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Pasechnik I.N.

Central State Medical Academy of the Presidential Administration of the Russian Federation

Dvoryanchikova V.A.

Clinical Hospital of the Presidential Administration, Moscow, Russia

Tsepenshchikov V.A.

Clinical Hospital of the Presidential Administration, Moscow, Russia

Extracorporeal circulation in cardiac surgery: state of the problem

Authors:

Pasechnik I.N., Dvoryanchikova V.A., Tsepenshchikov V.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2017;(6): 72‑78

Read: 5729 times


To cite this article:

Pasechnik IN, Dvoryanchikova VA, Tsepenshchikov VA. Extracorporeal circulation in cardiac surgery: state of the problem. Pirogov Russian Journal of Surgery. 2017;(6):72‑78. (In Russ.)
https://doi.org/10.17116/hirurgia2017672-78

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References:

  1. Bokeriya LA. Lektsii po serdechno-sosudistoi khirurgii (izdanie 3-e pererabotannoe, dopolnennoe). M.: Izdatel'stvo NTsSSKh im. A.N. Bakuleva; 2013. (In Russ.).
  2. Serdechno-sosudistaya khirurgiya. Pod red. Burakovskogo V.I., Bokerii L.A., M.: Meditsina; 1989. (In Russ.).
  3. Tschaut RJ, ed. Extrakorporale Zirkulation in Theorie und Praxis. Lengerich, Berlin, Bremen, Miami, Riga, Viernheim, Wien, Zagreb: Pabst Science Publishers; 2005.
  4. Anastasiadis K, Antonitsis P, Argiriadou H. Principles of Miniaturized Extra Corporeal Circulation. Berlin, Heidelberg: Springer Berlin Heidelberg; 2013. doi:10.1007/978-3-642-32756-8
  5. Butler J, Rocker GM, Westaby S. Inflammatory response to cardiopulmonary bypass. Ann Thorac Surg. 1993;55(2):552-559. doi:10.1016/0003-4975(93)91048-r
  6. Kirklin JK, Westaby S, Blackstone EH, Kirklin JW, Chenoweth DE, Pacifico AD. Complement and the damaging effects of cardiopulmonary bypass. J Thorac Cardiovasc Surg. 1983;86(6):845-857. doi:10.1136/thx.38.5.321
  7. Lokshin LS, Lur'e GO, Dement'eva II. Iskusstvennoe i vspomogatel'noe krovoobrashchenie v serdechno-sosudistoi khirurgii. M.: Pressa; 1998. (In Russ.).
  8. Habib RH, Zacharias A, Schwann TA, Riordan CJ, Durham SJ, Shah A. Adverse effects of low hematocrit during cardiopulmonary bypass in the adult: should current practice be changed? J Thorac Cardiovasc Surg. 2003;125(6):1438-1450. doi:10.1016/S0022-5223(02)73291-1
  9. Gourlay T, Black RA, eds. Minimized cardiopulmonary bypass techniques and technologies. Oxford: Woodhead Publ; 2010. doi:10.1533/9780857096029
  10. Appelblad M, Engström G. Fat contamination of pericardial suction blood and its influence on in vitro capillary-pore flow properties in patients undergoing routine coronary artery bypass grafting. J Thorac Cardiovasc Surg. 2002;124(2):377-386. doi:10.1067/mtc.2002.122303
  11. Westerberg M, Bengtsson A, Jeppsson A. Coronary surgery without cardiotomy suction and autotransfusion reduces the postoperative systemic inflammatory response. Ann Thorac Surg. 2004;78(1):54-59. doi:10.1016/j.athoracsur.2003.12.029
  12. El-Sabbagh AM, Toomasian CJ, Toomasian JM, Ulysse G, Major T, Bartlett RH. Effect of air exposure and suction on blood cell activation and hemolysis in an in vitro cardiotomy suction model. ASAIO journal. 2013;59(5):474-479. doi:10.1097/MAT.0b013e31829f0e6e
  13. Anastasiadis K, Murkin J, Antonitsis P, Bauer A, Ranucci M, Gygax E et al. Use of minimal invasive extracorporeal circulation in cardiac surgery: principles, definitions and potential benefits. A position paper from the Minimal invasive Extra-Corporeal Technologies international Society (MiECTiS). Interact Cardiovasc Thorac Surg. 2016;22(5):647-662. doi:10.1093/icvts/ivv380
  14. Glennen S, Metcalfe H. Minimally invasive cardiac surgery (mics). Nurs Stand. 1996;11(5):54. doi:10.7748/ns.11.5.54.s53
  15. Schwenk W, Müller JM. What is «Fast-track»-surgery? Dtsch Med Wochenschr. 2005;130(10):536-540. doi:10.1055/s-2005-863090
  16. Engelman RM, Rousou JA, Flack JE, Deaton DW, Humphrey CB, Ellison LH, et al. Fast-track recovery of the coronary bypass patient. Ann Thorac Surg. 1994;58(6):1742-1746. doi:10.1016/0003-4975(94)91674-8
  17. Häntschel D, Fassl J, Scholz M, Sommer M, Funkat AK, Wittmann M et al. Leipzig fast-track protocol for cardio-anesthesia. Effective, safe and economical. Anaesthesist. 2009;58(4):379-386. doi:10.1007/s00101-009-1508-1
  18. Wiesenack C, Liebold A, Philipp A, Ritzka M, Koppenberg J, Birnbaum DE et al. Four years’ experience with a miniaturized extracorporeal circulation system and its influence on clinical outcome. Artif Organs. 2004;28(12):1082-1088. doi:10.1111/j.1525-1594.2004.00030.x
  19. Nollert G, Schwabenland I, Maktav D, Kur F, Christ F, Fraunberger P et al. Miniaturized cardiopulmonary bypass in coronary artery bypass surgery: marginal impact on inflammation and coagulation but loss of safety margins. Ann Thorac Surg. 2005;80(6):2326-2332. doi:10.1016/j.athoracsur.2005.05.080
  20. Mulholland JW, Anderson JR. Preventing the loss of safety margins with miniaturized cardiopulmonary bypass. Ann Thorac Surg. 2006;82(5):1952-1953. doi:10.1016/j.athoracsur.2006.05.122
  21. Anastasiadis K, Antonitsis P, Argiriadou H, Deliopoulos A, Grosomanidis V, Tossios P. Modular minimally invasive extracorporeal circulation systems; can they become the standard practice for performing cardiac surgery? Perfusion. 2015;30(3):195-200. doi:10.1177/0267659114567555
  22. Society of Thoracic Surgeons Blood Conservation Guideline Task Force, Ferraris VA, Brown JR, Despotis GJ, Hammon JW, Reece TB et al. 2011 update to the Society of Thoracic Surgeons and the Society of Cardiovascular Anesthesiologists blood conservation clinical practice guidelines. Ann Thorac Surg. 2011;91(3):944-982. doi:10.1016/j.athoracsur.2010.11.078
  23. Anastasiadis K, Antonitsis P, Haidich A-B, Argiriadou H, Deliopoulos A, Papakonstantinou C. Use of minimal extracorporeal circulation improves outcome after heart surgery; a systematic review and meta-analysis of randomized controlled trials. Int J Cardiol. 2013;164(2):158-169. doi:10.1016/j.ijcard.2012.01.020
  24. Biancari F, Rimpiläinen R. Meta-analysis of randomised trials comparing the effectiveness of miniaturised versus conventional cardiopulmonary bypass in adult cardiac surgery. Heart Br Card Soc. 2009;95(12):964-969. doi:10.1136/hrt.2008.158709
  25. Perthel M, El-Ayoubi L, Bendisch A, Laas J, Gerigk M. Clinical advantages of using mini-bypass systems in terms of blood product use, postoperative bleeding and air entrainment: an in vivo clinical perspective. Eur J Cardio-Thorac Surg. 2007;31(6):1070-1075; discussion 1075. doi:10.1016/j.ejcts.2007.01.065
  26. Mazzei V, Nasso G, Salamone G, Castorino F, Tommasini A, Anselmi A. Prospective randomized comparison of coronary bypass grafting with minimal extracorporeal circulation system (MECC) versus off-pump coronary surgery. Circulation. 2007;116(16):1761-1767. doi:10.1161/circulationaha.107.697482
  27. Bauer A, Diez C, Schubel J, El-Shouki N, Metz D, Eberle T et al. Evaluation of hemodynamic and regional tissue perfusion effects of minimized extracorporeal circulation (MECC). J Extra Corpor Technol. 2010;42(1):30-39.
  28. Gygax E, Averina T, Muratov R, Shamsiev G, Khinchagov D, Jenni H, Winkler B, Bockeria L. Comparison of microcirculation during MiECT and conventional ECC measured by computer capillaroscopy in Aortic valve surgery. Presented at: 2nd International Symposium on Minimal Invasive Technologies (MiECT); June 9—1, 2016; Athens, Greece. Accessed December 12, 2016. Available at: http://static.livemedia.gr/livemedia/documents/al16906_us80_20160610151152_greece.pdf
  29. Siepe M, Pfeiffer T, Gieringer A, Zemann S, Benk C, Schlensak C et al. Increased systemic perfusion pressure during cardiopulmonary bypass is associated with less early postoperative cognitive dysfunction and delirium. Eur J Cardio-Thorac Surg. 2011;40(1):200-207. doi:10.1016/j.ejcts.2010.11.024
  30. Anastasiadis K, Argiriadou H, Kosmidis MH, Megari K, Antonitsis P, Thomaidou E et al. Neurocognitive outcome after coronary artery bypass surgery using minimal versus conventional extracorporeal circulation: a randomised controlled pilot study. Heart Br Card Soc. 2011;97(13):1082-1088. doi:10.1136/hrt.2010.218610
  31. Anastasiadis K, Asteriou C, Antonitsis P, Argiriadou H, Grosomanidis V, Kyparissa M, и др. Enhanced recovery after elective coronary revascularization surgery with minimal versus conventional extracorporeal circulation: a prospective randomized study. J Cardiothorac Vasc Anesth. 2013;27(5):859-864. doi:10.1053/j.jvca.2013.01.010
  32. Anastasiadis K, Antonitsis P, Kostarellou G, Kleontas A, Deliopoulos A, Grosomanidis V et al. Minimally invasive extracorporeal circulation improves quality of life after coronary artery bypass grafting. Eur J Cardio-Thorac Surg. Published online: June 14, 2016. Accessed December 12, 2016.Abstract available at: http://ejcts.oxfordjournals.org/content/early/2016/06/14/ejcts.ezw210 doi:10.1093/ejcts/ezw210
  33. Zangrillo A, Garozzo FA, Biondi-Zoccai G, Pappalardo F, Monaco F, Crivellari M et al. Miniaturized cardiopulmonary bypass improves short-term outcome in cardiac surgery: a meta-analysis of randomized controlled studies. J Thorac Cardiovasc Surg. 2010;139(5):1162-1169. doi:10.1016/j.jtcvs.2009.07.048
  34. Puehler T, Haneya A, Philipp A, Camboni D, Hirt S, Zink W et al. Minimized extracorporeal circulation in coronary artery bypass surgery is equivalent to standard extracorporeal circulation in patients with reduced left ventricular function. Thorac Cardiovasc Surg. 2010;58(4):204-209. doi:10.1055/s-0029-1241028
  35. Anastasiadis K, Fragoulakis V, Antonitsis P, Maniadakis N. Coronary artery bypass grafting with minimal versus conventional extracorporeal circulation; an economic analysis. Int J Cardiol. 2013;168(6):5336-5343. doi:10.1016/j.ijcard.2013.08.006
  36. Harling L, Warren OJ, Martin A, Kemp PR, Evans PC, Darzi A et al. Do miniaturized extracorporeal circuits confer significant clinical benefit without compromising safety? A meta-analysis of randomized controlled trials. ASAIO journal. 2011;57(3):141-151. doi:10.1097/mat.0b013e318209d63b
  37. Issitt RW, Mulholland JW, Oliver MD, Yarham GJ, Borra PJ, Morrison P et al. Aortic surgery using total miniaturized cardiopulmonary bypass. Ann Thorac Surg. 2008;86(2):627-631. doi:10.1016/j.athoracsur.2008.03.015
  38. Abdel-Rahman U, Ozaslan F, Risteski PS, Martens S, Moritz A, Al Daraghmeh A et al. Initial experience with a minimized extracorporeal bypass system: is there a clinical benefit? Ann Thorac Surg. 2005;80(1):238-243. doi:10.1016/j.athoracsur.2005.02.032
  39. Kowalewski M, Pawliszak W, Raffa GM, Malvindi PG, Kowalkowska ME, Zaborowska K et al. Safety and efficacy of miniaturized extracorporeal circulation when compared with off-pump and conventional coronary artery bypass grafting: evidence synthesis from a comprehensive Bayesian-framework network meta-analysis of 134 randomized controlled trials involving 22 778 patients. Eur J Cardio-Thorac Surg. 2016;49(5):1428-1440. doi:10.1093/ejcts/ezv387
  40. Fernandes P, MacDonald J, Cleland A, Mayer R, Fox S, Kiaii B. The use of a mini bypass circuit for minimally invasive mitral valve surgery. Perfusion. 2009;24(3):163-168. doi:10.1177/0267659109346662
  41. Camboni D, Philipp A, Hirt S, Schmid C. Possibilities and limitations of a miniaturized long-term extracorporeal life support system as bridge to transplantation in a case with biventricular heart failure. Interact Cardiovasc Thorac Surg. 2009;8(1):168-170. doi:10.1510/icvts.2008.187567
  42. Rogers C. Conventional versus Minimally Invasive extra-corporeal circulation in patients undergoing Cardiac Surgery: a randomised controlled trial (COMICS). Presented at: 2nd International Symposium on Minimal Invasive Technologies (MiECT); June 9 —11, 2016; Athens, Greece. Accessed December 12, 2016. Available at: http://static.livemedia.gr/livemedia/documents/al16906_us80_20160610170452_1_comics_athens_meeting_v4.pdf
  43. Dvoryanchikova VA, Tsepenshchikov VA, Gubaidullin RR, et al. Pervyi opyt primeneniya miniinvazivnogo ekstrakorporal'nogo krovoobrashcheniya pri operatsiyakh na otkrytom serdtse v FGBU «Klinicheskaya bol'nitsa» UD Prezidenta RF. Paper presented at: Vtoraya konferentsiya Mezhdistsiplinarnogo nauchnogo khirurgicheskogo obshchestva «FAST TRAK»; April 27, 2016, Moskow. Accessed December 12, 2016. Available at: http://www.2016.fast-track.pro/public/uploads/FT/2016/FT2016_abstracts.pdf

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