Minimal Invasive Extracorporeal Circulation

doi:10.1017/9781009008143.008

Chapter 8 - Minimal Invasive Extracorporeal Circulation

Published online by Cambridge University Press: 24 October 2022

Kyriakos Anastasiadis ,

Polychronis Antonitsis ,

Helena Argiriadou and

Apostolos Deliopoulos

Edited by

Florian Falter ,

Albert C. Perrino, Jr and

Robert A. Baker

Show author details

Florian Falter: Affiliation:
Royal Papworth Hospital, Cambridge
Albert C. Perrino, Jr: Affiliation:
Yale University Medical Center, Connecticut
Robert A. Baker: Affiliation:
Flinders Medical Centre, Adelaide

Book contents

Get access

Summary

Minimal Invasive Extracorporeal Circulation’s (MiECC) unique characteristics include advances such as closed circuits with elimination of blood-air interaction, reduced hemodilution, biocompatible surfaces, and lack of scavenging and reinfusion of unprocessed shed blood. Contemporary hybrid (modular) systems allow perfusionists to safely employ MiECC in the full-spectrum cardiac surgery. MiECC provides the base for developing a multidisciplinary intraoperative strategy which encompasses a surgeon’s particular technique, goal-directed perfusion, as well as modified heparin/protamine management. As with traditional ECC techniques, MiECC requires close collaboration of surgical, anesthesiology and perfusion colleagues for optimal outcome.

Keywords

Classification of MiECC Systems Team Approach to MiECC Advantages of MiECC Designs MiECC Training

Type: Chapter
Information: Cardiopulmonary Bypass , pp. 71 - 79

DOI: https://doi.org/10.1017/9781009008143.008 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Suggested Further Reading

D’ Agostino, RS, Jacobs, JP, Badhwar, V et al. The Society of Thoracic Surgeons adult cardiac surgery database: 2019 update on outcomes and quality. Ann Thorac Surg 2019;107:24–32.Google Scholar

Benedetto, U, Puskas, J, Kappetein, AP et al. Off-Pump versus on-pump bypass surgery for left main coronary artery disease. J Am Coll Cardiol 2019;74:729–740.Google Scholar

Anastasiadis, K, Murkin, J, Antonitsis, P et al. Use of minimal invasive extracorporeal circulation in cardiac surgery: principles, definitions and potential benefits. A position paper from the Minimal Invasive Extra-Corporeal Technologies International Society (MiECTiS). Interact Cardiovasc Thorac Surg 2016;22:647–662.Google Scholar

Anastasiadis, K, Antonitsis, P, Argiriadou, H et al. Modular minimally invasive extracorporeal circulation systems; can they become the standard practice for performing cardiac surgery? Perfusion 2015;30:195–200.Google Scholar

Anastasiadis, K, Antonitsis, P, Asteriou, C et al. Quantification of operational learning in minimal invasive extracorporeal circulation. Artif Organs 2017;41:628–636.Google Scholar

Wahba, Alexander, Milojevic, Milan, Boer, Christa et al. EACTS/EACTA/EBCP Committee Reviewers, 2019 EACTS/EACTA/EBCP guidelines on cardiopulmonary bypass in adult cardiac surgery, European Journal of Cardio-Thoracic Surgery, 2020;57(2): 210–251.Google Scholar

Anastasiadis, K, Antonitsis, P, Haidich, AB et al. Use of minimal extracorporeal circulation improves outcome after heart surgery; a systematic review and meta-analysis of randomized controlled trials. Int J Cardiol 2013;164:158–169.Google Scholar

Benedetto, U, Angeloni, E, Refice, S et al. Is minimized extracorporeal circulation effective to reduce the need for red blood cell transfusion in coronary artery bypass grafting? Meta-analysis of randomized controlled trials. J Thorac Cardiovasc Surg 2009;38:1450–1453.Google Scholar

Kowalewski, M, Pawliszak, W, Raffa, GM et al. Safety and efficacy of miniaturized extracorporeal circulation when compared with off-pump and conventional coronary artery bypass grafting: evidence synthesis from a comprehensive Bayesian-framework network meta-analysis of 134 randomized controlled trials involving 22 778 patients. Eur J Cardiothorac Surg 2016;49:1428–1440.Google Scholar

Donndorf, P, Kuhn, F, Vollmar, B et al. Comparing microvascular alterations during minimal extracorporeal circulation and conventional cardiopulmonary bypass in coronary artery bypass graft surgery: a prospective, randomized study. J Thorac Cardiovasc Surg 2012;144:677–683.Google Scholar