International Perfusion Association

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Heart to Heart Mission

For more than 20 years, the IPA has performed life-saving heart surgery on over 400 patients in Santiago, Dominican Republic.

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Honduras Mission

The IPA is working with Duke to expand their heart surgery mission program in Honduras. We have a mission trip planned for mid-May. Stay tuned for more information.

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Your Mission Trip

The IPA will gladly make donations to qualified charitable organizations who perform cardiac surgery mission work for patients in need.

600+

Patients served

Help Mend a Heart!

Every member of our team is an unpaid volunteer, so please take comfort in knowing that 100% of all donated funds go directly to patient care. Your generosity is so very welcome and will help save lives!

— Latest News —

ECMO

Left-Ventricular Unloading With Impella During Refractory Cardiac Arrest Treated With Extracorporeal Cardiopulmonary Resuscitation: A Systematic Review and Meta-Analysis

This systematic review and meta-analysis evaluates the efficacy of left-ventricular (LV) unloading with Impella, compared to standard venoarterial extracorporeal membrane oxygenation (VA-ECMO), during extracorporeal cardiopulmonary resuscitation (ECPR) for refractory cardiac arrest. Analyzing data from 1014 patients across 32 hospitals, the study finds that ECMELLA (combined Impella and VA-ECMO) is associated with improved survival and neurological outcomes, especially in patients with acute myocardial infarction, compared to VA-ECMO alone. Despite a higher rate of complications, ECMELLA shows promise in enhancing patient recovery, underscoring the need for standardized guidelines for its use in ECPR.

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ECMO 3

Extracorporeal Cardiopulmonary Resuscitation for Refractory Cardiac Arrest: An Overview of Current Practice and Evidence

This narrative review explores the use of extracorporeal cardiopulmonary resuscitation (ECPR) for refractory cardiac arrest (CA), highlighting its role in providing haemodynamic and respiratory stabilization when conventional CPR fails. With the potential to reduce low-flow time and improve neurological outcomes, ECPR has shown promise in certain patient categories facing out-of-hospital cardiac arrest (OHCA). The possibility of pre-hospital implementation to minimize brain damage is being explored, with the ON-SCENE trial expected to offer new insights. This overview presents recent developments in ECPR, aiming to shed light on its effectiveness and integration into advanced cardiac life support protocols.

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EMCO 2

Adding Extracorporeal Membrane Oxygenation to Cardiopulmonary Resuscitation in Out-of-Hospital Cardiac Arrest Due to Pulmonary Embolism: A Case Report

This case report presents a life-saving intervention for a 21-year-old woman experiencing out-of-hospital cardiac arrest (OHCA) due to pulmonary embolism, following a lower limb fracture. The rapid application of extracorporeal membrane oxygenation (ECMO) alongside cardiopulmonary resuscitation (CPR) and systemic thrombolysis significantly contributed to her survival. Despite facing severe complications, the collaborative effort of a multidisciplinary medical team, including vascular surgery and interventional radiology, played a crucial role in her recovery without deficits. This highlights the importance of ECMO in enhancing survival rates in critical care, especially in cases complicated by massive pulmonary embolism.

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