Haneya, Assad and Philipp, Alois and Camboni, Daniele and Fabricius, Alexander and Diez, Claudius and Kobuch, Reinhard and Hirt, Stephan W. and Keyser, Andreas and Rupprecht, Leopold and Hilker, Michael and Schmid, Christof and Puehler, Thomas (2012) Successful Coronary Artery Bypass Grafting With the Aid of a Portable Minimized Extracorporeal Life Support System. ASAIO JOURNAL, 58 (4). pp. 337-342. ISSN 1058-2916, 1538-943X
Full text not available from this repository. (Request a copy)Abstract
Extracorporeal life support system has been successfully used in patients with cardiac failure after open heart surgery, as a bridge to transplantation, and in patients with prolonged cardiogenic shock or cardiopulmonary arrest. This report presents our early experience with the new system Cardiohelp in coronary artery bypass grafting (CABG). Between August 2010 and June 2011, 50 patients underwent CABG with the aid of Cardiohelp. This subgroup was matched for sex and logistic EuroSCORE with 100 patients, who underwent CABG using two different extracorporeal circulation systems, a minimized (MECC) (n = 50) and a conventional (CECC) (n = 50) during the same period. Because of less hemodilution, the intraoperative blood transfusion was significantly lower in the Cardiohelp group (36%) and MECC group (40%) compared with the CECC group (64%). Postoperative release of creatinine kinase and lactate was lower in the Cardiohelp and MECC groups (p < 0.001). Furthermore, these patients had shorter duration of ventilation and lengths of stay at the intensive care unit (p < 0.05). Device-related complications were not observed. A conversion to CECC was not necessary. In conclusion, the Cardiohelp is a safe alternative for CABG surgery. Valid technical innovations and limited number of side effects support its employment as a highly effective device for coronary surgery. ASAIO Journal 2012;58:337-342.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | OFF-PUMP; CARDIOPULMONARY BYPASS; INFLAMMATORY RESPONSE; ON-PUMP; CIRCULATION-SYSTEM; SURGERY; REVASCULARIZATION; |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 12 May 2020 04:49 |
| Last Modified: | 12 May 2020 04:49 |
| URI: | https://pred.uni-regensburg.de/id/eprint/18506 |
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