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The Annals of Thoracic Surgery, Vol 58, 573-574, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Alternative method of ultrafiltration after cardiopulmonary bypass

RC Groom, BF Akl, RA Albus, A Hill, R Munoz and EA Lefrak
Cardiovascular Surgery Service, Virginia Heart Center, Fairfax Hospital, Falls Church, Virginia.

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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