TAVR: TransAortic or TransFemoral?

Editor’s Note: The last few places I have visited were programs that were scaling up their TAVR programs.  There are some pretty exciting and innovative technologies on the rise in the realm of Hybrid technology.  Many of us standby for these procedures, I personally have only had to place one patient on emergent CPB- primarily for […]

AngioVac 101: A Perfusion Primer

Editor’s Note: Thought I would drop a quick primer on the use of the AngioVac system for percutaneous clot extraction.  The YouTube video right below is very comprehensive and should explain 90%of our involvement as well as the process. Have an excellent Monday!  🙂 Equipment Images Process  Product Description   All contents are sterile/single-use only. This […]

Welcome to HIPEC!

2 Cone Heads 🙂 Editor’s Note: I had an opportunity to assist and learn how to do a HIPEC procedure.  This was an extraordinary experience, and this perfusion group in Iowa should definitely be recognized for the advanced perfusion techniques they do routinely, that many of us have never had the opportunity to be a part […]

New Technologies: The MedLED CHROME Headlight

Editor’s Note: Recently at one of the OR’s I was visiting, we had a visit from a rep from The KLS Martin Group, regarding a fresh perspective on an old problem: Cordless Headlights that have the muscle to last through an open heart procedure. I was impressed with the enthusiasm and tenaciousness of this KLS representative, Lauren […]

Cardiac Stents [1] Are We Stenting too Much ?

“At a time when the health care industry faces much ambiguity through reform, one certainty is apparent: Resources will be more constrained as we face a shortage of physicians, an influx of chronic condition patients, and declining reimbursements.” Editor’s Note: I had an interesting discussion with our chief cardiac surgeon the other day, it is […]

Perfusion Art: “My Colleagues”

  “My Colleagues”    ________Click image to enlarge Photographer:  Suneel Lakki Equipment:  Digital Editing:  Photoshop:  Metal Gradient. Narrative: Eyes up & Eyes down Time & Place:   2014 Fortis Memorial Research Institute About The Picture:  Eye contact has been made… To View The Entire Gallery- Click the Image Below To Submit A Picture: email:  EccLog@gmail.com

Perfusion Art: “Transeptal RA to LA”

“Transeptal RA to LA”    ________Click image to enlarge Sketch Artist:  Brian White Equipment:  Pen & Projector Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative: Sometimes art is needed to understand the entire picture. Transeptal RA to LA off load cannula with VA ECMO. Time & Place:   2014  West Texas About The Picture:  Sometimes you gotta get artistic […]

Perfusion Art: “Timid”

“Timid”    ________Click image to enlarge Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative: Scrubbed in for 1 hour- and gloves are totally clean… Time & Place:   2014  West Texas About The Picture:  During-Bypass To View The Entire Gallery- Click the Image Below To Submit A Picture: email:  EccLog@gmail.com

Perfusion Art: “Heart Surgery in Texas”

“Heart Surgery in Texas”    ________Click image to enlarge Editor’s Note: This is a great picture- Nikki going to town right b4 a heart case. Photographer:  Nikki’s Friend Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative: Riding herd before a heart case. Time & Place:   2014  West Texas About The Picture:  Before-Bypass To View The Entire […]

Perfusion Art: “B F F”

“B F F”    ________Click image to enlarge Photographer:  Cik Abul Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative: Malaysian perfusionist:  “The Clamp is BFF” Time & Place:   The World: 2014 About The Picture:  Before-Bypass About The Artist: I Think this says it all 🙂 To View The Entire Gallery- Click the Image Below To […]

Perfusion Art: “Breakfast Club”

“Breakfast Club”    ________Click image to enlarge Photographer:  Dario Fichera Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative: Typical chats B4 Bypass Time & Place:   The World: 2014 About The Picture:  Before-Bypass About The Artist: I Think this says it all 🙂 To View The Entire Gallery- Click the Image Below To Submit A Picture: email:  EccLog@gmail.com

Perfusion Art: “Oximetry”

“Oximetry”    ________Click image to enlarge Editor’s Note: This is a great picture- but it is also a great addition to our practice. The CASMED FORE-SIGHT Cerebral Oximeter has definitely improved our insight (in terms of adequacy of cerebral perfusion). Click Here to see the Technical Specs… Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  […]

FORE-SIGHT: Anticipating and Mediating Cerebral Ischemia?

Click Image to view corporate site. Editor’s Note: I used the FORE-SIGHT cerebral oximeter, the other day on a patient with documented carotid disease.  I watched the monitor closely for changes as the changes were made while on bypass (Q, pressure, sweep gas, temperature, cardiac index, X-clamping, cardioplegia, and so forth). It is a sensitive […]

Femoral Cannulation for CPB: Tips and Discussion…

Editors Note: I got this email today: “Respected Sir / Mam, This is Shahriar from Bangladesh. I am interested to know about femoral bypass technique.  Awaiting for your kind suggestion. Regards, Towfiq Shahriar Islam Khan, Perfusionist IBN SINA Hospital (Cardiac Centre) Bangladesh” Hence, the following article. Please feel free to add suggestions or advise as […]

The Avalon Bi-Caval Dual Lumen Catheter

Have you used a percutaneous venous cannula like this? The AVALONELITE :  Bi-Caval Dual Lumen Catheter (Click image to visit website) A Discussion on Cannula Positioning Proper cannula positioning in single site veno-venous extracorporeal life support (vv-ELS) is cumbersome and necessitates image guidance to obtain a safe and stable position within the heart and the […]

When Your Valve Specialist- Becomes Your Teacher…

Matt Braga, Southwest Region Manager (Medtronic), getting us prepped for the Lab. Editor’s Note: There are a few things I have missed in my career development, one of which was direct hands-on experience 1st assisting on open-heart procedures, and and valve operations.  It seems I always 1st assisted at institutions that didn’t do open-hearts. Well, […]

Perfusion Apps- Updated

Perfusion Apps … Well now that we have that shiny new smart phone.  What do we do with it, and more importantly, how do we get ourselves to become smarter than we already are? A true conundrum in a profession where intellectual elegance is measured in terms of survival and good patient outcomes. I’m being […]

ECMO Research Study : This is a PAID Survey…

Editor’s Note: I spoke with this gentleman on the phone for a bit.  He was a well spoken and forthright individual.  This survey is important for our profession in terms of evaluating new ECMO principals and applications. Please respond to his email or phone number if you are interested in participating in the survey/study 🙂 […]

VAD’s & Device Availability List

A ventricular assist device (VAD) is a mechanical circulatory device that is used to partially or completely replace the function of a failing heart. Some VADs are intended for short term use, typically for patients recovering from heart attacks or heart surgery, while others are intended for long-term use (months to years and in some […]

Cerebral Oximetry: FORE-SIGHT versus Hindsight

Click Image to view corporate site. Editor’s Note: I have used BIS monitoring forever, and have always found it a very valuable tool. So recently I get an email from a guy named Eric Sughrue, and some stuff about the FORE-SIGHT cerebral oximeter. At first I wasn’t that interested, but he was exceptionally polite, professional, […]