Microvascular fluid exchange during pulsatile cardiopulmonary bypass perfusion with the combined use of a nonpulsatile pump and intra-aortic balloon pump 

Slides:



Advertisements
Similar presentations
Max B. Mitchell, MD  The Journal of Thoracic and Cardiovascular Surgery 
Advertisements

Of mice and men and surgical transcatheter aortic valve insertion
Lost in translation The Journal of Thoracic and Cardiovascular Surgery
Manuel J. Antunes, MD, PhD, DSc 
Aortic valve replacement in low-flow, low-gradient aortic stenosis: Left ventricular ejection fraction matters  Victor Dayan, MD, PhD, Philippe Pibarot,
Intraaortic Counterpulsation During Cardiopulmonary Bypass Impairs Distal Organ Perfusion  Steinar Lundemoen, MD, Venny Lise Kvalheim, MD, PhD, Øyvind.
Intraoperative bypass graft flow in intra-aortic balloon pump–supported patients: Differences in arterial and venous sequential conduits  Francesco Onorati,
Expanding options to manage traumatic thoracic vascular injuries
Outcome After Rewarming From Accidental Hypothermia by Use of Extracorporeal Circulation  Øyvind Sverre Svendsen, MD, PhD, Ketil Grong, MD, PhD, Knut.
Does Roller Pump–Induced Pulsatile CPB Perfusion Affect Microvascular Fluid Shifts and Tissue Perfusion?  Bjørg Elvevoll, MD, Steinar Lundemoen, MD, PhD,
Cold-induced fluid extravasation during cardiopulmonary bypass in piglets can be counteracted by use of iso-oncotic prime  Marit Farstad, MD, Venny Lise.
Long-term outcomes of coronary artery bypass grafting patients supported preoperatively with an intra-aortic balloon pump  Eli Hemo, MD, Benjamin Medalion,
Derrick Y. Tam, MD, Stephen E. Fremes, MD, MSc, FRCSC, FACP, FACC 
Personalized cardiac surgery: Can noninvasive flow imaging lead to individualized resection strategies for bicuspid aortopathy?  Nicholas D. Andersen,
Intrinsic cardiac stem cells are essential for regeneration
Centers for Disease Control “increased-risk” organ donor: Not so risky?  Francis D. Pagani, MD, PhD  The Journal of Thoracic and Cardiovascular Surgery 
Victor van Berkel, MD, PhD 
William M. DeCampli, MD, PhD 
Multilevel data analysis: What? Why? How?
Definition of postoperative bleeding in children undergoing cardiac surgery with cardiopulmonary bypass: One size doesn't fit all  David Faraoni, MD,
Go on-pump or off-pump in diabetic patients?
Harold L. Lazar, MD  The Journal of Thoracic and Cardiovascular Surgery 
Transcranial Doppler ultrasonography: A reliable method of monitoring pulsatile flow during cardiopulmonary bypass in infants and young children  Ashley.
Bicuspid aortic valve aortopathy: One size fits all?
Intra-aortic balloon pump therapy negatively affects flow through a continuous-flow left ventricular assist device  Dipanjan Banerjee, MD, MS, Chun Choi,
The lord of the rings  Antonio Miceli, MD, PhD 
The variability of the mitral valve anatomy and terminology
Intra-aortic balloon pumps and continuous flow left ventricular assist devices: Don't let balloon pumps overstay their welcome  Kevin G. Soucy, PhD, Steven.
Innovation and science: The future of valve design
The assessment of cost effectiveness and the effectiveness of cost assessment in cardiothoracic surgery  Vinay Badhwar, MD  The Journal of Thoracic and.
It's not “just a shunt” but sometimes it should be…
Military surgeons just want to have fun
A first start for lung transplantation?
Transcatheter aortic valve replacement and surgical aortic valve replacement: Both excellent therapies  J. James Edelman, MBBS(Hons), PhD, Vinod H. Thourani,
Bioengineered vascular grafts: So close and yet so far
Surgery for aortic and mitral valve disease in the United States: A trend of change in surgical practice between 1998 and 2005  Scott D. Barnett, PhD,
Joseph A. Dearani, MD, Michael J. Ackerman, MD, PhD 
Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD 
David L. Joyce, MD  The Journal of Thoracic and Cardiovascular Surgery 
Sinus of Valsalva aneurysms: Stabilizing the repair destabilizing the aortic valve?  M. Sertaç Çiçek, MD, FACC  The Journal of Thoracic and Cardiovascular.
Replicating the success of mitral valve repair in the aortic valve
Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD 
Attachment disorder in thoracoabdominal surgery
Passing the torch The Journal of Thoracic and Cardiovascular Surgery
Patrick T. Roughneen, MD, Grant T. Fankhauser, MD, Abe DeAnda, MD 
James I. Fann, MD, John E. Connolly, MD 
Concomitant replacement of the ascending aorta is free—for some
Innovation in cardiothoracic surgical training
The origins of open heart surgery at the University of Minnesota 1951 to 1956  Richard A. DeWall, MD  The Journal of Thoracic and Cardiovascular Surgery 
Early extubation after cardiac surgery: The evolution continues
The Journal of Thoracic and Cardiovascular Surgery
Discussion The Journal of Thoracic and Cardiovascular Surgery
The future of cardiac surgery training: A survival guide
Apparently, size matters…in congenital heart disease and brain injury
The continuing challenge of congenital heart disease in China
Between a rock and a hard place
Vinay Badhwar, MD, John S. Ikonomidis, MD, PhD, Jeffrey P. Jacobs, MD 
Elevated flow rate during cardiopulmonary bypass is associated with fluid accumulation  Oddbjørn Haugen, MD, Marit Farstad, MD, PhD, Venny Kvalheim, MD,
“The more things change…”: The challenges ahead
Why arch curvature affects arch resistance
Toward a more rational approach in treating type B aortic dissection
Evaluating the best approach to treatment of aortic stenosis: The jury is still out  Glen B. Taksler, PhD  The Journal of Thoracic and Cardiovascular Surgery 
Preoperative PFTs: The answer is blowing in the wind
The evolution of cardiothoracic critical care
Sunjay Kaushal, MD, PhD, Brody Wehman, MD 
Did you like Terminator 3 better than Terminator 2
Journal changes and initiatives
Descending thoracic and thoracoabdominal aortic aneurysms: “Busted”
Zone zero thoracic endovascular aortic repair is all about “location, location, location”  Kevin L. Greason, MD  The Journal of Thoracic and Cardiovascular.
Deciding how much to pay for effective care
Presentation transcript:

Microvascular fluid exchange during pulsatile cardiopulmonary bypass perfusion with the combined use of a nonpulsatile pump and intra-aortic balloon pump  Steinar Lundemoen, MD, Venny Lise Kvalheim, MD, PhD, Arve Mongstad, RP, Knut Sverre Andersen, MD, PhD, Ketil Grong, MD, PhD, Paul Husby, MD, PhD  The Journal of Thoracic and Cardiovascular Surgery  Volume 146, Issue 5, Pages 1275-1282 (November 2013) DOI: 10.1016/j.jtcvs.2013.06.002 Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, The plasma volume before and during 180 minutes of cardiopulmonary bypass (CPB). B, Net fluid balance before and during 180 minutes of CPB. C, Fluid extravasation rate before and during 180 minutes of CPB. Black columns, pulsatile flow; white columns, nonpulsatile flow. Data are presented as mean ± standard error of the mean. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 1275-1282DOI: (10.1016/j.jtcvs.2013.06.002) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions