Perfusion Pub Date : 2024-09-17 DOI: 10.1177/02676591241269729

Jacopo D'Andria Ursoleo,Rosario Losiggio,Margherita Licheri,Gaia Barucco,Stefano Lazzari,Carolina Faustini,Fabrizio Monaco,

{"title":"Minimal invasive extracorporeal circulation: A bibliometric network analysis of the global scientific output.","authors":"Jacopo D'Andria Ursoleo,Rosario Losiggio,Margherita Licheri,Gaia Barucco,Stefano Lazzari,Carolina Faustini,Fabrizio Monaco,","doi":"10.1177/02676591241269729","DOIUrl":"https://doi.org/10.1177/02676591241269729","url":null,"abstract":"INTRODUCTIONMinimal Invasive Extracorporeal Circulation (MiECC) has recently emerged as a more 'physiologic' alternative to conventional extracorporeal circulation. However, its adoption is still limited due to lack of robust scientific evidence and ongoing debate about its potential benefits. This bibliometric analysis aims to analyze the scientific articles on MiECC and identify current research domains and existing gaps to be addressed in future studies.METHODSPertinent articles were retrieved from the Web of Science (WOS) database. The search string included 'minimal invasive extracorporeal circulation' and its synonyms. The VOSviewer (version 1.6.17) software was used to conduct comprehensive analyses. Semantic and research networks, bibliographic coupling and journal analysis were performed.RESULTSOf the 1777 articles identified in WOS, 292 were retrieved. The trend in publications increased from 1991 to date. Most articles focused on transfusion requirements, acute kidney injury, inflammatory markers and cytokines, inflammation and delirium, though the impact of intraoperative optimal fluid and hemodynamic management as far as the occurrence of postoperative complications were poorly addressed. The semantic network analysis found inter-connections between the terms \"cardiopulmonary bypass\", \"inflammatory response\", and \"cardiac surgery\". Perfusion contributed the highest number of published documents. The most extensive research partnerships were between Germany, Greece, Italy, and England.CONCLUSIONSNotwithstanding the scientific community's growing interest in MiECC, crucial topics (i.e., the best anesthetic management and intraoperative need for inotropes, vasopressors and fluids) still require more comprehensive exploration. This investigation may prove to be a useful tool for clinicians, scientists, and students concerning global publication output and for the use of MiECC in cardiac surgery.","PeriodicalId":519219,"journal":{"name":"Perfusion","volume":"16 1","pages":"2676591241269729"},"PeriodicalIF":0.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142254047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Insight into myocardial ischemia-reperfusion injury from the perspective of ferroptosis 从铁蛋白沉积的角度透视心肌缺血再灌注损伤

Perfusion Pub Date : 2024-09-14 DOI: 10.1177/02676591241280371

Xia Huang, Yanni Wang, Xiangrong Cui, Qin Yan, Tingting Xue, Xuan Jing

引用次数: 0

Outcomes in peripheral right ventricular device support: Comparing the dual lumen, single canula and femoral vein cannulation strategies for right ventricular support 外周右心室装置支持的结果：比较右心室支持的双腔、单管和股静脉插管策略

Perfusion Pub Date : 2024-09-14 DOI: 10.1177/02676591241284862

Ioana B Florea, Kunal D Kotkar, Irene Fischer, Marci Damiano, Akinobu Itoh, Ralph J Damiano, Amit A Pawale, Muhammad F Masood

{"title":"Outcomes in peripheral right ventricular device support: Comparing the dual lumen, single canula and femoral vein cannulation strategies for right ventricular support","authors":"Ioana B Florea, Kunal D Kotkar, Irene Fischer, Marci Damiano, Akinobu Itoh, Ralph J Damiano, Amit A Pawale, Muhammad F Masood","doi":"10.1177/02676591241284862","DOIUrl":"https://doi.org/10.1177/02676591241284862","url":null,"abstract":"IntroductionThe Protek Duo (PtD) dual lumen, single cannula was developed as a percutaneous system for temporary mechanical support, inserted through the internal jugular vein (IJ) for both atrial inflow and pulmonary artery outflow. Outcomes of PtD compared to alternative Peripheral Right Ventricular Assist Device (pRVAD) methods are limited.MethodsA retrospective analysis was conducted of pRVAD recipients from January 2017 - February 2022 ( n = 111). These were classified into PtD ( n = 52) patients and Non-Protek [(N-PtD) ( n = 59)] recipients undergoing cannulation of the IJ and femoral vein. Results were further stratified by indication for pRVAD support: cardiogenic etiologies of heart failure and progressive ARDS.ResultsNo survival benefit was detected between PtD and N-PtD groups at 1-week (OR: 1.32, 95% CI: 0.49–3.56, p = 0.58) or 6-month (OR: 9.83, 95% CI: 0.37–1.84, p = 0.64) follow-up. There were no statistically significant differences in whether patients’ mobility progressed to out-of-bed activity ( p = 0.26) or ambulation ( p = 0.38). No differences were noted in time to out-of-bed ( p = 0.26) or time to ambulation ( p = 0.36). On subgroup analysis of patients by indication for pRVAD cannulation, these results persisted; no difference was noted in mid-term mortality (Cardiogenic: p = 0.39; ARDS: p = 0.91), progression to out-of-bed ( p = 0.59; p = 1.00), or ambulation ( p = 0.51; p-0.68). Among secondary outcomes, PtD patients had an increased dialysis requirement ( p = 0.02). There were no differences in ability to wean from RVAD ( p = 0.06), tracheostomy ( p = 0.88), major bleeding events ( p = 0.57), stroke ( p = 0.58), or hospital length of stay ( p = 0.39).ConclusionsOutcomes with PtD are comparable to those of traditional pRVAD cannulation strategies. Of note, no mobility benefit was observed to the use of PtD across several metrics.","PeriodicalId":519219,"journal":{"name":"Perfusion","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142253711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Compression-only versus standard cardiopulmonary resuscitation in out-of-hospital cardiac arrest: A meta-analysis of randomized controlled trials 院外心脏骤停患者单纯按压复苏与标准心肺复苏的比较：随机对照试验荟萃分析

Perfusion Pub Date : 2024-09-12 DOI: 10.1177/02676591241283884

Mushood Ahmed, Laveeza Fatima, Areeba Ahsan, Hritvik Jain, Rubab Zahra, Muhammad Hamza Asif, Jyoti Jain, Jawad Basit, Raheel Ahmed

{"title":"Compression-only versus standard cardiopulmonary resuscitation in out-of-hospital cardiac arrest: A meta-analysis of randomized controlled trials","authors":"Mushood Ahmed, Laveeza Fatima, Areeba Ahsan, Hritvik Jain, Rubab Zahra, Muhammad Hamza Asif, Jyoti Jain, Jawad Basit, Raheel Ahmed","doi":"10.1177/02676591241283884","DOIUrl":"https://doi.org/10.1177/02676591241283884","url":null,"abstract":"BackgroundBystander-initiated cardiopulmonary resuscitation (CPR) can improve survival rates in individuals with out-of-hospital cardiac arrest (OHCA). Two CPR approaches are commonly utilized, standard (S-CPR) with mouth-to-mouth breathing and compression-only (CO-CPR). We conducted a systematic review and meta-analysis to compare clinical outcomes associated with S-CPR versus CO-CPR in OHCA.MethodsA systematic literature search was conducted using PubMed, EMBASE, and the Cochrane Library. Eligible studies included randomized controlled trials (RCTs) focused on adult OHCA patients receiving CO-CPR or S-CPR. Forest plots were generated for pooled data analysis using Review Manager version 5.4. Random-effect analyses were used, and statistical significance was set at p < .05.ResultsFour randomized controlled trials were included in the final analysis, encompassing a total sample size of 4987 patients (2482 in the CO-CPR group and 2505 in the S-CPR group). CO-CPR was associated with significantly improved 1-day survival compared with S-CPR (OR = 1.15; 95% CI: 1.02–1.31; p = .03) and survival to hospital discharge (OR = 1.25; 95% CI: 1.01-1.55; p = .04). No heterogeneity was observed among the studies for either outcome.ConclusionCO-CPR emerges as a promising strategy for improving outcomes in OHCA compared to S-CPR. However, further large-scale RCTs are required to generate more robust evidence.","PeriodicalId":519219,"journal":{"name":"Perfusion","volume":"19 1","pages":"2676591241283884"},"PeriodicalIF":0.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142176987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

All models are wrong but some provide seemingly surprising mechanistic insights into the complexity of venoarterial extracorporeal membrane oxygenation 所有模型都是错误的，但有些模型提供了看似惊人的机理见解，揭示了静脉体外膜氧合的复杂性

Perfusion Pub Date : 2024-09-12 DOI: 10.1177/02676591241263908

Libera Fresiello, Dirk W Donker

引用次数: 0

The evolving role of the modern perfusionist: Insights from processed electro-encephalography 现代灌注师不断演变的角色：从处理过的脑电图中获得的启示

Perfusion Pub Date : 2024-09-12 DOI: 10.1177/02676591241284864

Stefaan Bouchez, Benjamin F Gruenbaum, Geert Van Vaerenbergh, Filip De Somer

{"title":"The evolving role of the modern perfusionist: Insights from processed electro-encephalography","authors":"Stefaan Bouchez, Benjamin F Gruenbaum, Geert Van Vaerenbergh, Filip De Somer","doi":"10.1177/02676591241284864","DOIUrl":"https://doi.org/10.1177/02676591241284864","url":null,"abstract":"Introduction: Since its origin in the 1920s, electroencephalography (EEG) has become a viable option for anesthesia and perfusion teams to monitor anesthetic delivery, optimizing drug dosage and enhancing patient safety. Patients undergoing cardiopulmonary bypass (CPB) are at particular high risk for excessive or inadequate anesthetic doses. During CPB, traditional physiological indicators such as heart rate and blood pressure can be significantly altered. These abnormalities are compounded by rapid changes in anesthetic concentration from hemodilution, circuit absorption, and altered pharmacokinetics. Method: This narrative highlights the use of processed EEG with spectral analysis for anesthetic management during CPB. Conclusion: We emphasize that neuromonitoring using processed EEG during CPB can assess adequacy of anesthesia delivery and monitor for pathologic conditions that can compromise brain function such as inadequate cerebral blood flow, emboli, and seizures. This information is highly valuable for the clinical team including the perfusionist, who regularly diagnose and manage these pathological conditions.","PeriodicalId":519219,"journal":{"name":"Perfusion","volume":"8 1","pages":"2676591241284864"},"PeriodicalIF":0.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142176986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Letter re: Comments on the article “Physiology of Venoarterial Extracorporeal Membrane Oxygenation” by Fresiello et al. in Perfusion 关于：对 Fresiello 等人发表在《灌注》上的文章 "体外膜肺氧合的生理学 "的评论的信

Perfusion Pub Date : 2024-09-11 DOI: 10.1177/02676591241263910

Antoine Beurton, Julien Imbault, Alexandre Ouattara

引用次数: 0

Incidence, outcomes, and predictors of new heart failure in syrian conflict-affected population following hospitalization for atrial fibrillation: A retrospective cohort study 叙利亚受冲突影响人群因心房颤动住院后新发心力衰竭的发生率、结果和预测因素：回顾性队列研究

Perfusion Pub Date : 2024-09-10 DOI: 10.1177/02676591241283883

Ibrahim Antoun, Alkassem Alkhayer, Majed Aljabal, Yaman Mahfoud, Alamer Alkhayer, Ahmed I Kotb, Joseph Barker, Riyaz Somani, G André Ng, Mustafa Zakkar

{"title":"Incidence, outcomes, and predictors of new heart failure in syrian conflict-affected population following hospitalization for atrial fibrillation: A retrospective cohort study","authors":"Ibrahim Antoun, Alkassem Alkhayer, Majed Aljabal, Yaman Mahfoud, Alamer Alkhayer, Ahmed I Kotb, Joseph Barker, Riyaz Somani, G André Ng, Mustafa Zakkar","doi":"10.1177/02676591241283883","DOIUrl":"https://doi.org/10.1177/02676591241283883","url":null,"abstract":"BackgroundAtrial fibrillation (AF) is the most common arrhythmia worldwide. Data regarding readmission for new congestive heart failure (CHF) following index admission for AF in the developing world are poorly described.ObjectivesThe study aimed to assess the rate, predictors, and outcomes of 120-day CHF readmission after index admission for AF in Syria.MethodsThis retrospective cohort study collected all adult patients without known CHF who had an index admission with AF to Latakia’s tertiary center between June 2021-December 2023. Data were taken from patients’ medical notes. The primary outcome included readmission with incident CHF within 120 of index discharge, and secondary outcomes included predictors and outcomes of these CHF readmissions.ResultsA total of 660 patients were included in the final analysis, of which 69 (11.7%) were readmitted with new CHF within 120 days of index discharge. Readmitted patients had higher median age (58 vs 70 years, p < .001). Factors that independently increased 120-day CHF incidence were age ≥60 years (HR: 9.8, 95% CI: 4.8-23.6, p < .001), diabetes mellitus (DM) (HR:2.9, 95% CI:1.7-4.9, p < .001), valvular heart disease (VHD) (HR:1.7, 95% CI:1.04-2.78, p = .047), and hypertension (HR:2.5, 95% CI:1.5-4, p < .001). Inpatient mortality occurred in six readmitted patients (9%). LVEF <40% (HR:6.7, 95% CI: 24.31, p = .01) and DM (HR:7.2, 95% CI: 1.9-33, p = .004) were independently associated with inpatient mortality.ConclusionHospitalization for new CHF was common in Syrian patients discharged with AF. The clinical predictors of incident CHF emphasize the importance of integrated management of lifestyle risk factors and common comorbidities in AF patients to optimize outcomes in resource-depleted communities.","PeriodicalId":519219,"journal":{"name":"Perfusion","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142176988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Abstract Book of the 34th ELSO SEECMO Conference and UCLA ECMO Symposium - May 2024 Los Angeles 第 34 届 ELSO SEECMO 会议暨加州大学洛杉矶分校 ECMO 研讨会摘要集 - 2024 年 5 月，洛杉矶

Perfusion Pub Date : 2024-05-31 DOI: 10.1177/02676591241252262

引用次数: 0

Book review: Goldberger’s Clinical Electrocardiography. A Simplified Approach. 10th edition 书评：Goldberger's Clinical Electrocardiography.简化方法》。第 10 版

Perfusion Pub Date : 2024-05-18 DOI: 10.1177/02676591241251440

Jasleen Nagi, Sahdev Nikhil

引用次数: 0

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