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A Comparative Evaluation of Rotation Thromboelastometry and Standard Coagulation Tests in Hemodilution-Induced Coagulation Changes After Cardiac Surgery
Coagulopathy after cardiopulmonary bypass (CPB) is caused by multiple perturbations in cellular and humoral elements of coagulation. A timely and comprehensive method to evaluate hemostasis would be helpful in the management of bleeding patients after CPB. The assessment of whole blood coagulation using rotation thromboelastometry (ROTEM) was compared to coagulation tests routinely performed during cardiac surgery.
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Type-A Aortic Dissection and Cerebral Perfusion: The Society of Thoracic Surgeons Database Analysis
Cerebral perfusion should be used during arch repair for aortic dissection because antegrade and retrograde cerebral perfusion strategies are associated with reduced death and stroke risk compared with hypothermic circulatory arrest without cerebral perfusion.
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