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Sensitivity of a Modified ACT Test to Levels of Bivalirudin Used During Cardiac Surgery
After Ethics Committee approval, a pilot study was performed to evaluate the feasibility of using bivalirudin for on-pump cardiac surgery and to evaluate dosing of bivalirudin in terms of the pharmacokinetic and safety profile in patients undergoing coronary artery bypass graft (CABG) surgery.
Left Atrial Inflow and Outflow Obstruction as a Complication of Retrograde Approach for Chronic Total Occlusion: Report of a Case and Literature Review of Left Atrial Hematoma After Percutaneous Coronary Intervention
Retrograde recanalization of a chronic coronary total occlusion (CTO) has become an increasingly utilized method to increase success from percutaneous coronary intervention (PCI).
Practical Management of ECPELLA
ECMO and concomitant Impella support (ECPELLA) is increasingly being used to treat cardiogenic shock by maintaining systemic circulation and unloading the left ventricle. There are several pitfalls to maintaining ECPELLA, and one useful tool is the pulmonary artery pulsatility index. The clinical advantages of ECPELLA compared to conventional ECMO alone should be demonstrated in larger scale studies in the near future.
