Does Roller Pump–Induced Pulsatile CPB Perfusion Affect Microvascular Fluid Shifts and Tissue Perfusion? Bjørg Elvevoll, MD, Steinar Lundemoen, MD, PhD,

Slides:

Advertisements

Similar presentations

Multidose Cold Oxygenated Blood Is Superior to a Single Dose of Bretschneider HTK- Cardioplegia in the Pig Tord Fannelop, MD, Geir Olav Dahle, MD, Pirjo-Riitta.

Advertisements

Assessment of Cerebral Blood Flow With Transcranial Doppler in Right Brachial Artery Perfusion Patients Ümit Karadeniz, MD, Özcan Erdemli, MD, Mehmet.

Intraaortic Counterpulsation During Cardiopulmonary Bypass Impairs Distal Organ Perfusion Steinar Lundemoen, MD, Venny Lise Kvalheim, MD, PhD, Øyvind.

Coronary Artery Bypass for Heart Failure in Ischemic Cardiomyopathy: 17-Year Follow- Up Marco Pocar, MD, PhD, Andrea Moneta, MD, Adalberto Grossi, MD,

The Myocardial Protective Effects of a Moderate-Potassium Blood Cardioplegia in Pediatric Cardiac Surgery: A Randomized Controlled Trial Yang Liu, MD,

Massive Coronary Subclavian Steal Syndrome

Outcome After Rewarming From Accidental Hypothermia by Use of Extracorporeal Circulation Øyvind Sverre Svendsen, MD, PhD, Ketil Grong, MD, PhD, Knut.

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

The Annals of Thoracic Surgery

Cold-induced fluid extravasation during cardiopulmonary bypass in piglets can be counteracted by use of iso-oncotic prime Marit Farstad, MD, Venny Lise.

Cerebrospinal Fluid Markers of Brain Injury, Inflammation, and Blood-Brain Barrier Dysfunction in Cardiac Surgery Björn Reinsfelt, MD, PhD, Sven-Erik.

Total Arch Replacement Under Normothermic Beating Heart Surgery

The Society of Thoracic Surgeons Thoracic Surgery Practice and Access Task Force: 2014 Workforce Report John S. Ikonomidis, MD, PhD The Annals of Thoracic.

Atrial Fibrillation After Coronary Artery Bypass Grafting Surgery: Development of a Predictive Risk Algorithm Mitchell J. Magee, MD, Morley A. Herbert,

Lindsay C.H. John, MD, FRCS The Annals of Thoracic Surgery

Anomalous Great Cardiac Vein Draining Into the Superior Vena Cava

Sivelestat Attenuates Lung Injury in Surgery for Congenital Heart Disease With Pulmonary Hypertension Norikazu Nomura, MD, PhD, Miki Asano, MD, PhD,

Emergency Coronary Artery Bypass Grafting Can Be Performed Safely Without Cardiopulmonary Bypass in Selected Patients Faraz Kerendi, MD, John D. Puskas,

Predicting Midterm Coronary Artery Bypass Graft Failure by Intraoperative Transit Time Flow Measurement Yoshiyuki Tokuda, MD, PhD, Min-Ho Song, MD, PhD,

Michelle C. Ellis, MD, Brian S. Diggs, PhD, John T. Vetto, MD, Paul H

Susanne Lison, MD, Michael Spannagl, MD, PhD, Wulf Dietrich, MD, PhD

Pleural Metastasis of Osteosarcoma

James D. St. Louis, MD The Annals of Thoracic Surgery

Maternal-Fetal Interactions in Fetal Cardiac Surgery

Who Do You Say You Are? The Annals of Thoracic Surgery

Congenital Absence of Bilateral Common Carotid Arteries

Relationship Between Antiinflammatory Cytokine Interleukin-10 and Lactate Concentrations in Neonates Undergoing the Arterial Switch Operation Kyrylo.

Acute Kidney Injury and Hemodilution During Cardiopulmonary Bypass: A Changing Scenario Marco Ranucci, MD, FESC, Tommaso Aloisio, MD, Giovanni Carboni,

Use of Amiodarone After Major Lung Resection

Anomalous Origin of Left Pulmonary Artery From Left Subclavian Artery

Sternal Closure With Tie Bands: A Word of Caution

Masahiro Ono, MD, PhD, Charles Brown, MD, Jennifer K

How to Clamp and Bypass if There Is Single Artery Supply to the Head and That Contains Severe Stenosis? Murat Ugurlucan, MD, Yilmaz Onal, MD, Didem Melis.

Right Gastroepiploic Artery for Revascularization of the Right Coronary Territory in Off- Pump Total Arterial Revascularization: Strategies to Improve.

Effects of perfusion mode on regional and global organ blood flow in a neonatal piglet model Akif Ündar, PhD, Takafumi Masai, MD, Shuang-Qiang Yang,

Benjamin C. Sun, MD, Timothy A. Dickinson, CCP, Eric A

Embolized Methyl Methacrylate to the Right Atrium After Kyphoplasty

Michael J. Wolf, MD, Kirk R. Kanter, MD, Paul M. Kirshbom, MD, Brian E

Editorial Board, January 2010

Bradford B. Smith, MD, Matthew A

Sarah C. Huen, MD, Chirag R. Parikh, MD, PhD

Severe Two-Vessel Ostial Stenosis of the Main Coronary Arteries in a Patient With Transposition of the Great Arteries After an Arterial Switch Operation

Red Blood Cell Transfusion Is Associated With Troponin Release After Elective Off- Pump Coronary Artery Bypass Surgery Fausto Biancari, MD, PhD, Eeva-Maija.

Completely Thrombosed Tricuspid Pouch Mimicking a Cardiac Tumor

Deterioration of a Tricuspid Bioprosthesis Due to Adhesion of the Native Valve Herbert Gutermann, MD, Willem Flameng, MD, PhD, Paul Herijgers, MD, PhD

Limitations of Hospital Volume as a Measure of Quality of Care for Coronary Artery Bypass Graft Surgery Karl F. Welke, MD, Mitchell J. Barnett, PharmD,

Anirudh Vinnakota, MS, Robert Stewart, MD, Gosta Pettersson, MD, PhD

Neurocognitive Function and Cerebral Emboli: Randomized Study of On-Pump Versus Off-Pump Coronary Artery Bypass Surgery Reza Motallebzadeh, MRCS, J.

First Report on 30-day and Operative Mortality in Risk Model of Isolated Coronary Artery Bypass Grafting in Japan Noboru Motomura, MD, PhD, Hiroaki Miyata,

Preoperative Intraaortic Balloon Pump Enhances Cardiac Performance and Improves the Outcome of Redo CABG Jan T. Christenson, MD, PhD, Pierre Badel, MD,

Invited Commentary The Annals of Thoracic Surgery

Wael Hassanein, MD, Alexander A

Randomized Controlled Trial of Pericardial Blood Processing With a Cell-Saving Device on Neurologic Markers in Elderly Patients Undergoing Coronary Artery.

Pulmonary Embolectomy for Acute Massive Pulmonary Embolism

“Transitions” for Cardiothoracic Surgeons Now Listed on the Web:

Elevated flow rate during cardiopulmonary bypass is associated with fluid accumulation Oddbjørn Haugen, MD, Marit Farstad, MD, PhD, Venny Kvalheim, MD,

Håvard Nordgaard, MD, Nicola Vitale, MD, PhD, Rune Haaverstad, MD, PhD

The Brain Uses Mostly Dissolved Oxygen During Profoundly Hypothermic Cardiopulmonary Bypass Franklin Dexter, MD, PhD, Frank H Kern, MD, Bradley J Hindman,

Predicting Early Coronary Artery Bypass Graft Failure by Intraoperative Transit Time Flow Measurement Yoshiyuki Tokuda, MD, Min-Ho Song, MD, PhD, Yuichi.

Successful use of argatroban as a heparin substitute during cardiopulmonary bypass: heparin-induced thrombocytopenia in a high-risk cardiac surgical patient

Increased Rehospitalization Rate After Coronary Bypass Operation for Acute Coronary Syndrome: A Prospective Study in 200 Patients Staffan Bjessmo, MD,

Dumbor L. Ngaage, MD, FRCS (C-Th), Michael E. Cowen, FRCS

Late Consequences of a Much Earlier Decision

Bicuspid Aortic Valves and Dilatation of the Ascending Aorta: Reply

An Assay to Monitor Bivalirudin Levels on Cardiopulmonary Bypass

The Impact of New Technology on Cardiothoracic Surgical Practice

Frank G. Scholl, MD, David Webb, CCP, Karla Christian, MD, Davis C

Karl A. Bocchieri, BS, CCP, S. Jacob Scheinerman, MD, L

Harvey Edward Garrett, MD, Bradley A. Wolf, MD

J. Alberto Lopez, MD The Annals of Thoracic Surgery

Presentation transcript:

Does Roller Pump–Induced Pulsatile CPB Perfusion Affect Microvascular Fluid Shifts and Tissue Perfusion? Bjørg Elvevoll, MD, Steinar Lundemoen, MD, PhD, Øyvind S. Svendsen, MD, PhD, Arve Mongstad, CCP, Ketil Grong, MD, PhD, Venny L. Kvalheim, MD, PhD, Paul Husby, MD, PhD The Annals of Thoracic Surgery Volume 102, Issue 2, Pages 564-572 (August 2016) DOI: 10.1016/j.athoracsur.2016.02.005 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Net fluid balance (mL · kg−1 · min−1) before cardiopulmonary bypass (CPB) and at 30-minute intervals during bypass. p Value for within-group effects (pw) = 0.031; p value for between-group effect (pg) = 0.354; p value for interaction (pi) = 0.307. (B) Fluid extravasation rate (mL · kg−1 · min−1) before CPB and at 30-minute intervals during bypass. pw < 0.0001; pg = 0.323; pi = 0.027. (C) Plasma volume (mL/kg) before and at 30-minute intervals during bypass. Values are mean with standard deviation. pw = 0.001; pg = 0.521; pi = 0.016. cp < 0.001 within-group difference compared with pre-CPB values. The Annals of Thoracic Surgery 2016 102, 564-572DOI: (10.1016/j.athoracsur.2016.02.005) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Blood flow in the right carotid artery obtained by transit time flowmetry before start of cardiopulmonary bypass (CPB); a typical plot. (B) Blood pressure measured in aorta before the start of CPB; a typical plot. (C) Blood flow (carotid artery) and blood pressure (aorta) during pulsed CPB perfusion. (D) Blood flow (carotid artery) and blood pressure (aorta) during pulsed CPB perfusion. The Annals of Thoracic Surgery 2016 102, 564-572DOI: (10.1016/j.athoracsur.2016.02.005) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions