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Novel Application of Indocyanine Green Fluorescence Imaging for Real-Time Detection of Thrombus in A Membrane Oxygenator.
Under ICG imaging, the inside of the oxygenator was observed as a white area. A black dot suspected to be the thrombus appeared 6-8 hours after measurement initiation. The thrombus and the black dot on ICG imaging were finely matched in terms of morphology. Thus, we succeeded in real-time thrombus detection in an oxygenator using ICG imaging. The combined use of ICG imaging and conventional routine screening tests could compensate for each other's weaknesses and significantly improve the safety of ECMO.
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Contemporary Oxygenator Design Relative To Hemolysis (EP Video)
Patrick Weerwind discusses current oxygenator design and hemolysis (12:05 minutes).
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Alternative Technique of Long Acting Cardioplegia Delivery Results in Less Hemodilution
Besides the safe delivery of del-Nido cardioplegia, the National University Hospital Technique reduces hemodilution and provides other technical benefits including a steeper temperature gradient, modification of circuit configuration to deliver another cardioplegia while on bypass, as well as re-configuration of clamps to spike the base solution.
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