Key result
Partial CPB with an antithrombotic circuit demonstrates safety in thoracic aneurysm repairs with ~7% mortality.
Why the study?
Does partial cardiopulmonary bypass using an antithrombotic circuit prevent complications in patients undergoing descending thoracic aortic aneurysm surgery?
Observational (n=15)
No
Does partial cardiopulmonary bypass using an antithrombotic circuit prevent complications in patients undergoing descending thoracic aortic aneurysm surgery?
Partial cardiopulmonary bypass using an antithrombotic circuit with low-dose systemic heparin (ACT ~200s) is safe and effective for descending thoracic aortic aneurysm surgery, avoiding major bleeding and thromboembolic complications.
Does not support practice change from 15 cases; leaves open prospective validation of antithrombotic circuits.
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Ide et al. (1997) conducted an observational in Thoracic descending and thoraco-abdominal aortic aneurysms (n=15). Partial cardiopulmonary bypass with an antithrombotic circuit was evaluated on Perioperative mortality and complications (thromboembolic, bleeding, organ failure). Partial cardiopulmonary bypass using an antithrombotic circuit was safe for thoracic descending or thoraco-abdominal aneurysm operations, with 1 perioperative death and no thromboembolic or bleeding complications among 15 patients.
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