Abiomed Recalls Impella Left Sided Blood Pumps
The US Food and Drug Administration (FDA) has announced a Class 1 recall of all Impella left-sided blood pumps. “There is a potential risk that the Impella motor housing may come into contact with the distal stent of a transcatheter aortic valve replacement (TAVR),” the FDA’s announcement says. “The contact may damage or destroy the…
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Dietary metabolic signatures and cardiometabolic risk
Machine learning strategies were used in a study to identify individual metabolic patterns concerning diet and its long-term impact on cardiometabolic-cardiovascular disease (CM-CVD) in early adulthood. These analyses were conducted on 2,259 adults participating in the Coronary Artery Risk Development in Young Adults (CARDIA) study. The complete manuscript by Ravi V. Shah, Lyn M. Steffen, Jared…
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Weaning from Veno-Venous ECMO: Recent Advances and Remaining Challenges
In October 2022, professionals from the University of Toronto (Interdepartmental Division of Critical Care Medicine and the Institute of Health Policy Management and Evaluation), Fondazione IRCCS (Dipartimento di Anesthesia), and the University of Milan (Department of Pathophysiology and Transplantation) discussed the lessons learned through 60 years of weaning from mechanical ventilation. The complete manuscript by…
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Current Practices, Challenges, and Lessons in Neurological Monitoring For ECMO Patients
In April 2023, researchers from Emory University (Department of Neurology), Henry Ford Hospital (Department of Neurology, Division of Pulmonary and Critical Care Medicine, and the Department of Emergency Medicine) reviewed the current state of practice for neurological monitoring in ECMO patients. The complete manuscript by Hassan Aboul-Nour, Ammar Jumah, Hafsa Abdulla, Amreeta Sharma, Bradley Howell,…
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FDA Approves First Leadless Dual-Chamber Pacing System by Abbott
The FDA has approved Abbott’s AVEIR dual chamber (DR) leadless pacemaker system. The AVEIR DR leadless pacing system is made up of two devices: the previously approved AVEIR VR single chamber device, which paces the right ventricle, and the now-approved AVEIR AR single chamber device, which paces the right atrium. “Leadless pacemakers have been limited…
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Big Data in Cardiac Surgery: Real World and Perspectives
The utilization of Big Data and related analysis tools, such as artificial intelligence (AI) and machine learning (ML), has been viewed as a revolution in contemporary medical procedures. Big Data’s multifaceted origins offer a treasure trove of information, including electronic health records, clinical trials, imaging data, registries, administrative databases, patient-reported results, and OMICS profiles. The…
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Is Cardiopulmonary Bypass (CPB) standby is still necessary to perform laser lead extractions.
Over the past two decades, there has been a substantial increase in the number of cardiac implantable electronic devices. As a result, there was a higher necessity to use lead extractions. Furthermore, fibrotic attachments develop between the lead and venous/cardiac structures, requiring a laser to remove the lead. Cardiothoracic surgeons (CTS) traditionally provided backup for…
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Recommendations for Anticoagulation Management in New-Onset Post-Cardiac Surgery Atrial Fibrillation
In June 2022, researchers from Saint Mary Mercy Hospital (Department of Internal Medicine), Detroit Medical Center (Department of Internal Medicine and Department of Cardiovascular Medicine), West Virginia University (Department of Cardiology), and Thomas Jefferson University (Department of Cardiology) evaluated professional society recommendation, studies, and expert thoughts on anticoagulation management in new-onset post-cardiac surgery atrial fibrillation…
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A Review of European Guidelines For PBM, Focusing on Antifibrinolytic Drug Administration for Cardiac Surgery
In June 2022, researchers from Royal Papworth Hospital, Manchester University NHA Foundation Trust, AP-HP Hospital European Georges Pompidou, Universite de PARIS, Universitat Dresden, Mater University Hospital and Mater Private Hospital, UCD Medical School, Medical Research Center of Oulu University (Anaesthesiology and Intensive Care Medicine), Kepler University Hospital GmbH (Department of Anesthesiology and Intensive Care Medicine),…
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Screening platelet function in blood donors
A recent single-center prospective study examined the prevalence of functional platelet abnormalities in blood donors with a history of bleeding diathesis or a record of hematoma exceeding 4 cm during blood donation. The study suggested that the transfusion of defective platelets might contribute to the ineffectiveness of platelet transfusion in stopping or preventing bleeding. The…
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Protecting Your Brain During Heart Surgery – Finding the Safest Way to Start the Heart-Lung Machine
A recent study conducted in 2022 proposed an optimal intervention time for cardiopulmonary bypass (CPB) to prevent critical phases of cerebral ischemia during heart procedures. The study compared two intervention times for starting the heart-lung machine (HLM) – A rapid initiation of 15 seconds and a slow initiation of 180 seconds. In addition, the cerebral…
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Predictive Models For Moderate To Severe Acute Kidney Injury Following Cardiac Surgery
In March 2022, researchers from the Cleveland Clinic, Departments of Nephrology and Hypertension, Intensive Care and Resuscitation, Quantitative Health Sciences, Cardiothoracic Anesthesiology, and Thoracic and Cardiovascular Surgery sought to determine the derivation and validation of AKI predictive models following cardiac surgery. The completed manuscript by Sevag Demirjian, Allen Bashour, Andrew Shaw, Jesse D. Schold, James…
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