A Retrospective Study on the Long-Term Outcomes of AngioVac Procedures
The AngioVac system, a vacuum-assisted aspiration device, has proven to be an effective tool for removing right-sided cardiac thrombi and has shown utility in managing complex cases of right-sided infective endocarditis and intracardiac tumors. Despite the promising outcomes reported in the short term, there needs to be more detailed data regarding long-term patient outcomes following…
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U.S. FDA Expands Indication for Impella Heart Pumps to Treat Pediatric Patients
U.S. Food and Drug Administration (FDA) has expanded the indications for the Impella 5.5 with SmartAssist and Impella CP with SmartAssist heart pumps, granting premarket approval (PMA) for use in specific pediatric patients with symptomatic acute decompensated heart failure (ADHF) and cardiogenic shock. The updated FDA indication for the use of Impella CP with SmartAssist: The Impella CP with…
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Monitoring Renal Oximetry in Donors Undergoing Normothermic Regional Perfusion After Circulatory Determination of Death
The article from ASAIO Journal provides an in-depth analysis of the use of renal oximetry, specifically regional tissue oxygen saturation (rSO2) monitoring via near-infrared spectroscopy (NIRS), in donors undergoing abdominal normothermic regional perfusion (A-NRP) following circulatory determination of death (DCD). This innovative approach involves the continuous monitoring of rSO2 to assess the balance between oxygen delivery…
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Emergent Coronary Revascularization Strategies in ECPR Patients
The study by Hsun-Yi Fu et al., published in the European Journal of Cardio-Thoracic Surgery, offers valuable insights into the management of patients undergoing extracorporeal cardiopulmonary resuscitation (ECPR) due to acute coronary syndrome (ACS), particularly those with triple vessel disease. This research is highly relevant for perfusionists, as it highlights how different revascularization strategies can influence…
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New Tool for Predicting Liver Graft Function During Normothermic Regional Perfusion
The study by Ivo J. Schurink et al., published in the EPMA Journal (The Official Journal of the European Association for Predictive, Preventive and Personalised Medicine), explores the use of the liver maximum capacity (LiMAx) test during abdominal normothermic regional perfusion (aNRP) to predict graft function in liver transplantation. The research focuses on extended criteria…
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Intraoperative Renal Perfusion Monitoring: Hyperspectral Imaging and AI in Action
In a recent study published in Scientific Reports (Nature), A. Studier-Fischer et al. explores the application of hyperspectral imaging (HSI) and artificial intelligence (AI) to intraoperative renal perfusion assessment, offering a new dimension in real-time, objective perfusion monitoring. Accurate perfusion assessment is critical for perfusionists, especially during procedures such as partial nephrectomies and kidney transplants. This…
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The Science of Left Ventricular Unloading.
The article by Paolo Meani et al. on the “Science of Left Ventricular Unloading,” published in Perfusion, emphasizes the importance of understanding left ventricular mechanics and energetics, which are crucial in managing heart failure, particularly with advanced mechanical circulatory supports (MCS). Left ventricular unloading is a critical strategy in heart physiology, as therapies for acute heart…
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“Technique of Blood Conservation in Direct Perfusion and Procurement of Lungs in Combination with Abdominal Normothermic Regional Perfusion”
The article by Prashant N. Mohit et al., published in the JHLT Open journal, explores an innovative approach to blood conservation during the simultaneous procurement of lungs and abdominal organs in donation after circulatory death (DCD) procedures. As utilizing abdominal-normothermic regional perfusion (A-NRP) for organ procurement becomes more common, it introduces technical challenges, mainly when harvesting…
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Intraoperative Renal Perfusion Monitoring: Hyperspectral Imaging and AI in Action
In a recent study published in Scientific Reports (Nature), A. Studier-Fischer et al. explores the application of hyperspectral imaging (HSI) and artificial intelligence (AI) to intraoperative renal perfusion assessment, offering a new dimension in real-time, objective perfusion monitoring. Accurate perfusion assessment is critical for perfusionists, especially during procedures such as partial nephrectomies and kidney transplants. This…
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Beyond the Final Heartbeat: Neurological Perspectives on Normothermic Regional Perfusion for Organ Donation after Circulatory Death
The article “Beyond the Final Heartbeat: Neurological Perspectives on Normothermic Regional Perfusion for Organ Donation after Circulatory Death” by Dr. Matthew P. Kirschen and colleagues, published in Annals of Neurology, offers a comprehensive exploration of the increasingly utilized technique of Normothermic Regional Perfusion (NRP) in the context of organ donation following circulatory death (DCD). This innovative…
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Pioneering Advances in Cardiac Surgery: “Hybrid System for Extracorporeal Circulation”
The groundbreaking article “First worldwide use of the hybrid system for extracorporeal circulation in heart transplant” by Kaan Kirali et al., published in the Journal of Cardiothoracic Surgery, presents an unprecedented case report that marks a significant milestone in cardiac surgery. This report details the first-ever global use of the Hybrid System from Spectrum Medical in…
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Advanced Machine Learning Models for Predicting Acute Brain Injury in VA-ECMO Patients
A groundbreaking study recently published in the Extracorporeal Life Support Organization (ELSO) Registry by Andrew Kalra and colleagues has made significant progress in the prediction of acute brain injury (ABI) in patients undergoing venoarterial extracorporeal membrane oxygenation (VA-ECMO) or extracorporeal cardiopulmonary resuscitation (ECPR). By leveraging sophisticated tree-based machine learning algorithms such as Random Forest, CatBoost, LightGBM,…
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