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Chapter 13 - Intraoperative Mechanical Circulatory Support and Other Uses of Cardiopulmonary Bypass

Published online by Cambridge University Press:  24 October 2022

Florian Falter
Affiliation:
Royal Papworth Hospital, Cambridge
Albert C. Perrino, Jr
Affiliation:
Yale University Medical Center, Connecticut
Robert A. Baker
Affiliation:
Flinders Medical Centre, Adelaide
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Summary

Both cardiopulmonary bypass (CPB) and extra-corporeal membrane oxygenation (ECMO) are forms of mechanical circulatory support (MCS) utilized for short or long-term supplementation of native cardiac and/or respiratory function. The indications for these specialist techniques are becoming increasingly broad as treated pathologies get more complex. This chapter addresses complex MCS techniques during cardiothoracic surgery, specialist techniques utilized during donor organ procurement and during heart, lung and liver transplantation as well as emergent uses of MCS both inside and outside the operating room.

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Publisher: Cambridge University Press
Print publication year: 2022

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References

Suggested Further Reading

Surman, TL, Worthington, MG, Nadal, JM. Cardiopulmonary bypass in non-cardiac surgery. Heart Lung Circ 2019; 28: 959969.Google Scholar
Slinger, P, Karsli, C. Management of the patient with a large anterior mediastinal mass: recurring myths. Curr Opin Anaesthesiol 2007; 20: 13.CrossRefGoogle ScholarPubMed
Arif, R, Eichorn, F, Kallenbach, K et al. Resection of thoracic malignancies infiltrating cardiac structures with use of cardiopulmonary bypass. J Cardiothor Surg 2015; 10: 8794.Google Scholar
Hsu, C, Kwan, G, Van Driel, M et al. Distal aortic perfusion during thoracoabdominal aneurysm repair for prevention of paraplegia. Cochrane Database Syst Rev 2012; 3: CD008197.Google Scholar
Matalanis, G, Ch’ng, S. Thoracoabdominal aortic aneurysm – The branch first technique. Semin Thorac Cardiovasc Surg 2020; 31.4: 627872.Google Scholar
Page, A, Messer, S. Large SR heart transplantation from donation after circulatory determined death. Ann Cardiothorac Surg. 2018;7(1): 7581.Google Scholar
Van Raemdonck, D, Keshavjee, S, Levvey, B et al. Donation after circulatory death in lung transplantation – Five-year follow-up from ISHLT registry. J Heart Lung Transplant 2019; 38: 12351245.Google Scholar
Kiziltug, H, Falter, F. Circulatory support during lung transplantation. Curr Opin Anaesthesiol 2020; 33: 3742.Google Scholar
Czigany, Z, Scherer, M, Pratschke, J et al. Technical aspects of orthotopic liver transplantation – A survey-based study within the Eurotransplant, Swisstransplant, Scandiatransplant and British transplantation society networks. J Gastrointest Surg 2019; 23: 529537.Google Scholar
Stub, D, Bernard, S, Pellegrino, V et al. Refractory cardiac arrest treated with mechanical CPR, hypothermia, ECMO and early reperfusion (the CHEER trial). Resuscitation 86; 2015: 8894.Google Scholar
Paal, P, Gordon, L, Strapazzon, G et al. International Commission for Mountain Emergency medicine (ICAR MEDCOM): accidental hypothermia – an update. Scan J of Trauma Resus Emerg Med 2016; 24: 111.CrossRefGoogle ScholarPubMed
Kruitt, N, Prusak, M, Miller, M et al. Assessment of safety and bleeding risk in the use of extracorporeal membrane oxygenation for multitrauma patients: a multicenter review. J Trauma Acute Care Surg 2019; 86: 967973.CrossRefGoogle Scholar
Ostermann, M, Connor, M, Kashani, K. Continuous renal replacement therapy during extracorporeal membrane oxygenation: why, when and how? Curr Opin Crit Care 2018, 24: 493503.Google Scholar

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