Miniaturized cardiopulmonary bypass in adult cardiac surgery: a clinical update. (1st November 2016)

• Record Type: Journal Article
• Authors: Dimarakis, Ioannis
• Is Part Of: Expert review of cardiovascular therapy. Volume 14:Number 11(2016)
• Page Start: 1245
• Page End: 1250
• Publication Date: 2016-11-01
• Subjects: Mini CPB -- conventional CPB -- heart surgery -- surgical outcomes; Cardiovascular agents -- Research -- Periodicals; 616.12061
• DOI: 10.1080/14779072.2016.1224645
• Languages: English
• ISSNs: 1477-9072

Abstract

ABSTRACT: Introduction : Cardiopulmonary bypass has undoubtedly been the cornerstone in the rapid development of cardiac surgery, allowing even the performance of procedures beyond the scope of cardiothoracic surgery. Its use however, is associated with significant complications that arise from the mechanical effects of the circuit on circulating blood components as well as the contact of blood with non-endothelial surfaces. Miniature cardiopulmonary bypass systems have been developed in an attempt to minimize these complications. Areas covered : Herein clinical outcomes from the most recent studies in adult cardiac surgery are discussed. The main benefits of miniaturisation as well as potential areas of further application are described. Expert commentary : Data is critically appraised in the context of current guidelines. Finally the need for further basic science in addition to large multi-centre randomized controlled trial data is highlighted.