Clinical experience with a new hemofilter (Amicon Ireland Minifilter Plus) in pediatric open heart surgery

New hemofilter (Amicon Ireland Minifilter Plus) was employed in 30 pediatric open heart surgeries as extracorporeal ultrafiltration method (ECUM). Blood was drained from the arterial side of CPB and returned to the venous side and ECUM was performed continuously during CPB. Total filtration volume a...

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Published inJinko Zoki Vol. 23; no. 4; pp. 1008 - 1010
Main Authors FUKUDA, H, NAKANO, S, SHIMAZAKI, Y, MIYAMOTO, Y, MATSUWAKA, R, KAWATA, H, SAWA, Y, MASAI, T, SATO, H, YAGURA, A, MATSUDA, H
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Published JAPANESE SOCIETY FOR ARTIFICIAL ORGANS 1994
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Abstract New hemofilter (Amicon Ireland Minifilter Plus) was employed in 30 pediatric open heart surgeries as extracorporeal ultrafiltration method (ECUM). Blood was drained from the arterial side of CPB and returned to the venous side and ECUM was performed continuously during CPB. Total filtration volume and removal rate of water by ECUM were 343±142ml and 5.1±2.4ml/min, respectively. Average ECUM-to-urine excretion ratio of water was 4.6±5.6. Hemoconcentration seemed effective, because hemoglobin level was significantly increased from 6.3±1.6g/dl to 7.4±2.4g/dl (p<0.05) after termination of ECUM. Total protein, albumin, and serum electrolytes values did not significantly change before and after ECUM. The small hemofilter (Amicon Ireland Minifilter Plus) was effective and safe as an equipment of ECUM in pediatric open heart surgery.
AbstractList New hemofilter (Amicon Ireland Minifilter Plus) was employed in 30 pediatric open heart surgeries as extracorporeal ultrafiltration method (ECUM). Blood was drained from the arterial side of CPB and returned to the venous side and ECUM was performed continuously during CPB. Total filtration volume and removal rate of water by ECUM were 343±142ml and 5.1±2.4ml/min, respectively. Average ECUM-to-urine excretion ratio of water was 4.6±5.6. Hemoconcentration seemed effective, because hemoglobin level was significantly increased from 6.3±1.6g/dl to 7.4±2.4g/dl (p<0.05) after termination of ECUM. Total protein, albumin, and serum electrolytes values did not significantly change before and after ECUM. The small hemofilter (Amicon Ireland Minifilter Plus) was effective and safe as an equipment of ECUM in pediatric open heart surgery.
Author MIYAMOTO, Y
NAKANO, S
MATSUDA, H
SHIMAZAKI, Y
SAWA, Y
YAGURA, A
KAWATA, H
MATSUWAKA, R
FUKUDA, H
MASAI, T
SATO, H
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  organization: First Dept of Surg, Osaka University Medical School
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References 2) 板岡俊成, 河村剛史, 柳沢正敏, 日野恒和, 長柄英男, 竹田晴男, 笠置康, 毛井純一, 伊藤隆一, 田原士朗, 和田寿郎: ハローファイバー型限外濾過器を組み込んだ人工心肺装置の開心術使用経験. 人工臓器10 (1): 170, 1981
7) Kawaguchi A, Bergsland J, Subramanian S: Total bloodless open surgery in the pediatric age group. Circulation 70 (Suppl I): I-30, 1984
6) Buckley MJ, Austen WG, Goldblatt A, Layer MB: Severe hemodilution and autotransfusion for surgery of congenital heart disease. Surg Forum 22: 160, 1971
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5) 川田博昭, 中埜粛, 島崎靖久, 大竹重彰, 澤芳樹, 三浦拓也, 明渡寛, 大橋壮樹, 松田暉: 超低体温流量体外循環法を基本的補助手段とした新生児開心術の検討. 日心外会誌22 (3): 196, 1993
4) 永田昌久, 小林正治, 塩井健介, 佐原達也, 土岡弘通, 寺沢栄一: 開心術における限外濾過の有用性に関する臨床的検討-特に濾過装置のちがいによる比較について-. 人工臓器15 (2): 1093, 1986
8) 松木修, 松田暉, 島崎靖久, 門場啓司, 金香充範, 宮本裕治, 松若良介, 張釧障, 倉谷徹, 川島康生: 体重20kg未満の小児における無輸血開心術の検討. 日胸外会誌40 (2): 235, 1992
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Snippet New hemofilter (Amicon Ireland Minifilter Plus) was employed in 30 pediatric open heart surgeries as extracorporeal ultrafiltration method (ECUM). Blood was...
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SubjectTerms Amicon Ireland Minifilter Plus
ECUM
hemoconcentration
pediatric open heart surgery
Title Clinical experience with a new hemofilter (Amicon Ireland Minifilter Plus) in pediatric open heart surgery
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