European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
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Eur J Cardiothorac Surg · Jan 2015
Multicenter StudyNational review of use of extracorporeal membrane oxygenation as respiratory support in thoracic surgery excluding lung transplantation.
Extracorporeal membrane oxygenation (ECMO) for respiratory support is increasingly used in intensive care units (ICU), but rarely during thoracic surgical procedures outside the transplantation setting. ECMO can be an alternative to cardiopulmonary bypass for major trachea-bronchial surgery and single-lung procedures without in-field ventilation. Our aim was to evaluate the intraoperative use of ECMO as respiratory support in thoracic surgery: benefits, indications and complications. ⋯ VV or VA ECMO is a satisfactory alternative to in-field ventilation in complex tracheo-bronchial surgery or in single-lung surgery. ECMO should be considered and used in precarious postoperative respiratory conditions. Full respiratory support can be achieved with VV ECMO. Indications for and results of ECMO during surgery in patients with ARDS warrant further careful investigation.
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Eur J Cardiothorac Surg · Jan 2015
Extracorporeal membrane oxygenation as a bridge to lung transplantation: a long-term study.
We investigated early outcomes in patients with end-stage pulmonary disease bridged with extracorporeal membrane oxygenation (ECMO) with the intention to perform lung transplantation (LTx). ⋯ ECMO used as a bridge to LTx results in acceptable survival in selected patients with end-stage pulmonary disease.
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Eur J Cardiothorac Surg · Jan 2015
New indicator of postoperative delayed awakening after total aortic arch replacement.
Impact of the decrease of regional cerebral oxygen saturation (rSO2) on postoperative delayed awakening after total aortic arch replacement (TAR) was validated. ⋯ The maintenance of rSO2 at the early phase of rewarming may be important to avoid delayed awakening or TND after TAR.
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Eur J Cardiothorac Surg · Jan 2015
Elective use of femoro-femoral cardiopulmonary bypass during transcatheter aortic valve implantation.
Elective use of normothermic cardiopulmonary bypass (CPB) may reduce the risks associated with the transcatheter aortic valve implantation (TAVI) procedure in selected high-risk TAVI patients. ⋯ The use of preoperatively planned CPB may increase the safety of the TAVI procedure in patients with severely reduced heart function or in cardiogenic shock.
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Eur J Cardiothorac Surg · Jan 2015
Comparative StudyMinimal invasive aortic valve replacement surgery is associated with improved survival: a propensity-matched comparison.
To compare early and long-term outcomes of minimally invasive surgery (MIS) versus full sternotomy (FS) isolated aortic valve replacement (AVR). ⋯ MIS AVR is associated with very good early and long-term survival, despite longer myocardial ischaemic times. MIS AVR can be performed safely with results that are at least equivalent to those achieved through an FS.