About: Are minimized perfusion circuits the better heart lung machines? Final results of a prospective randomized multicentre study     Goto   Sponge   NotDistinct   Permalink

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  • Introduction: Minimized perfusion circuits (MPCs), although aiming at minimizing the adverse effects of cardiopulmonary bypass, have not yet gained popularity. This can be attributed to concerns regarding their safety, as well as lack of sufficient evidence of their benefit. Methods: Described is a randomized, multicentre study comparing the MPC - ROCsafeRX to standard cardiopulmonary bypass in patients undergoing elective coronary artery bypass grafting and/ or aortic valve replacement. Results: Five hundred patients were included in the study (252 randomized to the ROCsafeRX group and 248 to standard cardiopulmonary bypass). Both groups were well matched for demographic characteristics and type of surgery. No operative mortality and no device-related complications were encountered. Transfusion requirement (333 +/- 603 vs. 587 +/- 1010 ml; p= 0.001), incidence of atrial fibrillation (16.3% vs. 24.2%; p= 0.03) and the incidence of major adverse events (9.1% vs. 16.5%; p= 0.02) were all in favour of the MPC group. Conclusion: These results confirm both the safety and efficacy of the ROCsafeRX MPC for a large variety of cardiac patients. Minimized perfusion circuits should, therefore, play a greater role in daily practice so that as many patients as possible can benefit from their advantages.
  • Introduction: Minimized perfusion circuits (MPCs), although aiming at minimizing the adverse effects of cardiopulmonary bypass, have not yet gained popularity. This can be attributed to concerns regarding their safety, as well as lack of sufficient evidence of their benefit. Methods: Described is a randomized, multicentre study comparing the MPC - ROCsafeRX to standard cardiopulmonary bypass in patients undergoing elective coronary artery bypass grafting and/ or aortic valve replacement. Results: Five hundred patients were included in the study (252 randomized to the ROCsafeRX group and 248 to standard cardiopulmonary bypass). Both groups were well matched for demographic characteristics and type of surgery. No operative mortality and no device-related complications were encountered. Transfusion requirement (333 +/- 603 vs. 587 +/- 1010 ml; p= 0.001), incidence of atrial fibrillation (16.3% vs. 24.2%; p= 0.03) and the incidence of major adverse events (9.1% vs. 16.5%; p= 0.02) were all in favour of the MPC group. Conclusion: These results confirm both the safety and efficacy of the ROCsafeRX MPC for a large variety of cardiac patients. Minimized perfusion circuits should, therefore, play a greater role in daily practice so that as many patients as possible can benefit from their advantages. (en)
Title
  • Are minimized perfusion circuits the better heart lung machines? Final results of a prospective randomized multicentre study
  • Are minimized perfusion circuits the better heart lung machines? Final results of a prospective randomized multicentre study (en)
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  • Are minimized perfusion circuits the better heart lung machines? Final results of a prospective randomized multicentre study
  • Are minimized perfusion circuits the better heart lung machines? Final results of a prospective randomized multicentre study (en)
skos:notation
  • RIV/00216208:11140/11:10282048!RIV15-MSM-11140___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • V
http://linked.open...iv/cisloPeriodika
  • 6
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 187061
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11140/11:10282048
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • atrial fibrillation; blood transfusion; aortic valve replacement; coronary artery bypass surgery; minimized perfusion circuits (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • GB - Spojené království Velké Británie a Severního Irska
http://linked.open...ontrolniKodProRIV
  • [A3F4FF3132B0]
http://linked.open...i/riv/nazevZdroje
  • Perfusion
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 26
http://linked.open...iv/tvurceVysledku
  • Hájek, Tomáš
  • Sabol, František
  • Škorpil, Jiří
  • Böning, Andreas
  • El-Essawi, Aschraf
  • Harringer, Wolfgang
  • Hausmann, Harald
  • Ostrovsky, Yuri
http://linked.open...ain/vavai/riv/wos
  • 000297503600004
issn
  • 0267-6591
number of pages
http://bibframe.org/vocab/doi
  • 10.1177/0267659111419035
http://localhost/t...ganizacniJednotka
  • 11140
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