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The KBC Protocol: An Update On Method And Communication
A video presentation from the 2018 Sanibel Symposium on the KBC cardioplegia protocol by Candice Kalin (21:10 minutes).
Enhanced Sternal Healing Through Platelet-Rich Plasma and Biodegradable Gelatin Hydrogel
The aim of this study was to evaluate the effectiveness of the controlled release of PRP from biodegradable gelatin hydrogel for promoting healing in a rabbit ischemic sternal model.
New Insights on the Use of del Nido Cardioplegia in Adult Cardiac Surgery
Cold crystalloid cardioplegia associated with mild-to-moderate hypothermia has the advantage to decrease the oxygen consumption, offers some degree of myocardial protection during period of low flow or low perfusion pressure.
Single Dose or Intermittant Cardioplegia: Factors that Influence Our Choice
A video presentation from the 2018 Sanibel Symposium on the current cardioplegia controversy by Richard Hayes from Quest Medical (33:20 minutes).
Randomized Controlled Trial of Heparin Versus Bivalirudin Anticoagulation in Acyanotic Children Undergoing Open Heart Surgery
To determine the safety and efficacy of bivalirudin as an anticoagulant for pediatric open heart surgery (OHS) and to determine its appropriate dosage for this purpose.
Perioperative Comparison Of Histidine-Tryptophan-Ketoglutarate, Del Nido, St. Thomas And Cold Blood Cardioplegia Protocols In High-Risk CABG Patients
Serdar Gunaydin, MD, PhD provides an update on cardioplegia solutions and techniques at the American Academy Conference (18:40 minutes).
Thoracic Aortic Surgery: State Of The Art Update In 2018
A video presentation from the Sanibel Symposium on new technology by Basel Ramlawi, MD, MMSc, FACS, FACC (48.18 minutes).
CMS Changes in Reimbursement for ECMO Procedures
The Centers for Medicare and Medicaid Services (CMS) implemented changes for ECMO procedures in the Medical Severity-Diagnosis Related Group (MS-DRG) on October 1, 2018.
Incidence of Cerebral Microemboli in Single-Dose vs. Multidose Cardioplegia in Adult Cardiac Surgery
This study compared the incidence of microemboli during cardiac operations using conventional (multidose) and del Nido (single-dose) cardioplegia delivery.
Clinical Challenge: Effective De-Airing designed to Reduce the Risk of Air Embolism
Clinical Challenge: Effective De-Airing designed to Reduce the Risk of Air Embolism. Video presentation from Sanibel Symposium 2018 (18:10 minutes).
An Introduction to Extracorporeal Membrane Oxygenation (ECMO)
Extracorporeal membrane oxygenation (ECMO), also known as extracorporeal life support (ECLS), is an extracorporeal technique of providing prolonged cardiac and respiratory support to persons whose heart and lungs are unable to provide an adequate amount of gas exchange or perfusion to sustain life.
Supply and Demand in the Perfusion Services Sector
Supply and Demand in the Perfusion Services Sector. This topic was presented at the 2018 Sanibel Symposium Conference.
Emergent Cardiac Surgery During Transcatheter Aortic Valve Implantation (TAVI): A Weighted Meta-Analysis of 9,251 Patients From 46 Studies
Refinement in transcatheter aortic valve implantation (TAVI) technology should not only focus on miniaturisation and improving flexibility of the delivery systems and/or devices -which may have the potential for decreasing aortic dissection, annular rupture, and tamponade- but also incorporate modifications to prevent embolisation/dislocation of the valve.
Radial-Artery or Saphenous-Vein Grafts in Coronary-Artery Bypass Surgery
We performed a patient-level combined analysis of randomized, controlled trials to compare radial-artery grafts and saphenous-vein grafts for coronary-artery bypass grafting (CABG).
Mitral Valve Surgery: Current Minimally Invasive and Transcatheter Options
In this article, we review current techniques for minimally invasive cardiac surgery (MICS) for mitral valve repair or replacement (MVR/r) and upcoming catheter-based therapies for the mitral valve.
Transcatheter Aortic Valve Implantation (TAVI) by Centers with and without an On-Site Cardiac Surgery Program: Preliminary Experience from the German TAVI Registry
This study analysed patient characteristics, decision-making processes, and outcomes of TAVI performed in hospitals with versus those without on-site cardiac surgery (CS).
The Dutch Hospital Standardized Mortality Ratio (HSMR) Method and Cardiac Surgery: Benchmarking in a National Cohort Using Hospital Administration Data Versus a Clinical Database
The objective of this study is to compare the accuracy of data from hospital administration databases and a national clinical cardiac surgery database and to compare the performance of the Dutch hospital standardised mortality ratio (HSMR) method and the logistic European System for Cardiac Operative Risk Evaluation, for the purpose of benchmarking of mortality across hospitals.
Goal-Directed Therapy in Cardiac Surgery: A Systematic Review and Meta-Analysis
There is evidence that perioperative goal-directed haemodynamic therapy (GDT) may reduce surgical mortality and morbidity in non-cardiac surgical patients, the data are less clear after cardiac surgery. The objective of this review is to perform a meta-analysis on the effects of perioperative GDT on mortality, morbidity, and length of hospital stay in cardiac surgical patients.
Five-Year Outcomes with PCI Guided by Fractional Flow Reserve
We hypothesized that fractional flow reserve (FFR)-guided percutaneous coronary intervention (PCI) would be superior to medical therapy as initial treatment in patients with stable coronary artery disease.
The Feasibility and Safety of Off-Pump Coronary Bypass Surgery in Emergency Revascularization
The efficacy and safety of off-pump coronary artery bypass grafting (OPCAB) in emergency revascularization remains controversial despite its widespread use. The aim of our study was to examine the applicability and safety of OPCAB in patients who were indicated for emergency surgery.
Comparison of Immediate Extubation Versus Ultrafast Tracking Strategy in the Management of Off-Pump Coronary Artery Bypass Surgery
Ultrafast tracking of anesthesia (UFTA) is practiced routinely, whereas immediate on-table extubation after off-pump coronary artery bypass (OPCAB) grafting surgery has many concerns. The purpose of our study was to evaluate the safety and feasibility of immediate extubation (IE) versus UFTA.