Document Detail


Alteration of the traditional extracorporeal bypass circuit to accommodate port-access minimally invasive cardiac procedures using endovascular based cardiopulmonary bypass.
MedLine Citation:
PMID:  9754464     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Port-Access minimally invasive cardiac surgery systems (Heartport, Inc., Redwood City, CA, U.S.A.) enable surgeons to perform many procedures including valve surgery and complete coronary artery revascularization of all surfaces of the heart through small anterior thoracotomies. The endovascular based EndoCPB (Heartport, Inc.) cardiopulmonary bypass system uses a modified extracorporeal circuit to afford the same level of myocardial protection through cardioplegic cardiac arrest and bypass as is provided in traditional open chest surgery. We describe the changes required to convert a conventional CPB pump circuit to perform Port-Access procedures and make recommendations based on clinical experience to facilitate establishing a Port-Access surgical team and interpreting EndoCPB pressure and flow data. Specific emphasis is placed on the expanded role of the perfusionist in these cases.
Authors:
M A Groh; D M Fallen
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Artificial organs     Volume:  22     ISSN:  0160-564X     ISO Abbreviation:  Artif Organs     Publication Date:  1998 Sep 
Date Detail:
Created Date:  1998-12-03     Completed Date:  1998-12-03     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7802778     Medline TA:  Artif Organs     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  775-80     Citation Subset:  IM    
Affiliation:
Asheville Cardiovascular and Thoracic Surgeons, Memorial Mission Hospital, North Carolina, USA.
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MeSH Terms
Descriptor/Qualifier:
Cardiopulmonary Bypass / instrumentation,  methods*
Catheters, Indwelling
Guidelines as Topic
Heart Arrest, Induced
Myocardial Reperfusion
North Carolina
Surgical Procedures, Minimally Invasive / methods*
Thoracic Surgery / trends*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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