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Cardiopulmonary bypass (CPB) or heart-lung machine, also called the pump or CPB pump, is a machine that temporarily takes over the function of the heart and lungs during open-heart surgery by maintaining the circulation of blood and oxygen throughout the body. [1] As such it is an extracorporeal device. CPB is operated by a perfusionist. The ...
Impella was approved for mechanical circulatory support in 2008, but large-scale, real-world data on its use are lacking. In June 2008, the Impella 2.5 heart pump received FDA 510(k) clearance [22] for partial circulatory support for periods of up to six hours during cardiac procedures not requiring cardiopulmonary bypass.
Cardiac surgery, or cardiovascular surgery, is a surgery on the heart or great vessels performed by cardiac surgeons.It is often used to treat complications of ischemic heart disease (for example, with coronary artery bypass grafting); to correct congenital heart disease; or to treat valvular heart disease from various causes, including endocarditis, rheumatic heart disease, [1] and ...
Catheterization and establishment of cardiopulmonary bypass After harvesting, the pericardium —the sac that surrounds the heart—is opened and stay sutures are placed to keep it open. Purse string sutures are placed in the aorta to prepare the insertions of the cannula into the aorta, and a catheter which temporarily arrests the heart using ...
Generally, it is used either post-cardiopulmonary bypass or in late-stage treatment of a person with profound heart and/or lung failure, although it is now seeing use as a treatment for cardiac arrest in certain centers, allowing treatment of the underlying cause of arrest while circulation and oxygenation are supported.
Minimally invasive direct coronary artery bypass (MIDCAB) is a surgical treatment for coronary heart disease that is a less invasive method of coronary artery bypass surgery (CABG). [1] MIDCAB gains surgical access to the heart with a smaller incision than other types of CABG.
The development of cardiac surgery and cardiopulmonary bypass techniques has reduced the mortality rates of these surgeries to relatively low ranks. For instance, repairs of congenital heart defects are currently estimated to have 4–6% mortality rates. [23] [24] A major concern with cardiac surgery is the incidence of neurological damage.
Richard A. DeWall (1926–2016), was an American cardiothoracic surgeon who in 1955 created the first workable, portable bubble oxygenator that removed bubbles, thus avoiding gas embolism during cardiopulmonary bypass. Later, he wrote the original plans for what became the Wright State University School of Medicine.
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