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分支型 Cryolife-Jotec Evita Open NEO 杂交假体织物过度渗血。

Excessive oozing through the fabric of the branched Cryolife-Jotec Evita Open NEO hybrid prosthesis.

机构信息

Department of Cardiovascular Surgery, University Heart Center Freiburg, Bad Krozingen, Germany.

Faculty of Medicine, Albert Ludwigs University Freiburg, Freiburg, Germany.

出版信息

Eur J Cardiothorac Surg. 2021 Jul 30;60(2):423-424. doi: 10.1093/ejcts/ezab058.

DOI:10.1093/ejcts/ezab058
PMID:33729458
Abstract

We report 3 cases of excessive oozing after aortic arch replacement using the frozen elephant trunk technique through the fabric of the branched Cryolife-Jotec Evita Open NEO hybrid prosthesis. After weaning from cardiopulmonary bypass, protamine administration as well as standard substitution of plasmatic and cellular coagulation adjusted to thrombelastometry, excessive oozing persisted leading to a complicated postoperative course in all 3 patients.

摘要

我们报告了 3 例使用分支 Cryolife-Jotec Evita Open NEO 杂交假体的冷冻象鼻技术进行主动脉弓置换后过度渗血的病例。体外循环脱机后，给予鱼精蛋白，并根据血栓弹性描记术标准替代血浆和细胞凝血，尽管如此，所有 3 例患者仍持续过度渗血，导致术后过程复杂。

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引用本文的文献

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Standardized bleeding tests in a non-coated novel hybrid prosthesis for frozen elephant trunk demonstrates minimal oozing during full heparinization, supported by clinical data.在一种用于冷冻象鼻的非涂层新型混合假体中进行的标准化出血测试表明，在充分肝素化期间渗血极少，临床数据也支持这一点。
Front Cardiovasc Med. 2023 Dec 14;10:1303816. doi: 10.3389/fcvm.2023.1303816. eCollection 2023.
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Initial Asian experience of the branched E-vita open NEO in complex aortic pathologies.
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