Document Detail


Heparin-bonded circuits without a cardiotomy: a description of a minimally invasive technique of cardiopulmonary bypass.
MedLine Citation:
PMID:  11958310     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The deleterious effects of cardiotomy suction have been well recognized and well documented for some time. The use of cardiotomy suction results in the exposure of blood to the defoaming sock, aspiration of stagnant pericardial blood into the systemic circulation, and the entrainment of both fatty and gaseous microemboli. The purpose of this paper is to describe a technique using heparin-bonded cardiopulmonary circuits (HBCs) without the use of a cardiotomy reservoir or cardiotomy suction. Our group has previously demonstrated improved clinical outcomes using HBCs and a low-dose anti-coagulation protocol. It is our goal to further improve clinical outcomes and further attenuate the deleterious effects of cardiopulmonary bypass by eliminating the potential complications attributed to the use of cardiotomy suction.
Authors:
Kevin J Lilly; Paul J O'Gara; Patrick R Treanor; Richard Crowley; Deborah L Reardon; Oz M Shapira; Shukri F Khuri; Gabriel S Aldea; Richard J Shemin
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Perfusion     Volume:  17     ISSN:  0267-6591     ISO Abbreviation:  Perfusion     Publication Date:  2002 Mar 
Date Detail:
Created Date:  2002-04-17     Completed Date:  2003-07-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8700166     Medline TA:  Perfusion     Country:  England    
Other Details:
Languages:  eng     Pagination:  95-7     Citation Subset:  IM    
Affiliation:
Department of Cardiothoracic Surgery, Boston University Medical Center, Massachusetts 02118, USA. kelilly@bmc.org
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MeSH Terms
Descriptor/Qualifier:
Cardiopulmonary Bypass / instrumentation*,  methods
Coated Materials, Biocompatible / chemistry
Equipment Design / standards
Gravitation
Heparin
Humans
Methods
Suction / adverse effects
Surgical Procedures, Minimally Invasive / instrumentation*,  methods
Chemical
Reg. No./Substance:
0/Coated Materials, Biocompatible; 9005-49-6/Heparin

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


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