Modular minimal invasive extracorporeal circuits: another step toward universal applicability?
| Autor: | Ingo Breitenbach, Wolfgang Harringer, Mohammed Morjan, Rene M.H.J. Brouwer, Ahmed Bechri, Aschraf El-Essawi |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment 030204 cardiovascular system & hematology Extracorporeal 03 medical and health sciences 0302 clinical medicine Extracorporeal Membrane Oxygenation Aortic valve replacement Extracorporeal membrane oxygenation Medicine Humans Radiology Nuclear Medicine and imaging Coronary Artery Bypass Aged Advanced and Specialized Nursing Ejection fraction business.industry Atrial fibrillation General Medicine medicine.disease Surgery Cardiac surgery medicine.anatomical_structure Treatment Outcome 030228 respiratory system Circulatory system Female Cardiology and Cardiovascular Medicine business Safety Research Artery |
| Zdroj: | Perfusion. 32(7) |
| ISSN: | 1477-111X |
| Popis: | Introduction: Safety concerns have been one of the main reasons opposing a wider acceptance of minimal invasive extracorporeal circuits (MiECC). Following an extensive experience and a multitude of modifications, we have set out to employ a modular MiECC as a universal extracorporeal circuit. Methods: A total of 129 cardiac surgical procedures were performed by a single surgeon in 2013. Excluding procedures done under circulatory arrest or with the potential need of such, the MiECC was utilized in almost 90% of surgeries. Of sixty-two (simple procedures) patients who underwent coronary artery bypass grafting (CABG), aortic valve replacement (AVR) or CABG + AVR, 82% were non-elective, 10% had a left ventricular ejection fraction (EF) Results: The 30-day mortality was 5% in simple procedures and 2.5% in complex procedures. The incidence of postoperative atrial fibrillation was 13% and 16%, respectively. Optimum outcome was defined as a freedom from all complications and blood transfusions and was achieved in 52% and 42%, respectively. Conclusions: This report shows that modular MiECC can be employed with a high safety margin in cardiac surgery. Furthermore, it emphasizes the impact that minimal invasive philosophy could have in improving patient care. |
| Databáze: | OpenAIRE |
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