Use of Minimized Extracorporeal Circulation System in Noncoronary and Valve Cardiac Surgical Procedures—A Case Series

Kyriakos Anastasiadis Omiros Chalvatzoulis Polychronis Antonitsis; Apostolos Deliopoulos Helena Argiriadou Georgios Karapanagiotidis Dimitrios Kambouroglou Christos Papakonstantinou

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Use of Minimized Extracorporeal Circulation System in Noncoronary and Valve Cardiac Surgical Procedures—A Case Series

机译：最小化体外循环系统在非冠状动脉和瓣膜心脏外科手术中的使用-病例系列

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The aim of this report is to explore application of minimized cardiopulmonary bypass (CPB) circuits in areas of cardiac surgery other than coronary bypass grafting and aortic valve surgery. We report three cases operated under minimal extracorporeal circulation support. Replacement of the descending thoracic aorta was performed in two patients; one with a descending aortic aneurysm and one with pseudoaneurysm formation after previous coarctation repair. We have also implanted a left ventricular assist device for destination therapy. The minimized extracorporeal circulation system provides optimal circulatory support, while it is associated with reduced postoperative morbidity, minimizing the side effects from the use of CPB. Moreover, when off-pump technique is attempted, it can be used as a standby circuit connected to the patient so as to enhance safety of the procedure. Minimized extracorporeal circulation systems can be used with safety and efficacy in a wide range of cardiac surgeries including descending aorta pathology and assist device implantation.

机译：本报告的目的是探讨最小化体外循环（CPB）回路在除冠状动脉搭桥术和主动脉瓣膜手术以外的心脏手术领域中的应用。我们报告了三例在最少体外循环支持下手术的病例。两名患者进行了降主动脉置换。一种是降主动脉瘤，另一种是在先前的缩窄修复后形成假性动脉瘤。我们还植入了左心室辅助设备以进行目的地治疗。最小化的体外循环系统提供了最佳的循环支持，同时减少了术后发病率，最大程度地减少了使用CPB带来的副作用。此外，当尝试非泵技术时，其可用作连接到患者的备用电路，以增强手术的安全性。最小化的体外循环系统可以在包括降主动脉病变和辅助装置植入在内的各种心脏手术中安全有效地使用。

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《Artificial Organs》 |2011年第10期|960-963|共4页
作者
Kyriakos Anastasiadis Omiros Chalvatzoulis Polychronis Antonitsis; Apostolos Deliopoulos Helena Argiriadou Georgios Karapanagiotidis Dimitrios Kambouroglou Christos Papakonstantinou;
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正文语种 eng
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关键词
Minimal extracorporeal circulation; Left ventricular assist device; Thoracic aortic aneurysm;

机译：最少的体外循环;左心室辅助装置;胸主动脉瘤;

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1. Use of minimized extracorporeal circulation system in noncoronary and valve cardiac surgical procedures-a case series. [J] . Anastasiadis K, Chalvatzoulis O, Antonitsis P, Artificial Organs . 2011,第10期

机译：在非冠状动脉和瓣膜心脏外科手术中使用最小化体外循环系统的案例系列。
2. Abdominal complications associated with cardiac surgery. Review of a contemporary surgical experience and of a series done without extracorporeal circulation [J] . Poirier B, Baillot R, Bauset R, Canadian journal of surgery: Journal canadien de chirurgie . 2003,第3期

机译：与心脏手术有关的腹部并发症。回顾当代外科手术经验以及无体外循环的一系列手术
3. Less invasive coronary artery revascularization with a minimized extracorporeal circulation system: preliminary results of a comparative study with off-pump-procedures [J] . Thorsten Wittwer, Anton Sabashnikov, Parwis B Rahmanian, Journal of Cardiothoracic Surgery . 2013,第S1期

机译：具有最小化体外循环系统的侵入性较小的冠状动脉血运重建：一项非体外循环程序比较研究的初步结果
4. Closed Loop Control Of Blood Gases During Surgical Extracorporeal Circulation [C] . Chauveau, N., Van Meurs, . 2001

机译：外科体外循环过程中血液气体的闭环控制
5. Evaluating bioprosthetic devices in aortic valve surgery: Systematic assessment and design of cardiac surgical trials. [D] . Semelhago, Lloyd C. 2005

机译：在主动脉瓣手术中评估生物修复装置：心脏外科手术试验的系统评估和设计。
6. Less invasive coronary artery revascularization with a minimized extracorporeal circulation system: preliminary results of a comparative study with off-pump-procedures [O] . Thorsten Wittwer, Anton Sabashnikov, Parwis B Rahmanian, 2013

机译：具有最小化体外循环系统的较少侵入性冠状动脉血运重建：一项非体外循环程序比较研究的初步结果
7. 2nd International Symposium on Minimal Invasive Extracorporeal Technologies Athens, Greece, 9-11 June 2016001SAFETY IN THE EVOLVING MINIATURIZED EXTRACORPOREAL SYSTEM002THE CHALLENGE OF CLOSED CIRCUIT SYSTEM FOR ALL CARDIOPULMONARY BYPASS CASES003THE USE OF A MINIMAL INVASIVE EXTRACORPOREAL CIRCUIT FOR REWARMING PATIENTS FROM ACCIDENTAL HYPOTHERMIA: A PROSPECTIVE STUDY004WHAT ARE THE LIMITATIONS OF MINIATURIZED ADULT CARDIOPULMONARY BYPASS? OUR FINDINGS005AORTIC VALVE SURGERY AND CORONARY BYPASS SURGERY IN DIALYZED PATIENTS. MAY MINIMAL EXTRACORPOREAL CIRCULATION BE HELPFUL IN GETTING BETTER RESULTS?006IMPACT OF MINIMAL EXTRACORPOREAL CIRCULATION IN OCTOGENARIANS UNDERGOING CORONARY ARTERY BYPASS GRAFTING. HAVE WE BEEN LOOKING IN THE WRONG DIRECTION?007CORONARY ARTERY BYPASS GRAFTING ON BEATING HEART, ON CARDIOPULMONARY BYPASS OR ON MINIMAL EXTRACORPOREAL CIRCULATION008MINIMAL INVASIVE EXTRACORPOREAL CIRCULATION IMPROVES QUALITY OF LIFE AFTER CORONARY ARTERY BYPASS GRAFTING009MINIMAL INVASIVE DETERMINATIONS OF OXYGEN DELIVERY (DO2) AND CONSUMPTION (VO2) IN CARDIAC SURGERY010CONTINUOUS MONITORING OF PERFUSION INDEX AND PULSE OXIMETRY DURING WARM PULSATILE PERFUSION IN PAEDIATRICS011CEREBRAL MICROEMBOLIZATION IN PATIENTS UNDERGOING SURGICAL AORTIC VALVE REPLACEMENT ON MINIMAL INVASIVE OR CONVENTIONAL EXTRACORPOREAL CIRCULATION012ASSESSMENT OF AUTOMATED SOMATOSENSORY EVOKED POTENTIALS FOR DETECTION OF INTRAOPERATIVE POSITIONAL NEUROPRAXIA IN CARDIAC SURGERY013MINIMAL INVASIVE EXTRACORPOREAL CIRCULATION IN MINIMALLY INVASIVE AORTIC VALVE SURGERY014MINIMAL INVASIVE EXTRACORPOREAL CIRCULATION IN ENDOSCOPIC MITRAL VALVE SURGERY015AIR HANDLING CAPABILITY OF A CONVENTIONAL CARDIOPULMONARY BYPASS VERSUS MINIMIZED EXTRACORPOREAL CIRCUIT USING THE FUSION OXYGENATOR016DOES MINIMALLY INVASIVE EXTRACORPOREAL CIRCULATION AND CELL SALVAGE REDUCE INFLAMMATION AFTER CORONARY ARTERY BYPASS GRAFTING SURGERY? [O] . J. Bell, Y. Yamamoto, H. Jenni, 2016

机译：第二次国际侵入式体外技术研讨会雅典，201600年6月9日至11日演化的小型化体外系统1002封闭式电路系统挑战，所有心肺旁路案例案例零售型侵入性体外循环术中的闭塞体外循环从意外地体温过低的患者：一项潜在研究是小型化成人心肺旁路的局限性吗？我们的发现在透析患者中透露阀门手术和冠状动脉旁路手术。可能最小的体外循环有助于获得更好的结果？006 umpact在经历冠状动脉旁路接枝的术语中的最小体外循环。我们是否一直在寻找错误的方向？007Coronary动脉旁路接枝在跳动心脏上，对心肺旁路或最小的体外流量进行全文侵袭性体外循环术后冠状动脉旁路饲养后的含量造成血液递送（DO2）和消费（VO2）在心脏外科灌注指数和脉搏血管血管血管血管血管血管灌注中的灌注脉络膜微栓术期间，在进行手术主动脉瓣膜置换术中的患者中，进行最小侵入性或常规体外流通012Assement of自动躯体感应诱发潜力，用于检测心脏外科术中术中的术中神经寄生虫013minimal侵袭体外循环。侵入性主动脉瓣外科014周年内侵入体外循环在内镜二尖瓣外科015Air常规心肺旁路的处理能力与最小化的体外电路采用融合氧化含量016多侵袭体外循环和细胞销售减少冠状动脉旁路接枝手术后减少炎症吗？

Use of Minimized Extracorporeal Circulation System in Noncoronary and Valve Cardiac Surgical Procedures—A Case Series

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