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classification of miecc systems

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Chapter 8 - Minimal Invasive Extracorporeal Circulation
- By Kyriakos Anastasiadis, Polychronis Antonitsis, Helena Argiriadou, Apostolos Deliopoulos
Edited by Florian Falter, Albert C. Perrino, Jr, Robert A. Baker
Book:

Cardiopulmonary Bypass

Published online:

24 October 2022

Print publication:

10 November 2022, pp 71-79
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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.