Perioperative Management of Antithrombotic Therapy in Cardiovascular Patients
In this article, we review some of the general principles involved with perioperative anticoagulation and discuss the perioperative management of patients taking vitamin K antagonists (VKAs), bridging regimens for anticoagulants and antiplatelet agents, and strategies for managing patients on the newer oral anticoagulants.
Thrombin Generation Assay: A New Tool to Predict and Optimize Clinical Outcome in Cardiovascular Patients?
In this review we provide a brief description of the assay and we summarize the principals of previous studies by analyzing the relationship between anticoagulant drugs and TGA.
Auxiliary Device for Calibration of Roller Pumps: Development and Experimental Results
Roller pumps are commonly used in surgeries involving extracorporeal circulation and its regulation may influence the hemolysis rate.
Methylene Blue to Treat Vasoplegia due to a Severe Protamine Reaction: A Case Report
This case report describes a 57-year-old woman who after cardiac bypass experienced a severe protamine reaction with profound hypotension, which was unresponsive to volume resuscitation and vasopressor therapy.
Clinical and Biochemical Outcomes for Additive Mesenteric and Lower Body Perfusion during Hypothermic Circulatory Arrest for Complex Total Aortic Arch Replacement Surgery
We report our experience with additive warm mesenteric and lower body perfusion (1-3 L/min, 30°C) in addition to continuous cerebral and myocardial perfusion in 5 patients who underwent total aortic arch replacement with trifurcated head vessel re-implantation and distal elephant trunk reconstruction.
Incompatible ABO-Plasma Exchange and its Impact on Patient Selection in Paediatric Cardiac Transplantation
We report the results of a decade of evolving plasma exchange experience and its impact upon patient selection.
Assessment of Inflammatory Response to Transfemoral Transcatheter Aortic Valve Implantation Compared to Transapical and Surgical Procedures: A Pilot Study
Surgical aortic valve replacement (AVR) has been associated with systemic inflammatory reactions. Yet, the role of inflammation following transcatheter aortic valve implantation (TAVI) has not been fully elucidated.
The Role of Procalcitonin and N-Terminal Pro-B-Type Natriuretic Peptide in Predicting Outcome after Cardiac Surgery
Determine the thresholds of procalcitonin (PCT) and N-terminal pro-B-type natriuretic peptide (Nt-pro-BNP) associated with poor prognosis after heart surgery with CPB.
Preliminary Evidence for Reduced Preoperative Cerebral Blood Flow Velocity as a Risk Factor for Cognitive Decline Three Months after Cardiac Surgery: An Extension Study
This extension study investigated the association between preoperative cerebral blood flow (CBF) velocity and postoperative cognitive decline (POCD) at a three-month follow-up in patients who underwent cardiac surgery.
Drug Shortages in the Perioperative Setting: Causes, Impact, and Strategies
Concern about drug shortages is growing, particularly because they can cause significant patient harm.
The Science behind Percutaneous Hemodynamic Support: A Review and Comparison of Support Strategies
With these goals in mind, the scientific principles that govern hemodynamic effectiveness and myocardial protection as they pertain to acute support devices are reviewed.
Cardiac Power Index: Staging Heart Failure for Mechanical Circulatory Support
We compared cardiac power index to other commonly used hemodynamic parameters to validate its usefulness to stage heart failure patients and determine the optimal time for implantation of mechanical circulatory support.