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Important factors regarding the analysis of extracorporeal blood flow in extracorporeal cardiopulmonary resuscitation. Resuscitation 2022; 173:201-202. [DOI: 10.1016/j.resuscitation.2022.02.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2022] [Revised: 02/23/2022] [Accepted: 02/24/2022] [Indexed: 11/30/2022]
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2
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Impact of pulse pressure on clinical outcome in extracorporeal cardiopulmonary resuscitation (eCPR) patients. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.1054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Hemodynamic response after successful extracorporeal cardiopulmonary resuscitation (eCPR) is very heterogeneous. Pulse pressure (PP) as an easy to access surrogate parameter and correlate for myocardial damage or recovery from it, might be a valuable tool to estimate the outcome of these patients.
Purpose
To investigate the predictive value of the surrogate parameter PP in eCPR patients.
Methods
We report retrospective data of a single-centre registry of eCPR patients, treated at our Interdisciplinary Medical Intensive Care Unit between 01/2017 and 01/2020. The association between PP of the first 10 days after eCPR and hospital survival was investigated. Moreover, patients were divided into three groups according to their PP (low (0–9 mmHg), mid (10–29 mmHg) and high (≥30 mmHg)) at each time point.
Results
143 patients (age 63 years, 74.1% male, 40% OHCA, average low flow time 49 min) were analysed. Overall hospital survival rate was 28%. A low PP both early after eCPR (after 1, 3, 6 and 12 hours) and in the further course after day 1 to day 8 was associated with reduced hospital survival. At each time point (1 hour to day 5) the classification of patients into a low, mid and high PP group was able to categorize the patients for a low (5–20%), moderate (20–40%) and high (50–70%) survival rate. A multivariable analysis showed that the mean PP of the first 24 hours was an independent predictor for survival (p=0.008, figure 1).
Conclusion
In this analysis, PP occurred to be a valuable parameter to estimate survival and maybe support clinical decision making in the further course of patients after eCPR.
Funding Acknowledgement
Type of funding sources: None. Figure 1. Survival of eCPR patients by mean 24hPP
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Reversal of the No-Reflow Phenomenon after Prolonged Cardiac Arrest by Controlled Automated Reperfusion of the Whole Body: Preliminary Results of an Ongoing [15O] Water Pet Study. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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4
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Preliminary Results Regarding Effects of Pulsatility during Extracorporeal Circulation on In Vitro Hemolysis, Coagulation and Inflammation. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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5
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A Novel Adapter Allows Short-Term LVAD Support through the Left-Ventricular Apex without Cardiopulmonary Bypass in Healthy and Failing Pig Hearts. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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6
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Heart Preservation with the Organ Care System in Extended Criteria Donor Hearts: A Three-Center Experience. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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7
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[Freiburg Cardiac Arrest Receiving Team (CART) : Interdisciplinary solution for the acute management of non-traumatic out-of-hospital cardiac arrest]. Med Klin Intensivmed Notfmed 2019; 115:292-299. [PMID: 31363800 DOI: 10.1007/s00063-019-0598-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Revised: 04/18/2019] [Accepted: 05/13/2019] [Indexed: 10/26/2022]
Abstract
Standard procedures and guidelines provide specific instructions for basic and advanced cardiac life support. Recommendations for the admission of patients from preclinical into clinical structures after successful cardiopulmonary resuscitation (CPR) are available, but only a few are detailed. In the presence of ST-elevation myocardial infarction after return of spontaneous circulation (ROSC), coronary angiography must be performed as soon as possible. However, acute management and consecutive diagnostic procedures after hospital admission are up to the doctor on duty, who can rely on standard internal hospital procedures at best. Despite the enormous progress and new findings in intensive care and emergency medicine, intra-hospital mortality, as well as long-term survival, after CPR remains low and depends on a wide variety of influencing factors. To optimize in-hospital acute care of successfully resuscitated patients, an interdisciplinary admission team, a so-called cardiac arrest receiving team (CART), has been implemented at the University Hospital of Freiburg, Germany. The aim of the CART is to provide primary care to resuscitated patients as quickly and in as standardized a manner as possible with predefined diagnostic and therapeutic pathways by a team with special expertise in the field of CPR and post-resuscitation management. Accordingly, clear criteria for procedures and the location of primary care (e.g. emergency room vs. cardiac catheter laboratory), the composition of the CART and concrete treatment measures were defined.
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8
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Cardiac Transplantation in Higher Risk Patients: Is Ex Vivo Heart Perfusion a Safe Preservation Technique? A Two Center Experience. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.091] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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9
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Important Determinants of Neurological Outcome after 20 Minutes No Flow Time and Controlled Automated Reperfusion of the Whole Body (CARL) in a Pig Model. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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10
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Acquired von Willebrand Syndrome in Pediatric Patients during Mechanical Circulatory Support. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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11
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Priming with Gelatin Polysuccinate or Human Albumin Does Not Affect the Neurologic Outcome Using Controlled Automated Reperfusion of the Whole Body after 20 Minutes of Cardiac Arrest. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1679010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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12
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Ex Vivo Heart Perfusion for Higher Risk Cardiac Transplantations: A Retrospective Analysis from Two German Centers. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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13
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Beinahe-Ertrinken eines Einjährigen. Notf Rett Med 2017. [DOI: 10.1007/s10049-017-0301-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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14
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P5293Predicting survival in patients on venoarterial extracorporeal membrane oxygenation therapy using point of care biomarkers. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx493.p5293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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15
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A New Mechanism of Unilateral Motor Evoked and Somatosensory Evoked Potential Decrease or Loss during Thoracic Endovascular Aortic Repair. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1598782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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16
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Left-Ventricular-Assist-Device Weaning Protocol Including Exercise and Invasive Hemodynamics - Multi-Institutional Experience. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1598827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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17
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Detektion Cerebraler Minderperfusion Mittels Amplitudenintegrierter Elektroenzephalographie (aEEG) und Nahinfrarotspektroskopie (NIRS) während Herzoperation mit kardiopulmonalem Bypass bei Säuglingen. Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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18
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Implementation of a Weaning-protocol for Extracorporeal Life Support Systems in Patients with Postcardiotomy Failure is accompanied with Decrease of 30-day Mortality. Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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19
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No Association between Prothrombin Mutation and Factor V Leiden with Thromboembolism in Patients on Ventricular Assist Device (VAD) Support. Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571746] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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20
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134 * NEURON-SPECIFIC ENOLASE CORRELATES TO LABORATORY MARKERS OF HAEMOLYSIS IN PATIENTS ON LONG-TERM CIRCULATORY SUPPORT. Interact Cardiovasc Thorac Surg 2014. [DOI: 10.1093/icvts/ivu276.134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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21
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ProBNP serum levels and mRNA expression decrease after VAD implantation. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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22
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Superior neurologic recovery after 15 minutes of normothermic cardiac arrest using an extracorporeal life support system for optimized blood pressure and flow. Perfusion 2013; 29:130-8. [PMID: 23885022 DOI: 10.1177/0267659113497776] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE Sudden cardiac arrest is one of the leading causes of death. Conventional CPR techniques after cardiac arrest provide circulation with reduced and varying blood flow and pressure. We hypothesize that using pressure- and flow-controlled reperfusion of the whole body improves neurological recovery and survival after 15 min of normothermic cardiac arrest. METHODS Pigs were randomized in two experimental groups and exposed to 15 min of ventricular fibrillation (VF). After this period, the animals in the control group received conventional CPR with open chest compression (n=6), while circulation in the treatment group (n=6) was established with an extracorporeal life support system (ECLS) to control blood pressure and flow. Follow-up included the assessment of neurological recovery and magnetic resonance imaging (MRI) for up to 7 days. RESULTS Five of the six animals in the control group died, one animal was resuscitated successfully. In the treatment group, 1/6 could not be separated from ECLS. Five out of the six pigs survived and were transferred to the animal facility. One animal was unable to walk and had to be sacrificed 30 hours after ECLS. The remaining 4 animals of the treatment group and the surviving pig from the control group showed complete neurological recovery. Brain MRI revealed no pathological changes. CONCLUSION We were able to demonstrate a significant improvement in survival after 15 minutes of normothermic cardiac arrest. These results support our hypothesis that using an ECLS for pressure- and flow-controlled circulation after circulatory arrest is superior to conventional CPR.
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23
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Prolonged cardiac arrest and resuscitation by extracorporeal life support: favourable outcome without preceding anticoagulation in an experimental setting. Perfusion 2013; 28:520-8. [PMID: 23827862 DOI: 10.1177/0267659113495081] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
State-of-the-art cardiopulmonary resuscitation (CPR) restores circulation with inconsistent blood-flow and pressure. Extracorporeal life support (ECLS) following CPR opens the opportunity for "controlled reperfusion". In animal experiments investigating CPR with ECLS, systemic anticoagulation before induced cardiac arrest is normal, but a major point of dispute, since preliminary heparinization in patients undergoing unwitnessed cardiac arrest is impossible. In this study, we investigated options for ECLS after an experimental 15 minutes normothermic cardiac arrest, without preceding anticoagulation, in pigs. Neurological recovery was assessed by a scoring system, electroencephalography and brain magnetic resonance imaging. Additionally, brain histology was performed on day seven after cardiac arrest. We demonstrated that preliminary heparin administration was not necessary for survival or neurological recovery in this setting. Heparin flushing of the cannulae seemed sufficient to avoid thrombus formation. These findings may ease the way to using ECLS in patients with sudden cardiac arrest.
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24
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Optimization of micro bubble elimination by the use of an oxygenator with an integrated arterial filter in combination with the dynamic bubble trap. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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25
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ProBNP decreases after LVAD but not after BVAD implantation or HTX. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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26
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Myocardial remodeling with and without VAD support – a case report of siblings. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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27
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Reply to Siric et al. Eur J Cardiothorac Surg 2012. [DOI: 10.1093/ejcts/ezr065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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28
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Inflammatory response in newborns and infants undergoing cardiac surgery. Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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29
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Favorable outcome after experimental cardiac arrest for 15min without preceding anticoagulation. Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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30
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Successful ECMO – treatment of acute cardio-respiratory failure due to shunt thrombosis after Norwood I procedure. Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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31
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Acquired Von Willebrand Syndrome (AVWS) and bleeding complications in long-term patients with Ventricular Assist Devices (VAD). Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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32
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Closed circuit MR compatible pulsatile pump system using a ventricular assist device and pressure control unit. Magn Reson Med 2011; 67:258-68. [DOI: 10.1002/mrm.22983] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2010] [Revised: 03/16/2011] [Accepted: 04/06/2011] [Indexed: 11/06/2022]
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33
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Use of Extracorporeal Circulation (ECC) Outside the Cardiac Operating Room: Indications, Requirements and Recommendations for Routine Practice. Thorac Cardiovasc Surg 2011; 59:66-8. [DOI: 10.1055/s-0030-1250420] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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34
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35
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Temporary occlusion of mesenterial and renal arteries during intraaortic counterpulsation caused by excessive length of intra-aortic balloons. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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36
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Herzchirurgische Intensivmedizin im Außeneinsatz. ZEITSCHRIFT FUR HERZ THORAX UND GEFASSCHIRURGIE 2011. [DOI: 10.1007/s00398-010-0825-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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37
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Acquired Von Willebrand Syndrome in patients with extra-corporeal life support (ECLS) or membrane oxygenation (ECMO). Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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38
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Deep driveline infections are prevented by surgical double tunnel technique in patients with LVAD. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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39
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Superior hemodynamics and organ recovery in biventricular cannulated BVAD patients compared to conventional cannulation. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1268999] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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40
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Fulminanter Verlauf einer H1N1-Virus-Infektion mit Multiorganversagen und mehrwöchigem Organersatz von Herz, Lunge und Nieren. KLINISCHE PADIATRIE 2010. [DOI: 10.1055/s-0030-1261429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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41
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Ventricular assist device (VAD) implantation in the descending aorta – proof of principle. Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1247005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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42
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Acquired von Willebrand syndrome and hemolysis in different types of ventricular assist devices (VAD) and total artificial heart (TAH). Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1246909] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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43
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Clinical Experience with the VentrAssist Left Ventricular Assist Device. Thorac Cardiovasc Surg 2010; 58 Suppl 2:S198-201. [DOI: 10.1055/s-0029-1240685] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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44
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The Freiburg Cardiac Survival Network (FCSN) – experience with a new concept of transporting hemodynamically unstable patients. Thorac Cardiovasc Surg 2009. [DOI: 10.1055/s-0029-1191694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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45
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Hemolysis in patients with ventricular assist devices (VAD): Systems differ significantly. Thorac Cardiovasc Surg 2009. [DOI: 10.1055/s-0029-1191567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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46
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Freiburg weaning protocol for Thoratec BVAD. Thorac Cardiovasc Surg 2009. [DOI: 10.1055/s-0029-1191498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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47
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Clinical outcome after implantation of pulsatile versus non pulsatile left ventricular assist devices. Thorac Cardiovasc Surg 2009. [DOI: 10.1055/s-0029-1191496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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48
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Apical, biventricular cannulation provides superior hemodynamics in patients treated with the Thoratec paracorporeal BVAD. Thorac Cardiovasc Surg 2009. [DOI: 10.1055/s-0029-1191500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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49
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Patients with fixed pulmonary hypertension treated with a left ventricular assist device prior to orthotopic heart transplantation. Thorac Cardiovasc Surg 2008. [DOI: 10.1055/s-2008-1037742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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50
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Flow sensitive 4D magnetic resonance imaging in a ventricular assist device model system. Thorac Cardiovasc Surg 2008. [DOI: 10.1055/s-2008-1037925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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