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Ann Thorac Surg 2000;70:990-992
© 2000 The Society of Thoracic Surgeons

How to do it

A circuit to perform a combined ultrafiltration procedure in pediatric open heart surgery

Gianluca Brancaccio, MDa, Fabio Miraldi, MDa, Luigi Tritapepe, MDa, Massimo Goraccib, Edvin Prifti, MDa

a Institute of Cardiovascular Surgery, University "La Sapienza", Rome, Italy
b Perfusion Service of Cardiac Surgery, University "La Sapienza", Rome, Italy

Address reprint requests to Dr Brancaccio, II Cattedra di Cardiochirurgia, Istituto di Chirurgia del Cuore e dei Grossi Vasi, Università degli Studi di Roma, "La Sapienza", Policlinico Umberto I, Viale del Policlinico, 155, 00161 Rome, Italy
e-mail: gbrancaccio70{at}hotmail.com

Cardiopulmonary bypass (CPB) induces an increased capillary permeability and tissues water content due to hemodilution and the inflammatory response, resulting in organ dysfunction. The reduction of the water accumulation and inflammatory response can be achieved by employing ultrafiltration during CPB. Recently we developed a simple CPB circuit for ultrafiltration using the aortic venting tube as an inlet line. Such a technique offers the advantages of performing a combined ultrafiltration procedure and eliminating the danger of air embolism. We employed this circuit in 12 consecutive pediatric patients undergoing open heart surgery.




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