International Perfusion Association

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IPA

Day: February 24, 2024

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Early Outcome of Endoscopic Mitral Valve Surgery in Elderly Patients: A High-Volume Single Center Experience

This study analyzes the outcomes of endoscopic mitral valve surgery (MVS) in 756 patients, focusing on those aged ≥75. Despite the elderly patients’ increased surgical risk and prevalence of comorbidities like hypertension and diabetes, the perioperative outcomes were favorable. The use of minimally invasive techniques, including 3D-camera visualization, resulted in low rates of postoperative complications and a 2.2% acute mortality rate at 30 days for elderly patients. Thus, endoscopic MVS is deemed a viable option for elderly patients, underlining the importance of including it in heart-team discussions.

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February 24, 2024
COVID-19 Cost

Healthcare-Associated Infections in Patients with Severe COVID-19 Supported with Extracorporeal Membrane Oxygenation: A Nationwide Cohort Study

This study investigates the incidence and microbiology of healthcare-associated infections (HAI) in severe COVID-19 patients receiving extracorporeal membrane oxygenation (ECMO) support, analyzing data from 701 patients in France. It found a 36% incidence rate of ECMO-associated infections (ECMO-AI), with bloodstream infections and ventilator-associated pneumonia being the most common. The infections were primarily caused by Enterobacteriaceae, Enterococcus species, and non-fermenting Gram-negative bacilli. Interestingly, the study concludes that ECMO-AI were not significantly associated with hospital death rates.

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February 24, 2024

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