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Robert C. Groom
Bechara F. Akl
Robert A. Albus
Aaron Hill
Ruben Munoz
Edward A. Lefrak
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Ann Thorac Surg 1994;58:573-574
© 1994 The Society of Thoracic Surgeons

Articles

Alternative method of ultrafiltration after cardiopulmonary bypass

Robert C. Groom, CCP, Bechara F. Akl, MD, Robert A. Albus, MD, Aaron Hill, CCP, Ruben Munoz, CCP, Edward A. Lefrak, MD*

Cardiovascular Surgery Service, Virginia Heart Center at Fairfax Hospital, Falls Church, Virginia USA

Accepted for publication May 3, 1994.

* Address reprint requests to Dr Lefrak, 3301 Woodburn Rd, Suite 301, Annandale, VA 22003.

A revised circuit design for modified ultrafiltration is presented rendering the technique more convenient for use after cardiopulmonary bypass when blood cardioplegia is used. The procedure employs a hollow-fiber ultrafiltration device attached to the cardioplegia circuit. A bubble trap, heat exchanger, and a pressure monitor are incorporated as safety features. The technique has been used in 80 patients (30 pediatric and 50 adult) and has been associated with relevant increases in colloid osmotic pressure and hematocrit.




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