Ushijima, Tomoki Sonoda, Hiromichi Tanoue, Yoshihisa Shiose, Akira
Published in
Perfusion
Ecpella, a combination of veno-arterial (V-A) extracorporeal membrane oxygenation (ECMO) and Impella, may result in the differential hypoxia in patients with cardiogenic shock and severe lung dysfunction. Here, we report a solution of this Ecpella-induced unfavorable phenomenon. A 70-year-old man developed cardiogenic shock from fulminant myocardit...
Oliveira, João Pedro Fragão-Marques, Mariana Lourenço, André Falcão-Pires, Inês Leite-Moreira, Adelino
Published in
Perfusion
Atrial fibrillation (AF) is the most common arrhythmia with adverse clinical outcomes. Aortic valve replacement (AVR) is one of the most frequently performed cardiac surgeries, although there is scarce evidence on arrhythmic outcomes. We aimed to evaluate AF during the first year post- isolated aortic valve replacement surgery and its clinical, ana...
van Houte, Joris Bindels, Alexander J Houterman, Saskia Dong, Phi Vu den Ouden, Monique de Bock, Nina E Verberkmoes, Niels J Curvers, Joyce Bouwman, Arthur R
Published in
Perfusion
Histidine-tryptophan-ketoglutarate cardioplegia is used for prolonged myocardial protection in complex cardiac surgery. Administration leads to acute hyponatremia in a majority of patients, because of its low sodium concentration (15 mmol/L). However, histidine-tryptophan-ketoglutarate solution's osmolality is slightly hypertonic (310 mOsm/kg). Hyp...
Prabhu, Neel K Turek, Joseph W Andersen, Nicholas D
Published in
Perfusion
We present the case of a newborn with complex congenital heart disease who was treated with a neonatal Norwood operation and total anomalous pulmonary venous return repair. During the Norwood reconstruction, a novel technique was utilized to perfuse the head, lower body, and heart continuously to minimize ischemic injury.
Zhang, Xue Zhang, Peng Yang, Shicheng Li, Wenyuan Men, Xiuzhen Fu, Naikuan
Published in
Perfusion
The aim of this research was to use the Mehran risk score to classify elderly diabetics with coronary heart disease to assess the preventive effect of trimetazidine on contrast-induced nephropathy (CIN) after percutaneous coronary intervention (PCI) in different risk population. An uncompromised of 760 elderly diabetics that went through PCI were i...
Koda, Yojiro Kitahara, Hiroto Nishida, Hidefumi Jeevanandam, Valluvan Ota, Takeyoshi
Published in
Perfusion
Recently, del Nido cardioplegia solution (DN) has been utilized in adult cardiac surgery. However, adequate interval of maintenance dose(s) is still unclear. The purpose of this study was to assess the safety and efficacy of our DN protocol by comparing with conventional cold whole blood cardioplegia (CWB). A total of 1003 consecutive patients (DN ...
Willems, Ariane Roeleveld, Peter P Labarinas, Sonia Cyrus, John W Muszynski, Jennifer A Nellis, Marianne E Karam, Oliver
Published in
Perfusion
The purpose was to compare time-based vs anti-Xa-based anticoagulation strategies in patients on ECMO. We conducted a systematic review and meta-analysis using multiple electronic databases and included studies from inception to July 19, 2019. The proportion of bleeding, thrombosis, and mortality were evaluated.Twenty-six studies (2,086 patients) w...
Kaushik, Shubhi Ahluwalia, Neha Gangadharan, Sandeep Esperenza, Maria Murthy, Raghav Ofori-Amanfo, George Aydin, Scott I
Published in
Perfusion
In this report, we describe the case of a 5-year-old male with SARS-CoV-2 associated MIS-C with progressive respiratory failure and vasoplegic shock requiring extracorporeal support. At presentation, reverse transcription-polymerase chain reaction (RT-PCR) testing for SARS-CoV-2 was negative, however, SARS-CoV2 antibody testing was positive. Multip...
Ordienė, Rasa Unikas, Ramūnas Abramavičiūtė, Agnė Lenkutis, Tadas Širvinskas, Edmundas Jakuška, Povilas Benetis, Rimantas Ereminienė, Eglė
Published in
Perfusion
we choose to evaluate, whether type of cardioplegia is an important predictor to determine biventricular function changes after CABG. 81 patients who underwent CABG surgery and matched inclusion criteria were enrolled in this study. The exclusion criteria were acute MI within 30 days, impaired systolic left ventricle function (LVEF ⩽35%), atrial fi...
Lee, Min-Ho Riley, William
Published in
Perfusion
A critical aspect of cardiopulmonary bypass (CPB) is to achieve full anticoagulation to prevent thrombosis and consumptive coagulation without using excessive amount of heparin. This can be achieved with heparin dose response (HDR) test in vitro to calculate an individualized heparin bolus to reach a target activated clotting time (ACT) and heparin...
