Journal of Artificial Organs最新文献_第7页

On the total albumin losses during haemocatharsis. 关于血液净化过程中白蛋白的总损失。

IF 1.1 4区医学

Journal of Artificial Organs Pub Date : 2024-06-01 Epub Date: 2024-01-18 DOI: 10.1007/s10047-023-01430-y

Anastasios J Karabelas

{"title":"On the total albumin losses during haemocatharsis.","authors":"Anastasios J Karabelas","doi":"10.1007/s10047-023-01430-y","DOIUrl":"10.1007/s10047-023-01430-y","url":null,"abstract":"Excessive albumin losses during HC (haemocatharsis) are considered a potential cause of hypoalbuminemia-a key risk factor for mortality. This review on total albumin losses considers albumin \"leaking\" into the dialysate and losses due to protein/membrane interactions (i.e. adsorption, \"secondary membrane formation\" and denaturation). The former are fairly easy to determine, usually varying at the level of ~ 2 g to ~ 7 g albumin loss per session. Such values, commonly accepted as representative of the total albumin losses, are often quoted as limits/standards of permissible albumin loss per session. On albumin mass lost due to adsorption/deposition, which is the result of complicated interactions and rather difficult to determine, scant in vivo data exist and there is great uncertainty and confusion regarding their magnitude; this is possibly responsible for neglecting their contribution to the total losses at present. Yet, many relevant in vitro studies suggest that losses of albumin due to protein/membrane interactions are likely comparable to (or even greater than) those due to leaking, particularly in the currently favoured high-convection HDF (haemodiafiltration) treatment. Therefore, it is emphasised that top research priority should be given to resolve these issues, primarily by developing appropriate/facile in vivo test-methods and related analytical techniques.","PeriodicalId":15177,"journal":{"name":"Journal of Artificial Organs","volume":" ","pages":"91-99"},"PeriodicalIF":1.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11126488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139491221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Occurrence of fever in cell-free and concentrated ascites reinfusion therapy is not related to the primary disease or nature of ascites. 无细胞腹水和浓缩腹水再灌注疗法中发热的发生与腹水的原发疾病或性质无关。

IF 1.3 4区医学

Journal of Artificial Organs Pub Date : 2024-06-01 Epub Date: 2023-05-13 DOI: 10.1007/s10047-023-01402-2

Shohei Fukunaga, Masahiro Egawa, Takafumi Ito, Kazuaki Tanabe

引用次数: 0

Long-term valve performance of St Jude Medical Epic porcine bioprosthesis in aortic position. St Jude Medical Epic 猪生物人工瓣膜在主动脉位置的长期瓣膜性能。

IF 1.3 4区医学

Journal of Artificial Organs Pub Date : 2024-06-01 Epub Date: 2023-04-26 DOI: 10.1007/s10047-023-01401-3

Kana Shibata, Shusaku Maeda, Noriyuki Kashiyama, Hiroki Nakatsuji, Masahiro Ryugo, Yasushi Tsutsumi, Osamu Monta

{"title":"Long-term valve performance of St Jude Medical Epic porcine bioprosthesis in aortic position.","authors":"Kana Shibata, Shusaku Maeda, Noriyuki Kashiyama, Hiroki Nakatsuji, Masahiro Ryugo, Yasushi Tsutsumi, Osamu Monta","doi":"10.1007/s10047-023-01401-3","DOIUrl":"10.1007/s10047-023-01401-3","url":null,"abstract":"The aim of this study was to review long-term clinical outcomes and valve performance after Epic Supra valve implantation in aortic position. From 2011 to 2022, 44 patients (mean age 75 ± 8 years) underwent surgical aortic valve replacement (SAVR) with an Epic Supra valve at our hospital. Survival, incidence of late complications, and echocardiographic date were retrospectively analyzed. During a mean follow-up period of 6.2 ± 3.5 years, the overall survival rate was 91 ± 4% at 2 and 88 ± 5% at 5 years, while rates of freedom from major adverse cardiovascular and cerebrovascular events (MACCE) were 86 ± 5% and 83 ± 6%, respectively. There was one case of reoperation for prosthetic valve endocarditis at 6 years after the initial surgery. Echocardiographic examinations showed 5-year rates of freedom from severe structural valve deterioration (SVD) and moderate SVD of 100 and 92%, respectively. There was no significant increase in mean pressure gradient or decrease in left ventricular ejection fraction from 1 week after surgery to the late follow-up period. Long-term clinical results and durability of the Epic Supra valve in aortic position were satisfactory.","PeriodicalId":15177,"journal":{"name":"Journal of Artificial Organs","volume":" ","pages":"131-137"},"PeriodicalIF":1.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9348856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Successful use of extracorporeal life support and hemadsorption in the context of venlafaxine intoxication requiring cardiopulmonary resuscitation: a case report. 在文拉法辛中毒需要心肺复苏的情况下成功使用体外生命支持和吸血疗法：病例报告。

IF 1.1 4区医学

Journal of Artificial Organs Pub Date : 2024-06-01 Epub Date: 2023-04-28 DOI: 10.1007/s10047-023-01399-8

Matthias Hoffmann, Samira Akbas, Rahel Kindler, Dominique Bettex

{"title":"Successful use of extracorporeal life support and hemadsorption in the context of venlafaxine intoxication requiring cardiopulmonary resuscitation: a case report.","authors":"Matthias Hoffmann, Samira Akbas, Rahel Kindler, Dominique Bettex","doi":"10.1007/s10047-023-01399-8","DOIUrl":"10.1007/s10047-023-01399-8","url":null,"abstract":"Venlafaxine is a serotonin and noradrenalin reuptake inhibitor prescribed as an antidepressant. Overdose clinically manifests with neurological, cardiovascular and gastrointestinal abnormalities based on, amongst others, serotonin syndrome and can be life-threatening due to cardiovascular collapse. Besides immediate decontamination via gastric lavage and inhibition of enteral absorption through active charcoal, successful hemadsorption with CytoSorb® has been reported. We present the case of a 17-year-old female who required extracorporeal life support (ECLS) for cardiovascular collapse as a result of life-threatening venlafaxine intoxication. Serial serum blood concentrations of venlafaxine/desmethylvenlafaxine on admission at a tertiary hospital (approx. 24 h after ingestion) and subsequently 6 h and 18 h thereafter, as well as on days 2 and 4, were measured. CytoSorb® was initiated 6 h after admission and changed three times over 72 h. The initial blood concentration of venlafaxine/desmethylvenlafaxine was 53.52 µmol/l. After 6 h, it declined to 30.7 µmol/l and CytoSorb® was initiated at this point. After 12 h of hemadsorption, the blood level decreased to 9.6 µmol/l. On day 2, it was down to 7.17 µmol/l and decreased further to 3.74 µmol/l. Additional continuous renal replacement therapy using CVVHD was implemented on day 5. The combination of hemadsorption, besides traditional decontamination strategies along maximal organ supportive therapy with ECLS, resulted in the intact neurological survival of the highest venlafaxine intoxication reported in the literature to date. Hemadsorption with CytoSorb® might help to reduce blood serum levels of venlafaxine. Swift clearance of toxic blood levels may support cardiovascular recovery after life-threatening intoxications.","PeriodicalId":15177,"journal":{"name":"Journal of Artificial Organs","volume":" ","pages":"167-171"},"PeriodicalIF":1.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11126471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9357849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of the reproducibility of preoperative three-dimensional computed tomography planning for posterolateral approach total hip arthroplasty. 评估后外侧入路全髋关节置换术术前三维计算机断层扫描规划的可重复性。

IF 1.3 4区医学

Journal of Artificial Organs Pub Date : 2024-06-01 Epub Date: 2023-04-20 DOI: 10.1007/s10047-023-01396-x

Takehiro Kaneoka, Takashi Imagama, Tomoya Okazaki, Yuta Matsuki, Takehiro Kawakami, Kazuhiro Yamazaki, Takashi Sakai

{"title":"Evaluation of the reproducibility of preoperative three-dimensional computed tomography planning for posterolateral approach total hip arthroplasty.","authors":"Takehiro Kaneoka, Takashi Imagama, Tomoya Okazaki, Yuta Matsuki, Takehiro Kawakami, Kazuhiro Yamazaki, Takashi Sakai","doi":"10.1007/s10047-023-01396-x","DOIUrl":"10.1007/s10047-023-01396-x","url":null,"abstract":"The anteversion of the stem is occasionally intentionally changed by the surgeon for patients with smaller femoral neck anteversion during total hip arthroplasty (THA). However, the reproducibility of preoperative planning with increasing anteversion has been rarely assessed. The present study investigated it using two types of stems. This retrospective study included patients who underwent primary posterolateral THA using taper-wedge (TS group; 73 hips) and anatomical (AS group; 70 hips) stems. Characteristics of sex and age were matched in the two groups by propensity score matching. In both groups, the relationship between the preoperative three-dimensional planning and postoperative stem position, and the relationship between postoperative stem position and femoral neck anteversion (FNA) were evaluated. In the TS group, there were no significant differences in average stem anteversion (SA) between preoperative planning and postoperative placement (36.1° ± 7.0° and 36.6° ± 11.1°, respectively: p = 0.651). The absolute error of SA was 8.1° ± 6.4°. In the AS group, the postoperative SA was significantly smaller than the preoperative planning SA (22.7° ± 11.6° and 30.0° ± 9.3°, respectively: p < 0.001). The absolute error of SA was 9.0° ± 5.8°. The postoperative SA was significantly larger than the FNA in the TS group (36.6° ± 11.1° and 26.3° ± 10.9°, respectively: p < 0.001). However, no significant differences between the two were observed in the AS group (23.7° ± 10.1° and 22.7° ± 11.6°, respectively: p = 0.253). The preoperative planning of intentional increasing anteversion did not show high reproducibility with taper-wedge and anatomical stems. The anatomical stem was placed according to the femoral medullary canal regardless of preoperative planning with increased SA.","PeriodicalId":15177,"journal":{"name":"Journal of Artificial Organs","volume":" ","pages":"146-153"},"PeriodicalIF":1.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9773930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Veno-arterial-venous extracorporal membrane oxygenation (V-AV ECMO) in a patient in ARDS and cardiac instability after severe polytrauma. 对一名严重多发性创伤后出现 ARDS 和心脏不稳定的患者进行静脉-动脉-静脉椎体外膜氧合（V-AV ECMO）治疗。

IF 1.1 4区医学

Journal of Artificial Organs Pub Date : 2024-06-01 Epub Date: 2023-04-18 DOI: 10.1007/s10047-023-01393-0

Johannes Heymer, Benjamin Fohr, Daniel Raepple

引用次数: 0

Neuron-specific enolase levels immediately following cardiovascular surgery is modulated by hemolysis due to cardiopulmonary bypass, making it unsuitable as a brain damage biomarker. 心血管手术后的神经元特异性烯醇化酶水平会受到心肺旁路溶血的影响，因此不适合作为脑损伤的生物标志物。

IF 1.1 4区医学

Journal of Artificial Organs Pub Date : 2024-06-01 Epub Date: 2023-04-29 DOI: 10.1007/s10047-023-01398-9

Nobuya Motoyoshi, Masahiro Tsutsui, Kouji Soman, Tomonori Shirasaka, Takayuki Narita, Shingo Kunioka, Katsuyuki Naya, Daisuke Yamazaki, Masahiko Narita, Hiroyuki Kamiya

{"title":"Neuron-specific enolase levels immediately following cardiovascular surgery is modulated by hemolysis due to cardiopulmonary bypass, making it unsuitable as a brain damage biomarker.","authors":"Nobuya Motoyoshi, Masahiro Tsutsui, Kouji Soman, Tomonori Shirasaka, Takayuki Narita, Shingo Kunioka, Katsuyuki Naya, Daisuke Yamazaki, Masahiko Narita, Hiroyuki Kamiya","doi":"10.1007/s10047-023-01398-9","DOIUrl":"10.1007/s10047-023-01398-9","url":null,"abstract":"Neuron-specific enolase (NSE) is one of the biomarkers used as an indicator of brain disorder, but since it is also found in blood cell components, there is a concern that a spurious increase in NSE may occur after cardiovascular surgery, where cardiopulmonary bypass (CPB) causes hemolysis. In the present study, we investigated the relationship between the degree of hemolysis and NSE after cardiovascular surgery and the usefulness of immediate postoperative NSE values in the diagnosis of brain disorder. A retrospective study of 198 patients who underwent surgery with CPB in the period from May 2019 to May 2021 was conducted. Postoperative NSE levels and Free hemoglobin (F-Hb) levels were compared in both groups. In addition, to verify the relationship between hemolysis and NSE, we examined the correlation between F-Hb levels and NSE levels. We also examined whether different surgical procedures could produce an association between hemolysis and NSE. Among 198 patients, 20 had postoperative stroke (Group S) and 178 had no postoperative stroke (Group U). There was no significant difference in postoperative NSE levels and F-Hb levels between Group S and Group U (p = 0.264, p = 0.064 respectively). F-Hb and NSE were weakly correlated (r = 0.29. p < 0.01). In conclusion, NSE level immediately after cardiac surgery with CPB is modified by hemolysis rather than brain injury, therefore it would be unreliable as a biomarker of brain disorder.","PeriodicalId":15177,"journal":{"name":"Journal of Artificial Organs","volume":" ","pages":"100-107"},"PeriodicalIF":1.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11126439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9370396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Late outflow graft stenosis of left ventricular assist device and endovascular treatment. 左心室辅助装置和血管内治疗的晚期流出导管狭窄。

IF 1.1 4区医学

Journal of Artificial Organs Pub Date : 2024-06-01 Epub Date: 2023-05-05 DOI: 10.1007/s10047-023-01400-4

Sedat Karaca, Dilek Erdinli, Umit Kahraman, Celal Çınar, Çağatay Engin, Tahir Yağdı, Mustafa Özbaran

引用次数: 0

Diamond-like carbon coating to inner surface of polyurethane tube reduces Staphylococcus aureus bacterial adhesion and biofilm formation. 聚氨酯管内表面的类金刚石碳涂层可减少金黄色葡萄球菌的细菌粘附和生物膜的形成。

IF 1.3 4区医学

Journal of Artificial Organs Pub Date : 2024-06-01 Epub Date: 2023-05-25 DOI: 10.1007/s10047-023-01403-1

Noriaki Kuwada, Yasuhiro Fujii, Tatsuyuki Nakatani, Daiki Ousaka, Tatsunori Tsuji, Yuichi Imai, Yasuyuki Kobayashi, Susumu Oozawa, Shingo Kasahara, Kazuo Tanemoto

{"title":"Diamond-like carbon coating to inner surface of polyurethane tube reduces Staphylococcus aureus bacterial adhesion and biofilm formation.","authors":"Noriaki Kuwada, Yasuhiro Fujii, Tatsuyuki Nakatani, Daiki Ousaka, Tatsunori Tsuji, Yuichi Imai, Yasuyuki Kobayashi, Susumu Oozawa, Shingo Kasahara, Kazuo Tanemoto","doi":"10.1007/s10047-023-01403-1","DOIUrl":"10.1007/s10047-023-01403-1","url":null,"abstract":"Staphylococcus aureus is one of the main causative bacteria for polyurethane catheter and artificial graft infection. Recently, we developed a unique technique for coating diamond-like carbon (DLC) inside the luminal resin structure of polyurethane tubes. This study aimed to elucidate the infection-preventing effects of diamond-like carbon (DLC) coating on a polyurethane surface against S. aureus. We applied DLC to polyurethane tubes and rolled polyurethane sheets with our newly developed DLC coating technique for resin tubes. The DLC-coated and uncoated polyurethane surfaces were tested in smoothness, hydrophilicity, zeta-potential, and anti-bacterial properties against S. aureus (biofilm formation and bacterial attachment) by contact with bacterial fluids under static and flow conditions. The DLC-coated polyurethane surface was significantly smoother, more hydrophilic, and had a more negative zeta-potential than did the uncoated polyurethane surface. Upon exposure to bacterial fluid under both static and flow conditions, DLC-coated polyurethane exhibited significantly less biofilm formation than uncoated polyurethane, based on absorbance measurements. In addition, the adherence of S. aureus was significantly lower for DLC-coated polyurethane than for uncoated polyurethane under both conditions, based on scanning electron microscopy. These results show that applying DLC coating to the luminal resin of polyurethane tubes may impart antimicrobial effects against S. aureus to implantable medical polyurethane devices, such as vascular grafts and central venous catheters.","PeriodicalId":15177,"journal":{"name":"Journal of Artificial Organs","volume":" ","pages":"108-116"},"PeriodicalIF":1.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11126441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9872016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient-tailored silicone plug for HeartMate 3™ left ventricular assist device explantation. 为HeartMate 3™左心室辅助装置植入量身定制的硅胶塞。

IF 1.1 4区医学

Journal of Artificial Organs Pub Date : 2024-06-01 Epub Date: 2023-04-26 DOI: 10.1007/s10047-023-01397-w

Mohamed Elbayomi, Rene Tandler, Nina Ebel, Dirk W Schubert, Siegfried Werner, Markus Kondruweit, Micheal Weyand, Christian Heim

引用次数: 0