Department of Cardiovascular Surgery, Icahn School of Medicine at Mount Sinai, Mount Sinai Hospital, New York, New York.
Department of Cardiothoracic Surgery, Maimonides Medical Center, Brooklyn, New York.
Ann Thorac Surg. 2018 Sep;106(3):e163-e165. doi: 10.1016/j.athoracsur.2018.03.027. Epub 2018 Apr 13.
Systemic inflammatory response and hemodilution are prominent factors associated with cardiopulmonary bypass and result in increased morbidity and mortality in children. Miniaturized systems have evolved to decrease such effects and restrict use of blood products, especially in the neonatal population. We have developed a table mounted cardiopulmonary bypass system that allows closer proximity of the system to the patient with consequent decrease in priming volumes, hemodilution, and its associated effects, and contributes to development into an ideally bloodless surgical approach.
全身炎症反应和血液稀释是与体外循环相关的突出因素，会导致儿童发病率和死亡率增加。微型化系统的发展旨在减少这些影响并限制血液制品的使用，特别是在新生儿人群中。我们开发了一种台式心肺旁路系统，该系统允许系统更接近患者，从而减少预充量、血液稀释及其相关影响，并有助于发展成为一种理想的无血手术方法。
