Boedeker, Rolf-Hasso

Gehron, Johannes

Herrmann, Johannes

Mayer, Eckhard

Roth, Peter

Scheffler, Matthias

Scheibelhut, Christine

Stanzel, Roger DP

Striegl, Natalie

Welters, Ingeborg

Wolff, Matthias

Introduction: Pulmonary endarterectomy (PEA) is the most effective treatment available for chronic thromboembolic pulmonary hypertension (CTEPH). Patient selection, surgical technique and perioperative management have improved patient outcomes, which are traditionally linked to surgical and center experience. However, optimal perfusion care has not been well defined. The goal of the international survey was to better characterize the contemporary perfusion management of PEA and highlight similarities and controversies. Method: The combined caseload of 15 participating centers was 5,066 cases. Topics queried included materials and types of cardiopulmonary bypass (CPB) equipment, choice of prime, fluid management, deep hypothermia strategy, temperature management, treatment of acid-base abnormalities and intraoperative hematocrit as well as anticoagulation management for heparin-induced thrombocytopenia. Conclusion: Our assessment could provide a base for further advancement and may help design future studies to elucidate the impact of perfusion in this challenging field. </jats:sec

Roger D.P. Stanzel

Johannes Gehron

Matthias Wolff

Natalie Striegl

Peter Roth

Rolf-Hasso Boedeker

Christine Scheibelhut

Johannes Herrmann

Ingeborg Welters

Eckhard Mayer

Matthias Scheffler

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Perfusion

International survey on the perioperative management of pulmonary endarterectomy: the perfusion perspective

IntroductionPulmonary endarterectomy (PEA) is the most effective treatment available for chronic thromboembolic pulmonary hypertension (CTEPH). Patient selection, surgical technique and perioperative management have improved patient outcomes, which are traditionally linked to surgical and center experience. However, optimal perfusion care has not been well defined. The goal of the international survey was to better characterize the contemporary perfusion management of PEA and highlight similarities and controversies.MethodThe combined caseload of 15 participating centers was 5,066 cases. Topics queried included materials and types of cardiopulmonary bypass (CPB) equipment, choice of prime, fluid management, deep hypothermia strategy, temperature management, treatment of acid-base abnormalities and intraoperative hematocrit as well as anticoagulation management for heparin-induced thrombocytopenia.ConclusionOur assessment could provide a base for further advancement and may help design future studies to elucidate the impact of perfusion in this challenging field

University of Liverpool Repository

International survey on the perioperative management of pulmonary endarterectomy: the perfusion perspective

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University of Liverpool Repository