Mycobacterium chimaera in heater-cooler units: new technical approach for treatment, cleaning and disinfection protocol.

Perfusion 2018 Dec 12:267659118814691. Epub 2018 Dec 12.

2 Department of Cardiac Surgery, IRCCS San Raffaele Hospital, Milan, Italy.

Mycobacterium chimaera infections have mainly been associated with the heater-cooler unit (HCU) and, ultimately, linked to contaminated aerosols in the operation room. The contamination status of HCUs seems to be influenced by the maintenance, therefore, according to the manufacturer's recommendations, peracetic acid (Puristeril) was introduced to increase HCU cleaning and disinfection protocol maintenance. Aerosol dispersion from Puristeril during maintenance can cause adverse effects to nearby workers. Read More

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http://dx.doi.org/10.1177/0267659118814691DOI Listing
December 2018
1 Read

Vascular anatomical considerations and clinical decision making during insertion of the Avalon Elite Dual Lumen single-site veno-venous ECMO cannula in children weighing less than 20 kg.

Perfusion 2018 Dec 11:267659118815104. Epub 2018 Dec 11.

4 Anesthesiology, Heart Institute, Children's Hospital Colorado, Anschutz Medical Campus, University of Colorado School of Medicine, Aurora, CO, USA.

The correct selection and placement of a single-site Avalon Elite Dual Lumen Cannula for veno-venous extracorporeal membrane oxygenation (ECMO) in children weighing less than 20 kg is dependent on both the mechanical characteristics of the catheter, including length and diameter, as well as the unique vascular anatomic considerations of the patient. This manuscript describes the development of a clinical strategy, over a four-year period from 2012-2016, for cannula selection to reduce the risk of migration and malposition in 20 critically ill children weighing less than 20 kg who presented for veno-venous ECMO. Read More

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http://dx.doi.org/10.1177/0267659118815104DOI Listing
December 2018
3 Reads

Open chest epicardial and transapical endocardial substrate ablation for ventricular tachycardia with left ventricular aneurysm in a porcine model.

Perfusion 2019 Mar 16;34(2):154-163. Epub 2018 Nov 16.

1 Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.

Background:: Endo-epicardial radiofrequency catheter ablation (RFCA) of ventricular tachycardia (VT) as a first-line strategy has been shown to improve outcomes. This study sought to evaluate the feasibility and validity of open-chest epicardial and transapical endocardial substrate ablation for VT with left ventricular aneurysm (LVA) applying to routine cardiac surgery.

Methods:: Porcine models of LVA with VT were developed and were divided into a study group (RFCA from the epicardium via direct-view and endocardium via transapical access) and a control group (endocardial RFCA via retrograde transaortic access). Read More

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http://journals.sagepub.com/doi/10.1177/0267659118814689
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http://dx.doi.org/10.1177/0267659118814689DOI Listing
March 2019
9 Reads

Gender and intraoperative blood transfusion: analysis of 54,122 non-reoperative coronary revascularization procedures.

Perfusion 2018 Nov 16:267659118808728. Epub 2018 Nov 16.

SpecialtyCare, Nashville, TN, USA.

Background:: Previous studies have shown that women undergoing isolated coronary artery bypass graft (CABG) surgery have an increased risk for postoperative morbidity and mortality when compared to men. Additionally, recent evidence suggests that blood transfusions are independently associated with an increased risk of adverse outcome.

Methods:: We evaluated gender differences in the risk of intraoperative red blood cell (RBC) transfusion during CABG surgery. Read More

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http://dx.doi.org/10.1177/0267659118808728DOI Listing
November 2018
9 Reads

Long-term impact of critical silent cerebrovascular disease in patients undergoing coronary artery bypass surgery: a propensity score and multivariate analyses.

Perfusion 2019 Mar 16;34(2):147-153. Epub 2018 Nov 16.

2 Nippon Medical School Hospital, Tokyo, Japan.

Background:: Cerebrovascular disease (CVD) with brain hypoperfusion is a strong risk factor for stroke. However, how this pathology influences long-term outcomes after coronary artery bypass graft (CABG) surgery is not known.

Methods:: Magnetic resonance imaging/angiography (MRI/A) of the neck and brain was performed in 318 out of 575 consecutive CABG patients between May 2005 and April 2018. Read More

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http://dx.doi.org/10.1177/0267659118813042DOI Listing
March 2019
3 Reads

Prognostic impact of blood product transfusion in VA and VV ECMO.

Perfusion 2018 Nov 16:267659118814690. Epub 2018 Nov 16.

1 Department of Vascular and Cardio-Thoracic Surgery, Rennes University Hospital, Rennes, France.

Background:: Extracorporeal membrane oxygenation (ECMO) is an accepted and reliable technique to provide temporary circulatory and/or respiratory support. Our objective was to describe the transfusion requirements in ECMO recipients. Secondarily, we addressed the effect of indications for ECMO on transfusion requirements and the baseline factors associated with worse survival. Read More

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http://dx.doi.org/10.1177/0267659118814690DOI Listing
November 2018
14 Reads

Retrospective analysis of cardiac index and lactate production on cardiopulmonary bypass for a congenital cardiac patient population.

Perfusion 2018 Nov 14:267659118813076. Epub 2018 Nov 14.

Department of Cardiovascular Perfusion, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

Background:: Providing adequate metabolic support is the principal concern during cardiopulmonary bypass (CPB) with different strategies utilized to enhance oxygen delivery to the patient. Modifying temperature, hematocrit (Hct) and cardiac index (CI) during CPB are primary techniques which aid in this effort. Based upon surgeon preference, the study institution employs differing perfusion strategies (PS) during congenital cardiac surgery requiring CPB. Read More

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http://dx.doi.org/10.1177/0267659118813076DOI Listing
November 2018
3 Reads

Inferior vena cava stenosis after heart transplant: a rare cause of venoarterial extracorporeal membrane oxygenation weaning failure.

Perfusion 2018 Nov 3:267659118808731. Epub 2018 Nov 3.

Service d'Anesthésie et Réanimation du Groupement Hospitalier Est (GESTAR), Hospices Civils de Lyon, Lyon, France.

Introduction:: The discontinuation of venoarterial extracorporeal membrane oxygenation (VA ECMO) is a critical step in patient recovery. To reduce risks, weaning trials must be performed to buttress this important decision. However, a successful weaning trial does not preclude the possibility of complications. Read More

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http://dx.doi.org/10.1177/0267659118808731DOI Listing
November 2018
10 Reads

Development of a fluid-structure interaction model to simulate mitral valve malcoaptation.

Perfusion 2018 Nov 3:267659118811045. Epub 2018 Nov 3.

4 Department of Mechanical Engineering, University of Birmingham, Birmingham, UK.

Object:: Mitral regurgitation (MR) is a condition in which the mitral valve does not prevent the reversal of blood flow from the left ventricle into the left atrium. This study aimed at numerically developing a model to mimic MR and poor leaflet coaptation and also comparing the performance of a normal mitral valve to that of the MR conditions at different gap junctions of 1, 3 and 5 mm between the anterior and posterior leaflets.

Results:: The results revealed no blood flow to the left ventricle when a gap between the leaflets was 0 mm. Read More

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http://dx.doi.org/10.1177/0267659118811045DOI Listing
November 2018
9 Reads

Aortic valve replacement with or without myocardial revascularization in octogenarians. Can minimally invasive extracorporeal circuits improve the outcome?

Perfusion 2018 Nov 3:267659118811048. Epub 2018 Nov 3.

1 Department of Thoracic and Cardiovascular Surgery, Klinikum Braunschweig, Braunschweig, Germany.

Objective:: The positive impact of minimally invasive extracorporeal circuits (MiECC) on patient outcome is expected to be most evident in patients with limited physiologic reserves. Nevertheless, most studies have limited their use to low-risk patients undergoing myocardial revascularization. As such, there is little evidence to their benefit outside this patient population. Read More

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http://dx.doi.org/10.1177/0267659118811048DOI Listing
November 2018
8 Reads

Extracellular histones indicate the prognosis in patients undergoing extracorporeal membrane oxygenation therapy.

Perfusion 2018 Oct 29:267659118809557. Epub 2018 Oct 29.

1 Department of Anesthesiology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, P.R. China.

Introduction:: Extracellular histones have been recently identified as damage-associated molecular-pattern (DAMP) molecules involved with the pathogenesis of various inflammatory diseases. This study intended to investigate whether extracellular histones can indicate the prognosis in critically ill patients supported by extracorporeal membrane oxygenation (ECMO) therapy.

Methods:: A total of 56 patients undergoing ECMO were analysed retrospectively. Read More

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http://dx.doi.org/10.1177/0267659118809557DOI Listing
October 2018
9 Reads

POTS and PANS; "Do what you want to do, when you can do, NOW, when you CAN do".

Perfusion 2018 11;33(8):611

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http://dx.doi.org/10.1177/0267659118810148DOI Listing
November 2018
2 Reads
1.083 Impact Factor

Extracorporeal membrane oxygenation simulation-based training: methods, drawbacks and a novel solution.

Perfusion 2018 Oct 19:267659118802749. Epub 2018 Oct 19.

3 Ambulance Service, Hamad Medical Corporation, Doha, Qatar.

Introduction: Patients under the error-prone and complication-burdened extracorporeal membrane oxygenation (ECMO) are looked after by a highly trained, multidisciplinary team. Simulation-based training (SBT) affords ECMO centers the opportunity to equip practitioners with the technical dexterity required to manage emergencies. The aim of this article is to review ECMO SBT activities and technology followed by a novel solution to current challenges. Read More

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http://dx.doi.org/10.1177/0267659118802749DOI Listing
October 2018
2 Reads

Assessment of three methods for removing massive air in a cardiopulmonary bypass circuit: simulation-based multi-discipline training in West China Hospital.

Perfusion 2018 Oct 19:267659118806120. Epub 2018 Oct 19.

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

Background And Objective: A multi-discipline cardiac and cardiopulmonary bypass (CPB) team simulation scenario was established to compare three different de-airing approaches dealing with massive air embolism in CPB, so as to formulate a standardized procedure to handle this adverse acute event more proficiently and ensure clinical safety.

Method: A simulation-based clinical CPB massive air embolism scenario was developed by a cardiac and CPB team. Study Objects: Five licensed perfusionists and five CPB trainees were matched randomly into five pairs. Read More

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http://dx.doi.org/10.1177/0267659118806120DOI Listing
October 2018
5 Reads

Large mediastinal neoplasm penetrating the myocardium.

Perfusion 2019 Mar 5;34(2):170-172. Epub 2018 Oct 5.

3 Emergency Medicine Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.

A 90-year-old female patient presented to the emergency department with abdominal pain. Computed tomography (CT) set the suspicion of a cardiac tumor in the right heart chambers. We describe the presentation, the differential diagnosis and the decision for management of the patient. Read More

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http://journals.sagepub.com/doi/10.1177/0267659118803823
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http://dx.doi.org/10.1177/0267659118803823DOI Listing
March 2019
4 Reads

Pump-controlled retrograde trial off: considerations.

Perfusion 2019 Mar 5;34(2):173. Epub 2018 Oct 5.

4 Queensland Neonatal & Pediatric ECLS Service, Brisbane, Australia.

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http://dx.doi.org/10.1177/0267659118806452DOI Listing
March 2019
3 Reads

No-brainers in medicine.

Perfusion 2018 10;33(7):507-508

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http://dx.doi.org/10.1177/0267659118796944DOI Listing
October 2018
2 Reads

Using thermochromism to simulate blood oxygenation in extracorporeal membrane oxygenation.

Perfusion 2019 Mar 7;34(2):106-115. Epub 2018 Sep 7.

3 Ambulance Service, Hamad Medical Corporation, Doha, Qatar.

Introduction:: Extracorporeal membrane oxygenation (ECMO) training programs employ real ECMO components, causing them to be extremely expensive while offering little realism in terms of blood oxygenation and pressure. To overcome those limitations, we are developing a standalone modular ECMO simulator that reproduces ECMO's visual, audio and haptic cues using affordable mechanisms. We present a central component of this simulator, capable of visually reproducing blood oxygenation color change using thermochromism. Read More

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http://dx.doi.org/10.1177/0267659118798140DOI Listing
March 2019
4 Reads