Extracorporeal membrane oxygenation in Jehovah's Witness patients: Case report, literature review, and summary of recommendations
We describe the use of a bloodless approach to reduce the waste of blood, avoiding anticoagulation, and improving red blood cell production. We then summarize the current literature on the use of ECMO in Jehovah's Witness patients and, finally, we propose some recommendations for their management.PMID:34554022 | DOI:10.1177/02676591211047774 (Source: Perfusion)
Source: Perfusion - September 23, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Abrah án Mera Eduard Argudo Mar ía Martínez-Martínez Clara Palmada Camilo Bonilla Andr és Pacheco Luis Chiscano Gemma Mar ín Beatriz Lozano Elisabet Gallart Jordi Riera Source Type: research

International survey of neuromonitoring and neurodevelopmental outcome in children and adults supported on extracorporeal membrane oxygenation in Europe
CONCLUSIONS: This survey demonstrated significant variability in the use of different neuromonitoring modalities during and after ECMO. The perceived importance of neuromonitoring and follow-up was noted to be very high with agreement for a longitudinal structured follow-up programme, particularly in paediatric patients. Scientific society endorsed guidelines and minimum standards should be developed to inform local protocols.PMID:34550013 | DOI:10.1177/02676591211042563 (Source: Perfusion)
Source: Perfusion - September 22, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Mirjana Cvetkovic Giovanni Chiarini Mirko Belliato Thijs Delnoij Paolo Zanatta Fabio Silvio Taccone Dinis Dos Reis Miranda Mark Davidson Nashwa Matta Carl Davis Hanneke IJsselstijn Matthieu Schmidt Lars Mikael Broman Dirk W Donker Dirk Vlasselaers Piero D Source Type: research

International survey of neuromonitoring and neurodevelopmental outcome in children and adults supported on extracorporeal membrane oxygenation in Europe
CONCLUSIONS: This survey demonstrated significant variability in the use of different neuromonitoring modalities during and after ECMO. The perceived importance of neuromonitoring and follow-up was noted to be very high with agreement for a longitudinal structured follow-up programme, particularly in paediatric patients. Scientific society endorsed guidelines and minimum standards should be developed to inform local protocols.PMID:34550013 | DOI:10.1177/02676591211042563 (Source: Perfusion)
Source: Perfusion - September 22, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Mirjana Cvetkovic Giovanni Chiarini Mirko Belliato Thijs Delnoij Paolo Zanatta Fabio Silvio Taccone Dinis Dos Reis Miranda Mark Davidson Nashwa Matta Carl Davis Hanneke IJsselstijn Matthieu Schmidt Lars Mikael Broman Dirk W Donker Dirk Vlasselaers Piero D Source Type: research

An infant with suspected missed diagnosis of Williams syndrome failed weaning off CPB after surgical correction of pulmonary stenosis: a case report and literature review
Perfusion. 2021 Sep 18:2676591211046876. doi: 10.1177/02676591211046876. Online ahead of print.ABSTRACTWilliams syndrome (WS) is a rare congenital developmental disorder caused by the deletion of between 26 and 28 genes on chromosome 7q11.23. For patients with WS, in view of the particularity of the supravalvular aortic stenosis, choosing appropriate arterial cannula, maintaining higher perfusion pressure as well as strengthening myocardial protection during cardiopulmonary bypass (CPB) is essential to the clinical outcome. Here, we report a child with pulmonary artery valvular stenosis who failed to wean off CPB because o...
Source: Perfusion - September 20, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Yuan Yuan Ronghua Zhou Source Type: research

The effects of glucose-free and glucose-containing dialysate during dialysis in MHD patients: a prospective cross-over study
Perfusion. 2021 Sep 19:2676591211042726. doi: 10.1177/02676591211042726. Online ahead of print.ABSTRACTOBJECTIVE: To investigate the effects of glucose-free and glucose-containing dialysates during dialysis in maintenance hemodialysis (MHD) patients by the prospective cross-over study, and detect glucose control methods in MHD patients.METHODS: A total of 66 MHD 18-75 years old patients in our hospital from Nov. 2019 to Mar. 2020 were recruited. All patients underwent HD with 4 hours per time, three times per week. Glucose-free dialysate (glucose-free group) and then 5.55 mmol/L glucose-containing dialysate (glucose-5.55 g...
Source: Perfusion - September 20, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Minxia Li Yuehong Li Jiaxuan Lv Huiying Xu Xianglan Wu Wen Wen Wei Wang Hua Yang Source Type: research

An infant with suspected missed diagnosis of Williams syndrome failed weaning off CPB after surgical correction of pulmonary stenosis: a case report and literature review
Perfusion. 2021 Sep 18:2676591211046876. doi: 10.1177/02676591211046876. Online ahead of print.ABSTRACTWilliams syndrome (WS) is a rare congenital developmental disorder caused by the deletion of between 26 and 28 genes on chromosome 7q11.23. For patients with WS, in view of the particularity of the supravalvular aortic stenosis, choosing appropriate arterial cannula, maintaining higher perfusion pressure as well as strengthening myocardial protection during cardiopulmonary bypass (CPB) is essential to the clinical outcome. Here, we report a child with pulmonary artery valvular stenosis who failed to wean off CPB because o...
Source: Perfusion - September 20, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Yuan Yuan Ronghua Zhou Source Type: research

The effects of glucose-free and glucose-containing dialysate during dialysis in MHD patients: a prospective cross-over study
Perfusion. 2021 Sep 19:2676591211042726. doi: 10.1177/02676591211042726. Online ahead of print.ABSTRACTOBJECTIVE: To investigate the effects of glucose-free and glucose-containing dialysates during dialysis in maintenance hemodialysis (MHD) patients by the prospective cross-over study, and detect glucose control methods in MHD patients.METHODS: A total of 66 MHD 18-75 years old patients in our hospital from Nov. 2019 to Mar. 2020 were recruited. All patients underwent HD with 4 hours per time, three times per week. Glucose-free dialysate (glucose-free group) and then 5.55 mmol/L glucose-containing dialysate (glucose-5.55 g...
Source: Perfusion - September 20, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Minxia Li Yuehong Li Jiaxuan Lv Huiying Xu Xianglan Wu Wen Wen Wei Wang Hua Yang Source Type: research

RE: 'Similar frequency of atrial perforation between atrial and bicaval dual lumen veno-venous ECMO cannulas in a pediatric population'
Perfusion. 2021 Sep 17:2676591211047769. doi: 10.1177/02676591211047769. Online ahead of print.NO ABSTRACTPMID:34533370 | DOI:10.1177/02676591211047769 (Source: Perfusion)
Source: Perfusion - September 17, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Jerome Rambaud Yael Levy Pierre Louis Leger Source Type: research

Management of cardiopulmonary bypass in factor XII deficient patients without plasma infusion
Perfusion. 2021 Sep 17:2676591211045807. doi: 10.1177/02676591211045807. Online ahead of print.NO ABSTRACTPMID:34533385 | DOI:10.1177/02676591211045807 (Source: Perfusion)
Source: Perfusion - September 17, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Akalanka Ranasinghe Mohanja Ketheeswaran Muhammad Rafiq Megan Sharp Danielle Davies Fabio Falconieri Samail Shahjahan John Hogan Andrew Klein Martin Besser Source Type: research

Virtual 4th MiECT Symposium: Innovation and Future
Perfusion. 2021 Oct;36(7):654-655. doi: 10.1177/02676591211042712.NO ABSTRACTPMID:34528848 | DOI:10.1177/02676591211042712 (Source: Perfusion)
Source: Perfusion - September 16, 2021 Category: Cardiovascular & Thoracic Surgery Authors: John M Murkin Cyril Serrick Polychronis Antonitsis Kyriakos Anastasiadis Prakash P Punjabi Source Type: research

The association of left ventricular histologically verified myocardial fibrosis with pulmonary hypertension in severe aortic stenosis
CONCLUSIONS: The extent of diffuse myocardial fibrosis in combination with reduced longitudinal left ventricular strain and increased plasma levels of NT-proBNP relates to pulmonary hypertension in severe aortic stenosis.PMID:34524051 | DOI:10.1177/02676591211042733 (Source: Perfusion)
Source: Perfusion - September 15, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Birute Gumauskiene Egle Drebickaite Dalia Pangonyte Jolanta Justina Vaskelyte Lina Padervinskiene Povilas Jakuska Algimantas Budrikis Rokas Ereminas Egle Ereminiene Source Type: research

Monocyte to high density lipoprotein ratio in patients with acute kidney injury after cardiac surgery
CONCLUSIONS: As a laboratory index, the elevated MHR is convenient, independent, and a useful predictor for CSA-AKI.PMID:34524052 | DOI:10.1177/02676591211041945 (Source: Perfusion)
Source: Perfusion - September 15, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Wenjuan Huang Lei Wang Xin Wan Source Type: research

The association of left ventricular histologically verified myocardial fibrosis with pulmonary hypertension in severe aortic stenosis
CONCLUSIONS: The extent of diffuse myocardial fibrosis in combination with reduced longitudinal left ventricular strain and increased plasma levels of NT-proBNP relates to pulmonary hypertension in severe aortic stenosis.PMID:34524051 | DOI:10.1177/02676591211042733 (Source: Perfusion)
Source: Perfusion - September 15, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Birute Gumauskiene Egle Drebickaite Dalia Pangonyte Jolanta Justina Vaskelyte Lina Padervinskiene Povilas Jakuska Algimantas Budrikis Rokas Ereminas Egle Ereminiene Source Type: research

Monocyte to high density lipoprotein ratio in patients with acute kidney injury after cardiac surgery
CONCLUSIONS: As a laboratory index, the elevated MHR is convenient, independent, and a useful predictor for CSA-AKI.PMID:34524052 | DOI:10.1177/02676591211041945 (Source: Perfusion)
Source: Perfusion - September 15, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Wenjuan Huang Lei Wang Xin Wan Source Type: research

The association of left ventricular histologically verified myocardial fibrosis with pulmonary hypertension in severe aortic stenosis
CONCLUSIONS: The extent of diffuse myocardial fibrosis in combination with reduced longitudinal left ventricular strain and increased plasma levels of NT-proBNP relates to pulmonary hypertension in severe aortic stenosis.PMID:34524051 | DOI:10.1177/02676591211042733 (Source: Perfusion)
Source: Perfusion - September 15, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Birute Gumauskiene Egle Drebickaite Dalia Pangonyte Jolanta Justina Vaskelyte Lina Padervinskiene Povilas Jakuska Algimantas Budrikis Rokas Ereminas Egle Ereminiene Source Type: research

Monocyte to high density lipoprotein ratio in patients with acute kidney injury after cardiac surgery
CONCLUSIONS: As a laboratory index, the elevated MHR is convenient, independent, and a useful predictor for CSA-AKI.PMID:34524052 | DOI:10.1177/02676591211041945 (Source: Perfusion)
Source: Perfusion - September 15, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Wenjuan Huang Lei Wang Xin Wan Source Type: research

The association of left ventricular histologically verified myocardial fibrosis with pulmonary hypertension in severe aortic stenosis
CONCLUSIONS: The extent of diffuse myocardial fibrosis in combination with reduced longitudinal left ventricular strain and increased plasma levels of NT-proBNP relates to pulmonary hypertension in severe aortic stenosis.PMID:34524051 | DOI:10.1177/02676591211042733 (Source: Perfusion)
Source: Perfusion - September 15, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Birute Gumauskiene Egle Drebickaite Dalia Pangonyte Jolanta Justina Vaskelyte Lina Padervinskiene Povilas Jakuska Algimantas Budrikis Rokas Ereminas Egle Ereminiene Source Type: research

Monocyte to high density lipoprotein ratio in patients with acute kidney injury after cardiac surgery
CONCLUSIONS: As a laboratory index, the elevated MHR is convenient, independent, and a useful predictor for CSA-AKI.PMID:34524052 | DOI:10.1177/02676591211041945 (Source: Perfusion)
Source: Perfusion - September 15, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Wenjuan Huang Lei Wang Xin Wan Source Type: research

Safety and utility of modified ultrafiltration in pediatric cardiac surgery
CONCLUSIONS: Complete MUF enables the clinician to safely raise the post-CPB hematocrit to at least 40% while potentially removing mediators that could result in SIRS. In addition a full unit of FFP can be administered while maintaining euvolemia.PMID:34510972 | DOI:10.1177/02676591211043697 (Source: Perfusion)
Source: Perfusion - September 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: David A Palanzo Robert K Wise Karl R Woitas Akif Ündar Joseph B Clark John L Myers Source Type: research

Risk factors and treatment of oxygenator high-pressure excursions during cardiopulmonary bypass
Perfusion. 2021 Sep 11:2676591211043700. doi: 10.1177/02676591211043700. Online ahead of print.ABSTRACTINTRODUCTION: A high-pressure excursion (HPE) is a sudden increase in oxygenator inlet pressure during cardiopulmonary bypass (CPB). The aims of this study were to identify factors associated with HPE, to describe a treatment protocol utilizing epoprostenol in severe cases, and to assess early outcome in HPE patients.METHODS: Patients who underwent cardiac surgery with cardiopulmonary bypass at Sahlgrenska University Hospital 2016-2018 were included in a retrospective observational study. Pre- and post-operative data coll...
Source: Perfusion - September 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Anders Karl Hj ärpe Anders Jeppsson Lukas Lannemyr Martin Lindgren Source Type: research

Propensity matched analysis of minimally invasive versus conventional isolated aortic valve replacement
CONCLUSION: Despite the longer CPB and AoX times in the MIAVR group, there was no significant difference in early complications, mortality and mid-term survival between MIAVR and conventional AVR.PMID:34515578 | DOI:10.1177/02676591211045802 (Source: Perfusion)
Source: Perfusion - September 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Shwe Oo Amilah Khan Jeremy Chan Sanjay Juneja Massimo Caputo Gianni Angelini Cha Rajakaruna Hunaid A Vohra Source Type: research

Safety and utility of modified ultrafiltration in pediatric cardiac surgery
CONCLUSIONS: Complete MUF enables the clinician to safely raise the post-CPB hematocrit to at least 40% while potentially removing mediators that could result in SIRS. In addition a full unit of FFP can be administered while maintaining euvolemia.PMID:34510972 | DOI:10.1177/02676591211043697 (Source: Perfusion)
Source: Perfusion - September 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: David A Palanzo Robert K Wise Karl R Woitas Akif Ündar Joseph B Clark John L Myers Source Type: research

Risk factors and treatment of oxygenator high-pressure excursions during cardiopulmonary bypass
Perfusion. 2021 Sep 11:2676591211043700. doi: 10.1177/02676591211043700. Online ahead of print.ABSTRACTINTRODUCTION: A high-pressure excursion (HPE) is a sudden increase in oxygenator inlet pressure during cardiopulmonary bypass (CPB). The aims of this study were to identify factors associated with HPE, to describe a treatment protocol utilizing epoprostenol in severe cases, and to assess early outcome in HPE patients.METHODS: Patients who underwent cardiac surgery with cardiopulmonary bypass at Sahlgrenska University Hospital 2016-2018 were included in a retrospective observational study. Pre- and post-operative data coll...
Source: Perfusion - September 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Anders Karl Hj ärpe Anders Jeppsson Lukas Lannemyr Martin Lindgren Source Type: research

Propensity matched analysis of minimally invasive versus conventional isolated aortic valve replacement
CONCLUSION: Despite the longer CPB and AoX times in the MIAVR group, there was no significant difference in early complications, mortality and mid-term survival between MIAVR and conventional AVR.PMID:34515578 | DOI:10.1177/02676591211045802 (Source: Perfusion)
Source: Perfusion - September 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Shwe Oo Amilah Khan Jeremy Chan Sanjay Juneja Massimo Caputo Gianni Angelini Cha Rajakaruna Hunaid A Vohra Source Type: research

Safety and utility of modified ultrafiltration in pediatric cardiac surgery
CONCLUSIONS: Complete MUF enables the clinician to safely raise the post-CPB hematocrit to at least 40% while potentially removing mediators that could result in SIRS. In addition a full unit of FFP can be administered while maintaining euvolemia.PMID:34510972 | DOI:10.1177/02676591211043697 (Source: Perfusion)
Source: Perfusion - September 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: David A Palanzo Robert K Wise Karl R Woitas Akif Ündar Joseph B Clark John L Myers Source Type: research

Risk factors and treatment of oxygenator high-pressure excursions during cardiopulmonary bypass
Perfusion. 2021 Sep 11:2676591211043700. doi: 10.1177/02676591211043700. Online ahead of print.ABSTRACTINTRODUCTION: A high-pressure excursion (HPE) is a sudden increase in oxygenator inlet pressure during cardiopulmonary bypass (CPB). The aims of this study were to identify factors associated with HPE, to describe a treatment protocol utilizing epoprostenol in severe cases, and to assess early outcome in HPE patients.METHODS: Patients who underwent cardiac surgery with cardiopulmonary bypass at Sahlgrenska University Hospital 2016-2018 were included in a retrospective observational study. Pre- and post-operative data coll...
Source: Perfusion - September 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Anders Karl Hj ärpe Anders Jeppsson Lukas Lannemyr Martin Lindgren Source Type: research

Propensity matched analysis of minimally invasive versus conventional isolated aortic valve replacement
CONCLUSION: Despite the longer CPB and AoX times in the MIAVR group, there was no significant difference in early complications, mortality and mid-term survival between MIAVR and conventional AVR.PMID:34515578 | DOI:10.1177/02676591211045802 (Source: Perfusion)
Source: Perfusion - September 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Shwe Oo Amilah Khan Jeremy Chan Sanjay Juneja Massimo Caputo Gianni Angelini Cha Rajakaruna Hunaid A Vohra Source Type: research

Continuous renal replacement therapy and extracorporeal membrane oxygenation: implications in the COVID-19 era
Perfusion. 2021 Sep 8:2676591211042561. doi: 10.1177/02676591211042561. Online ahead of print.ABSTRACTThe novel severe acute respiratory syndrome coronavirus 2, SARS-CoV-2 (coronavirus Disease 19 (COVID-19)) was identified as the causative agent of viral pneumonias in Wuhan, China in December 2019, and has emerged as a pandemic causing acute respiratory distress syndrome (ARDS) and multiple organ dysfunction. Interim guidance by the World Health Organization states that extracorporeal membrane oxygenation (ECMO) should be considered as a rescue therapy in COVID-19-related ARDS. International registries tracking ECMO in COV...
Source: Perfusion - September 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Sophia H Roberts Matthew L Goodwin Christopher M Bobba Omar Al-Qudsi S Veena Satyapriya Ravi S Tripathi Thomas J Papadimos Bryan A Whitson Source Type: research

Continuous renal replacement therapy and extracorporeal membrane oxygenation: implications in the COVID-19 era
Perfusion. 2021 Sep 8:2676591211042561. doi: 10.1177/02676591211042561. Online ahead of print.ABSTRACTThe novel severe acute respiratory syndrome coronavirus 2, SARS-CoV-2 (coronavirus Disease 19 (COVID-19)) was identified as the causative agent of viral pneumonias in Wuhan, China in December 2019, and has emerged as a pandemic causing acute respiratory distress syndrome (ARDS) and multiple organ dysfunction. Interim guidance by the World Health Organization states that extracorporeal membrane oxygenation (ECMO) should be considered as a rescue therapy in COVID-19-related ARDS. International registries tracking ECMO in COV...
Source: Perfusion - September 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Sophia H Roberts Matthew L Goodwin Christopher M Bobba Omar Al-Qudsi S Veena Satyapriya Ravi S Tripathi Thomas J Papadimos Bryan A Whitson Source Type: research

Continuous renal replacement therapy and extracorporeal membrane oxygenation: implications in the COVID-19 era
Perfusion. 2021 Sep 8:2676591211042561. doi: 10.1177/02676591211042561. Online ahead of print.ABSTRACTThe novel severe acute respiratory syndrome coronavirus 2, SARS-CoV-2 (coronavirus Disease 19 (COVID-19)) was identified as the causative agent of viral pneumonias in Wuhan, China in December 2019, and has emerged as a pandemic causing acute respiratory distress syndrome (ARDS) and multiple organ dysfunction. Interim guidance by the World Health Organization states that extracorporeal membrane oxygenation (ECMO) should be considered as a rescue therapy in COVID-19-related ARDS. International registries tracking ECMO in COV...
Source: Perfusion - September 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Sophia H Roberts Matthew L Goodwin Christopher M Bobba Omar Al-Qudsi S Veena Satyapriya Ravi S Tripathi Thomas J Papadimos Bryan A Whitson Source Type: research

Continuous renal replacement therapy and extracorporeal membrane oxygenation: implications in the COVID-19 era
Perfusion. 2021 Sep 8:2676591211042561. doi: 10.1177/02676591211042561. Online ahead of print.ABSTRACTThe novel severe acute respiratory syndrome coronavirus 2, SARS-CoV-2 (coronavirus Disease 19 (COVID-19)) was identified as the causative agent of viral pneumonias in Wuhan, China in December 2019, and has emerged as a pandemic causing acute respiratory distress syndrome (ARDS) and multiple organ dysfunction. Interim guidance by the World Health Organization states that extracorporeal membrane oxygenation (ECMO) should be considered as a rescue therapy in COVID-19-related ARDS. International registries tracking ECMO in COV...
Source: Perfusion - September 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Sophia H Roberts Matthew L Goodwin Christopher M Bobba Omar Al-Qudsi S Veena Satyapriya Ravi S Tripathi Thomas J Papadimos Bryan A Whitson Source Type: research

Venoarterial extracorporeal membrane oxygenation with intra-aortic balloon pump for postcardiotomy cardiogenic shock: A systematic review and meta-analysis
CONCLUSIONS: This study indicates that VA-ECMO with IABP did not improve either in-hospital survival or weaning for VA-ECMO in postcardiotomy cardiogenic shock patients.PMID:34479456 | DOI:10.1177/02676591211042568 (Source: Perfusion)
Source: Perfusion - September 4, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Daochao Huang Anyi Xu QiongChan Guan Jie Qin Chuang Zhang Source Type: research

Impact of minimal invasive extracorporeal circulation on perioperative intravenous fluid management in coronary artery bypass surgery
Perfusion. 2021 Sep 3:2676591211043232. doi: 10.1177/02676591211043232. Online ahead of print.ABSTRACTOBJECTIVE: Compare the use of blood products and intravenous fluid management in patients scheduled for coronary artery bypass surgery and randomized to minimal invasive extracorporeal circulation (MiECC) and conventional extracorporeal circulation (CECC).METHODS: A total of 240 patients who were scheduled for their first on-pump CABG, were randomized to MiECC or CECC groups. The study period was the first 84 hours after surgery. Hemoglobin
Source: Perfusion - September 4, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Sten Ellam Jenni R äsänen Juha Hartikainen Tuomas Selander Auni Juutilainen Jari Halonen Source Type: research

Intra-aortic balloon pump versus percutaneous Impella < sup > © < /sup > in emergency revascularisation for myocardial infarction and cardiogenic shock: systematic review
CONCLUSION: AMI-CS presents an important cohort of patients in whom conducting RCTs is difficult. As a result, the literature is limited. Analysis of the available literature suggests that there is insufficient evidence to support superior survival in those supported by IABP or Impella© when compared to control despite suggestions that the Impella© offers superior haemodynamic support. Limitations of the studies have been discussed to outline suggestions for future research.PMID:34479465 | DOI:10.1177/02676591211037026 (Source: Perfusion)
Source: Perfusion - September 4, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Kristina Frain Paul Rees Source Type: research

Venoarterial extracorporeal membrane oxygenation with intra-aortic balloon pump for postcardiotomy cardiogenic shock: A systematic review and meta-analysis
CONCLUSIONS: This study indicates that VA-ECMO with IABP did not improve either in-hospital survival or weaning for VA-ECMO in postcardiotomy cardiogenic shock patients.PMID:34479456 | DOI:10.1177/02676591211042568 (Source: Perfusion)
Source: Perfusion - September 4, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Daochao Huang Anyi Xu QiongChan Guan Jie Qin Chuang Zhang Source Type: research

Impact of minimal invasive extracorporeal circulation on perioperative intravenous fluid management in coronary artery bypass surgery
Perfusion. 2021 Sep 3:2676591211043232. doi: 10.1177/02676591211043232. Online ahead of print.ABSTRACTOBJECTIVE: Compare the use of blood products and intravenous fluid management in patients scheduled for coronary artery bypass surgery and randomized to minimal invasive extracorporeal circulation (MiECC) and conventional extracorporeal circulation (CECC).METHODS: A total of 240 patients who were scheduled for their first on-pump CABG, were randomized to MiECC or CECC groups. The study period was the first 84 hours after surgery. Hemoglobin
Source: Perfusion - September 4, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Sten Ellam Jenni R äsänen Juha Hartikainen Tuomas Selander Auni Juutilainen Jari Halonen Source Type: research

Intra-aortic balloon pump versus percutaneous Impella < sup > © < /sup > in emergency revascularisation for myocardial infarction and cardiogenic shock: systematic review
CONCLUSION: AMI-CS presents an important cohort of patients in whom conducting RCTs is difficult. As a result, the literature is limited. Analysis of the available literature suggests that there is insufficient evidence to support superior survival in those supported by IABP or Impella© when compared to control despite suggestions that the Impella© offers superior haemodynamic support. Limitations of the studies have been discussed to outline suggestions for future research.PMID:34479465 | DOI:10.1177/02676591211037026 (Source: Perfusion)
Source: Perfusion - September 4, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Kristina Frain Paul Rees Source Type: research

Differences in the serum metabolic profile to identify potential biomarkers for cyanotic versus acyanotic heart disease
CONCLUSION: An untargeted metabolic approach proved to be helpful for the detection and distinction of disease-causing metabolites in cyanotic patients from acyanotic ones and can be useful for designing better and personalized treatment protocol.PMID:34472991 | DOI:10.1177/02676591211042559 (Source: Perfusion)
Source: Perfusion - September 2, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Suman Vimal Renuka Ranjan Surabhi Yadav Gauranga Majumdar Balraj Mittal Neeraj Sinha Surendra Kumar Agarwal Source Type: research

Outcomes of extracorporeal membrane oxygenation and cardiopulmonary bypass in children after drowning-related resuscitation
Perfusion. 2021 Sep 2:2676591211041229. doi: 10.1177/02676591211041229. Online ahead of print.ABSTRACTDrowning is one of the leading causes of accidental deaths in children worldwide. However, the use of long-term extracorporeal life support (ECLS) in this setting is not widely established, and rewarming is often achieved by short-term cardiopulmonary bypass (CPB) treatment. Thus, we sought to add our experience with this means of support as a bridge-to-recovery or to-decision. This retrospective single-center study analyzes the outcome of 11 children (median 23 months, minimum-maximum 3 months-6.5 years) who experienced d...
Source: Perfusion - September 2, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Urda Gottschalk Maria K öhne Theresa Holst Ida H üners Maria von Stumm G ötz Müller Veronika Stark Victoria van R üth Rainer Kozlik-Feldmann Dominique Singer J örg S Sachweh Daniel Biermann Source Type: research

Clinical results and 30-day outcomes of self-expanding transcatheter aortic valves: comparative case-matched analysis of CoreValve < sup > ® < /sup > versus ACURATE neo ™
CONCLUSION: Both self-expandable prostheses showed good postoperative hemodynamic performance with a low incidence of severe paravalvular leakage, all- cause mortality, and comparable clinical outcomes.PMID:34472999 | DOI:10.1177/02676591211042562 (Source: Perfusion)
Source: Perfusion - September 2, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Borko Ivanov Kaveh Eghbalzadeh Ilija Djordjevic Mohamed Zeriouh Stephen Gerfer Christopher Gaisendrees Anton Sabashnikov Christian Rustenbach Parwis Rahmanian Ferdinand Kuhn-Regnier Navid Mader Matti Adam Stephan Baldus Thorsten Wahlers Elmar Kuhn Source Type: research

An eighth note
We report a chronic hemodialysis patient who received an angiographic examination for the juxta-anastomosis stenosis of his AVF. A unique feature of a collateral venous branch antecedent to the stenotic lesion was noted, resembling a musical sign as the "eighth note." After percutaneous transluminal angioplasty, the eighth note attenuated markedly at once. Of note, the eighth note sign is not seen frequently, and thus we postulate that the formation of an eighth note sign on the radiocephalic fistula should fulfill the following requirements, including a sufficient arterial inflow, an adjacent collateral branch c...
Source: Perfusion - August 19, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Meng-Rong Tsai Chiu-Yang Lee Chih-Yu Yang Der-Cherng Tarng Source Type: research

An eighth note
We report a chronic hemodialysis patient who received an angiographic examination for the juxta-anastomosis stenosis of his AVF. A unique feature of a collateral venous branch antecedent to the stenotic lesion was noted, resembling a musical sign as the "eighth note." After percutaneous transluminal angioplasty, the eighth note attenuated markedly at once. Of note, the eighth note sign is not seen frequently, and thus we postulate that the formation of an eighth note sign on the radiocephalic fistula should fulfill the following requirements, including a sufficient arterial inflow, an adjacent collateral branch c...
Source: Perfusion - August 19, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Meng-Rong Tsai Chiu-Yang Lee Chih-Yu Yang Der-Cherng Tarng Source Type: research

An eighth note
We report a chronic hemodialysis patient who received an angiographic examination for the juxta-anastomosis stenosis of his AVF. A unique feature of a collateral venous branch antecedent to the stenotic lesion was noted, resembling a musical sign as the "eighth note." After percutaneous transluminal angioplasty, the eighth note attenuated markedly at once. Of note, the eighth note sign is not seen frequently, and thus we postulate that the formation of an eighth note sign on the radiocephalic fistula should fulfill the following requirements, including a sufficient arterial inflow, an adjacent collateral branch c...
Source: Perfusion - August 19, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Meng-Rong Tsai Chiu-Yang Lee Chih-Yu Yang Der-Cherng Tarng Source Type: research

An eighth note
We report a chronic hemodialysis patient who received an angiographic examination for the juxta-anastomosis stenosis of his AVF. A unique feature of a collateral venous branch antecedent to the stenotic lesion was noted, resembling a musical sign as the "eighth note." After percutaneous transluminal angioplasty, the eighth note attenuated markedly at once. Of note, the eighth note sign is not seen frequently, and thus we postulate that the formation of an eighth note sign on the radiocephalic fistula should fulfill the following requirements, including a sufficient arterial inflow, an adjacent collateral branch c...
Source: Perfusion - August 19, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Meng-Rong Tsai Chiu-Yang Lee Chih-Yu Yang Der-Cherng Tarng Source Type: research

An eighth note
We report a chronic hemodialysis patient who received an angiographic examination for the juxta-anastomosis stenosis of his AVF. A unique feature of a collateral venous branch antecedent to the stenotic lesion was noted, resembling a musical sign as the "eighth note." After percutaneous transluminal angioplasty, the eighth note attenuated markedly at once. Of note, the eighth note sign is not seen frequently, and thus we postulate that the formation of an eighth note sign on the radiocephalic fistula should fulfill the following requirements, including a sufficient arterial inflow, an adjacent collateral branch c...
Source: Perfusion - August 19, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Meng-Rong Tsai Chiu-Yang Lee Chih-Yu Yang Der-Cherng Tarng Source Type: research

An eighth note
We report a chronic hemodialysis patient who received an angiographic examination for the juxta-anastomosis stenosis of his AVF. A unique feature of a collateral venous branch antecedent to the stenotic lesion was noted, resembling a musical sign as the "eighth note." After percutaneous transluminal angioplasty, the eighth note attenuated markedly at once. Of note, the eighth note sign is not seen frequently, and thus we postulate that the formation of an eighth note sign on the radiocephalic fistula should fulfill the following requirements, including a sufficient arterial inflow, an adjacent collateral branch c...
Source: Perfusion - August 19, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Meng-Rong Tsai Chiu-Yang Lee Chih-Yu Yang Der-Cherng Tarng Source Type: research

An eighth note
We report a chronic hemodialysis patient who received an angiographic examination for the juxta-anastomosis stenosis of his AVF. A unique feature of a collateral venous branch antecedent to the stenotic lesion was noted, resembling a musical sign as the "eighth note." After percutaneous transluminal angioplasty, the eighth note attenuated markedly at once. Of note, the eighth note sign is not seen frequently, and thus we postulate that the formation of an eighth note sign on the radiocephalic fistula should fulfill the following requirements, including a sufficient arterial inflow, an adjacent collateral branch c...
Source: Perfusion - August 19, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Meng-Rong Tsai Chiu-Yang Lee Chih-Yu Yang Der-Cherng Tarng Source Type: research

An eighth note
We report a chronic hemodialysis patient who received an angiographic examination for the juxta-anastomosis stenosis of his AVF. A unique feature of a collateral venous branch antecedent to the stenotic lesion was noted, resembling a musical sign as the "eighth note." After percutaneous transluminal angioplasty, the eighth note attenuated markedly at once. Of note, the eighth note sign is not seen frequently, and thus we postulate that the formation of an eighth note sign on the radiocephalic fistula should fulfill the following requirements, including a sufficient arterial inflow, an adjacent collateral branch c...
Source: Perfusion - August 19, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Meng-Rong Tsai Chiu-Yang Lee Chih-Yu Yang Der-Cherng Tarng Source Type: research

An eighth note
We report a chronic hemodialysis patient who received an angiographic examination for the juxta-anastomosis stenosis of his AVF. A unique feature of a collateral venous branch antecedent to the stenotic lesion was noted, resembling a musical sign as the "eighth note." After percutaneous transluminal angioplasty, the eighth note attenuated markedly at once. Of note, the eighth note sign is not seen frequently, and thus we postulate that the formation of an eighth note sign on the radiocephalic fistula should fulfill the following requirements, including a sufficient arterial inflow, an adjacent collateral branch c...
Source: Perfusion - August 19, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Meng-Rong Tsai Chiu-Yang Lee Chih-Yu Yang Der-Cherng Tarng Source Type: research

Predicting atrial fibrillation after cardiac surgery: a scoping review of associated factors and systematic review of existing prediction models
CONCLUSIONS: Except for age, reporting of factors associated with POAF is inconsistent and often contradictory. Prediction models have low discrimination, missing calibration statistics, are at risk of bias and show limited clinical applicability. This suggests the need for studies that prospectively collect AF relevant data in large cohorts and then proceed to validate findings in external data sets.PMID:34405746 | DOI:10.1177/02676591211037025 (Source: Perfusion)
Source: Perfusion - August 18, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Hugh Fleet David Pilcher Rinaldo Bellomo Tim G Coulson Source Type: research