American Experience with Extracorporeal Support in Covid-19 Patients: Early Outcomes from a Single Institution
As the world learned about Covid-19, the application of ECMO also evolved as health systems in the United States had some time to prepare. We report our initial experience using extracorporeal support for Covid-19 patients with the resource challenges that attend a worldwide pandemic.
Acute Kidney Injury, Stroke and Death after Cardiopulmonary Bypass Surgery: the Role of Perfusion Flow and Pressure
Neither low perfusion pressure nor low perfusion flow during cardiopulmonary bypass were predictive of postoperative acute kidney injury, stroke or death.
Cannulation Strategies for Minimally Invasive Cardiac Surgery
Mastering the art of cannulation will provide surgeons with a toolbox to choose from when performing MICS in a wide variety of procedures.
Epiaortic Ultrasound for Assessment of Intraluminal Atheroma; Insights from the REGROUP Trial
Despite current guidelines recommending routine use of epiaortic ultrasound (IIa/B) to reduce the risk of stroke in cardiac surgery, in this contemporary trial, use remains infrequent, with significant site-to-site variability.
High Preoperative Serum Syndecan-1, a Marker of Endothelial Glycocalyx Degradation, and Severe Acute Kidney Injury after Valvular Heart Surgery
In conclusion, a high preoperative syndecan-1 concentration greater than 90 ng/mL was able to predict severe AKI after valvular heart surgery and was associated with prolonged hospitalization.
Brain Oxygen Supply in Older Adults During Coronary Artery Bypass Grafting
In elderly patients, the decrease in rSO2 during CPB is associated with an increased risk of neurological complications during hospitalization.
Renal Near-Infrared Spectroscopy for Assessment of Renal Oxygenation in Adults Undergoing Cardiac Surgery: A Method Validation Study
Renal rSO2 is correlated to and predicts SrvO2 with a small bias and acceptable agreement. Further studies are needed before renal NIRS can be used as a surrogate marker of renal oxygenation in clinical practice.
Hypothermic Circulatory Arrest Induced Coagulopathy: Rotational Thromboelastometry Analysis
Our study confirmed that the amount of perioperative bleeding and intraoperative transfusion were significantly higher in the HCA group. ROTEM analysis would indicate that clot firmness contributed by platelet component is reduced by HCA in cardiac surgery.
Clinical Outcomes Associated With Retrograde Arterial Perfusion in Minimally Invasive Mitral Valve Surgery: A Systematic Review
Retrograde arterial perfusion in minimally invasive mitral valve surgery may be associated with an increased risk of neurologic events, without affecting the risk of 30-day mortality or renal failure.
First Successful Open-Heart Surgery Utilizing Cross-Circulation in 1954
We describe this patient’s medical history, and present unique images of internal/external cardiac anatomies and implanted devices obtained via direct visualizations, computed tomography, and fluoroscopy post-mortem.
The 30-Year Influence of a Regional Consortium on Quality Improvement in Cardiac Surgery
By using collaborative quality improvement initiatives, the NNECDSG has succeeded in significant, sustained improvements in quality and cost for CABG during the past 30 years. These data support the utility of a regional consortium in improving quality.
Prospective Evaluation of a Blood Transfusion Protocol for Patients Undergoing Cardiac Operations
During a prospective evaluation of blood transfusion protocols, a risk-adjusted analysis demonstrated a reduction in transfusions despite poor protocol compliance.