Bloodless cannulation of the aorta can be accomplished easily. A full thickness stab wound prior to insertion of the cannula is unnecessary as the aorta's inner layers have little strength.
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Bloodless lung transplantation: Comparison between 2 central venoarterial extracorporeal membrane oxygenation anticoagulation strategies and their impact on lung transplant outcomes.
J Thorac Cardiovasc Surg
October 2024
Section of Thoracic Surgery, Department of Surgery, University of Chicago Medicine, Chicago, Ill. Electronic address:
Article Synopsis
- The study compares two anticoagulation protocols used during intraoperative VA-ECMO support in double lung transplant patients from 2016 to 2023.
- One protocol used a high-target activated clotting time (ACT) while the other used a low-dose heparin approach with a TXA infusion.
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Maintaining a Bloodless Field for HeartMate 3 Placement: Splicing an RVAD Outflow Cannula into the CPB Venous Reservoir for Complete LV Emptying.
Ann Card Anaesth
October 2024
Department of Anesthesiology and Perioperative Medicine, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA.
Over the previous 20 years, the use of extracorporeal membranous oxygenation (ECMO) as a bridge to durable left ventricular assist device (dLVAD) increased significantly. Additionally, emerging literature has demonstrated a protective effect of biventricular decompression while on ECMO, with one such strategy including a temporary LVAD and right ventricular assist device (RVAD). The complexity of these operations is increased by the frequency of re-sternotomies, which result in adhesions and difficult access to traditional cannulation sites.
View Article and Find Full Text PDFFatal Hemoptysis With Pleural Effusions Secondary to Superior Vena Cava Obstruction as a Complication of Central Venous Catheterization.
Cureus
May 2024
Pulmonary and Critical Care Medicine, Northwell Health, Port Jefferson, USA.
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- - The report describes a rare instance of superior vena cava (SVC) syndrome in a 33-year-old female patient with a history of systemic lupus erythematosus and dependency on chronic hemodialysis, linked to an obstructive right subclavian dialysis catheter.
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Type A aortic dissection after Coronary Artery Bypass Grafting.
Am J Case Rep
April 2024
Department of Cardiac Surgery, Baku Health Center, Baku, Azerbaijan.
BACKGROUND Aortic dissection is rare after coronary artery bypass grafting (CABG). It is a potentially fatal complication of cardiac surgery. Reoperation may pose problems with thoracotomy, adhesiolysis, and myocardial protection.
View Article and Find Full Text PDFVirtually Wall-Less versus Standard Thin-Wall Venous Cannula in the Minimally Invasive Mitral Valve Surgery: Single-Center Experience.
Medicina (Kaunas)
June 2023
Cardio-Vascular and Thoracic Department, Papardo Hospital, 98121 Messina, Italy.
: Minimally invasive cardiac surgery (MICS) has been developing since 1996. Peripheral cannulation is required to perform MICS, and good venous drainage and a bloodless field are crucial for the success of this procedure. We assessed the benefits of using a virtually wall-less cannula in comparison with the standard thin-wall cannula in clinical practice.
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