Artificial Intelligence and Machine Learning in Cardiovascular Health Care
Although there is an expanding body of literature on AI and ML in cardiovascular medicine, the future these fields will have in clinical practice remains to be paved.
Management of Challenging Cardiopulmonary Bypass Separation
the aim of the present review is to describe the most common scenarios associated with a complex CPB separation and to suggest strategies, pharmacologic agents, and para-corporeal mechanical devices that can be adopted to manage patients with complex separation from CPB.
Perfusion and EuroELSO: A Revolution In Evolution – Indeed an ongoing evolvement – Online adaptation
This is the Editorial to a special issue of Perfusion on ECLS in cooperation with EuroELSO.
Mechanical Circulatory Support with the Impella® LP5.0 Pump and an Intra-Aortic Balloon Pump for Cardiogenic Shock in Acute Myocardial Infarction: The IMPELLA-STIC Randomized Study
In patients with CS-AMI stabilized by initial treatment with inotropes and an IABP, the Impella LP5.0 did not provide additional haemodynamic support or improvement in LVEF at 1 month; its use in this setting might be futile and possibly harmful.
Multi-Modal Characterization of the Coagulopathy Associated With Extracorporeal Membrane Oxygenation
Therapy protocols for treating extracorporeal membrane oxygenation-associated coagulopathy should be further validated in large-scale prospective clinical investigations.
Pre-Intubation Veno-Venous Extracorporeal Membrane Oxygenation in Patients at Risk for Respiratory Decompensation
Initiation of awake VV-ECMO is feasible and is safe before intubation and induction of anesthesia in patients at high risk for respiratory decompensation.
Clot Formation in Cardiopulmonary Bypass Circuit After Application of Factor XI Concentrate
This case highlights the challenges in the management of patients with FXI deficiency undergoing cardiac surgery and the need for a multidisciplinary approach. Caution is warranted when using FXI concentrate in this patient population.
Impact of Mesenchymal Stromal Cell Delivery Through Cardiopulmonary Bypass on Postnatal Neurogenesis
MSC delivery through CPB has the potential to mitigate effects of CPB on neural stem/progenitor cells and to promote migration of neuroblasts. Further investigation is necessary to determine the long-term effect of MSC treatment during CPB on postnatal neurogenesis.
A Dual-Lumen Bicaval Cannula for Venovenous Extracorporeal Membrane Oxygenation
This cannula introduces design qualities that may offer advantages for acute respiratory failure requiring venovenous ECMO.
To Purge or Not to Purge
Based on these results, purging while confronted with continuous GME challenge did not result in an increased filter efficiency.
Platelet Mapping by Thromboelastography and Whole Blood Aggregometry in Adult Patients Supported by Mechanical Circulatory Support Device on Aspirin Therapy
When used with proper guidelines for interpretation, specifically when MAActivator ≤ 40 mm, TPM is a suitable and reliable test to use for MCS patients on aspirin.
Neck Cannulation for Bypass in Redo Sternotomy in Children and Adults with Congenital Heart Disease
Cannulation of the right neck vessels for peripheral cardiopulmonary bypass prior to high-risk redo sternotomy in children and adults with congenital heart disease is a safe and effective strategy.