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Mechanical circulatory assistance

August 13, 2021
In this session we discuss common scenarios where the addition of venous or arterial cannulae to a traditional ECMO configuration may be necessary, and we familiarize the surgeon with the techniques necessary.
July 6, 2021
This is a step-by-step description of minimally invasive HVAD-Implantation using a transaxillary access for outflow graft anastomosis, which allows VAD-surgery without the need for rib or sternal transection in contrast to right anterior thoracotomy or partial sternotomy approaches.
June 15, 2021
Fascinating confirmation of null hypotheses including bleeding complications and survival in a Pennsylvanian cohort study, despite the easily predictable previous PCI, hock, and IABP prevalence in the emergency group. The statistical model is elaborate and complex. Perhaps a randomized trial could now be justified!
May 25, 2021
An authoritative, scholarly but very readable review of the evolution of mechanical circulatory support of the left ventricle from the non-surgical standpoint.
April 16, 2021
A most comprehensive practice guideline, relevant not only to surgeons involved in VA ECMO, but also all cardiac and thoracic colleagues and perioperative clinicians.
December 18, 2020
Morimura et al. report on mechanical circulatory support bridging prior to repair of ventricular septal rupture. In eight patients, the use of intraaortic balloon pump +/- extracorporeal life support led to avoidance of emergency operation. Survival was 7/8 perioperative and 5/8 after one year.
October 13, 2020
The authors describe the percutaneous impella LD explantation technique.
October 9, 2020
This is an a comprehensive consensus document on post-cardiotomy extracorporeal life support (PC-ECLS) jointly released by the European Association for Cardio-Thoracic Surgery (EACTS), the Extracorporeal Life Support Organization (ELSO), the Society of Thoracic Surgeons (STS) and the American Association for Thoracic Surgery (AATS).
August 11, 2020
This is a video illustrating a case of minimally invasive mitral valve replacement in the setting of profound shock with VA-ECMO and impella CP support for ruptured papillary muscle after acute myocardial infarction.
July 14, 2020
A small histopathological study of SARS and influenza autopsies compared to rejected for transplantation lungs. There is some speculation on the popular procoagulopathic nature of the panvirus, based on expression of angiotensin converting enzyme 2.There might be a collateral stimulus for lung preservation in organ retrieval.

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