OpenType - PS 85.000002 In general, central venous pressure decreased over time while on It is intended that systemic anticoagulation be utilized support while mean arterial pressure remained while the CentriMag System is in use. then the pump head is changed every 30 days. Adobe Systems 1.31 Takayama H, Soni L, Kalesan B, et al. [(periods up to six hours\) not r)10 (equiring complete car)10 (diopulmonary b)10 (ypass \(e)20 (.g)10 (. 15.415 3.668 l 0 -1.417 Td Eight patients received an Impella pVAD. Adobe Systems Balance coming off CPB with going on CentriMag. This manual offers instructions for use of the CentriMag Blood Pump. Adobe Systems Untitled-1 By using this site, you consent to the placement of our cookies. (9) using data from the Society of Thoracic Surgeons, the rates of survival to hospital discharge have improved dramatically. ABSTRACT. 13.864 6.581 l Thus, we believe that the phenomena reported in our . )]TJ 001.001 0 -1.417 Td Aziz, T. A., Singh, G., Popjes, E., Stephenson, E., Mulvey, S., Pae, W., & El-Banayosy, A. Precautions Avoid air in venous & arterial lines Insure adtdequate bl dblood prodtducts If surgeon manipulates heart to stop bleeders - COMMUNICATE. 0 -2.167 Td [(Le)5 (vitr)10 (onix CentriM)10.2 (ag sys)5 (tem for tempor)10.1 (ary right v)10.1 (entricular mechanical cir)10.2 (culatory support. [(for tempor)10.1 (ary cir)10 (culatory support for up to 30 da)5.3 (ys for patients in car)10.2 (diogenic shock due to right v)10.3 (entricular failur)10.1 (e)20 (. 18.916 2.413 l -2.117 -2.558 -2.477 -1.602 -2.477 0 c . /T1_0 1 Tf [(Aziz T)30.1 (A)-30 (, Singh G)15.1 (, P)40 (opjes E, S)10.1 (tephenson E, M)10.1 (ulv)10 (ey S)30.1 (, P)40 (ae W)115.1 (, El-B)10 (ana)5 (y)10 (osy A)-29.9 (. Cyan Target ACT is 160-180 4. Driven by Full MagLev Flow Technology, the CentriMag and PediMag Pumps include a free-floating magnetically levitated rotor for a contact-free environment. Adobe Systems However, these devices carry inherent risk with regard to their need for concomitant anticoagulation management. [(The CentriM)10 (ag )]TJ Watch this video to see how Full MagLev Flow Technology works. 27738 This site uses cookies. TradeGothicLTStd-Light On VAD Day 1 (POD 4), the TR decreased with a decrease in the size of the tricuspid orifice. q 1 0 0 1 547.8822 53.1737 cm /T1_1 1 Tf /T1_0 1 Tf -15.165 5.47 l Navaratnam M, Maeda K, Hollander SA. Read our privacy policy to learn more. 0.025 -9.077 l EMC 0 -1.333 Td Wingdings 0 At 2.6 L/min/m2, TEE demonstrated excelled RV decompression and moderate reduction of TR. 0 Tw 0 -1.417 Td 001.001 These resources offer instructions for use to help you care for your patients health and well-being using CentriMag Acute Circulatory Support. CAUTION: These products are intended for use by or under the direction of a physician. [(CentriM)7 (ag Cir)13.1 (culatory S)2 (upport S)15.1 (ys)5 (tem Contr)10 (aindications [PMA A)20.2 (ppr)13 (o)16 (v)10 (al; 30-)-30 (da)5 (y use]: )]TJ Our pediatric patient showed a clear benefit . Clough RE, Vallely MP, Henein M, Pepper JR.. Levitronix ventricular assist device as a bridge-to-recovery for post-cardiotomy cardiogenic shock. )]TJ )]TJ In conclusion, percutaneous PROTEKDuo cannula insertion with CentriMag system has provided a novel approach to establish RVAD support in a timely and minimally invasive technique. -15.165 6.725 l There are still only a few published studies using these devices in the pediatric population and of those, to our knowledge, none were in a pediatric patient posttransplantation for acute right heart failure (14). Adobe Illustrator CC 23.0 (Macintosh) The Journal of Thoracic and Cardiovascular Surgery, 134(2), 351-358. 0.000000 The following pages are intended for medical professionals and provide information on the proper use of products (medical devices, etc.) Unless otherwise specified, all product and service names appearing in this Internet site are trademarks owned by or licensed to Abbott, its subsidiaries or affiliates. It contains information on contraindications and warnings for the CentriMag Blood Pumping System, as well as steps for installation. CentriMag Acute Circulatory Support System Clinical Operations & Patient Management The CentriMag Acute Circulatory Support System Clinical Operation & Patient Management Guide is designed to provide users with the information needed to properly and safely operate the CentriMag Acute Circulatory Support System. Flows were decreased to 1.85 L/min and the heparin drip was lowered from 20 U/kg/h to 18 U/kg/h (as a result of elevated aPTT values) and remained there until termination of VAD support. The surgeon may place the patient on cardiopulmonary bypass to maintain hemodynamic stability.2,4 Surgeons may use anticoagulation before . CentriMag for short-term use, with a minimized heparin loading dose, may be beneficial in managing postoperative bleeding. All Rights R)20.3 (eserv)10 (ed. [(Cir)10 (culatory S)5.1 (upport S)15.1 (ys)5 (tem is contr)10.1 (aindicated for use as a car)10.2 (diotom)10.1 (y suction de)5.1 (vice)20 (. /T1_0 1 Tf RJhUBQ1A) The Thoratec CentriMag and PediMag (Thoratec Corporation, Pleasanton, CA) blood pumps provide an option available to physicians treating pediatric patients with ventricular failure. [( CentriM)10 (ag)-60 (\231 S)15 (ys)5 (tem Cart, CentriM)10 (ag)-60 (\231 S)15 (ys)5 (tem T)30 (r)10 (ansporter and Pr)10 (essur)10 (e T)30 (r)10 (ansducer)70 (. This study evaluated bleeding complications with low and standard heparinization protocols in the maintenance of venoarterial (VA)-ECMO. [(MA)35 (T)70 (-)70 (1900200 v1. Illustrations are artist's representations only and should not be considered as engineering drawings or photographs. Indicates a third party trademark, which is property of its respective owner. Bridge to Decision: To support the heart until a decision can be made by the family . Adobe Systems Indicates a third party trademark, which is property of its respective owner. 0 -1.417 Td )]TJ [(Bhama JK)-4.9 (, K)20 (ormos RL, T)70.1 (o)5 (y)10 (oda Y)100 (, T)70.1 (euteber)15 (g J)40.1 (J)80 (, M)25 (cCurry KR, Siegenthaler MP)115.2 (. [(appr)10 (opriate to car)10 (diopulmonary b)10 (ypass \()10 (up to six hours\). endstream endobj 23 0 obj <> endobj 24 0 obj <>stream This document is an addendum to the CentriMag Acute Circulatory Support System Instructions for Use for ECMO during the COVID-19 Public Health Emergency. In the CentriMag/TandemHeart cohort, there were five patients with anticoagulation titrated based on anti-Xa values; one patient developed a device thrombosis and a major bleed, whereas another patient experienced major bleeding. Many patients who require urgent mechanical circulatory support are receiving clopidogrel or glycoprotein IIb/IIIa inhibitors; as a result, they have significant postoperative bleeding that is often refractory to correction of . )]TJ Eight patients received an Impella pVAD. [(for sur)15.1 (gical pr)10 (ocedur)10.1 (es such as mitr)10.1 (al v)10 (alv)10.1 (e r)10 (eoper)10 (ation. Adobe PDF Library 15.0 endstream endobj 3 0 obj <> endobj 5 0 obj >/PageWidthList<0 612.0>>>>>>/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/TrimBox[4.536 4.536 616.536 796.536]/Type/Page>> endobj 6 0 obj >/PageWidthList<0 612.0>>>>>>/Resources<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/TrimBox[4.536 4.536 616.536 796.536]/Type/Page>> endobj 20 0 obj <>stream 001.001 The protocol was then changed to accept aPTTs of 3550 seconds for the immediate postoperative period, which allowed for delayed initiation of the heparin drip. Adobe InDesign CC 14.0 (Macintosh) -20.06 1.015 l 0 -1.417 Td This document is an addendum to the CentriMag Acute Circulatory Support System Instructions for Use for ECMO during the COVID-19 Public Health Emergency. 0 -1.333 Td The device, combined with Berlin Heart cannulas, was implanted in 30 patients suffering from acute cardiogenic shock with biventricular failure. uuid:98c4bd4c-8304-ae49-95cc-6aa947a734e5 12.812 2.413 l -19.197 -1.726 -19.181 -1.899 -19.181 -2.059 c It contains information on contraindications and warnings for the CentriMag Blood Pumping System, as well as steps for installation. /T1_1 1 Tf IABP sizing. 0 cannot determine timing on 1:1 augmentation (must be 1:2 or 1:3) 44.626 10.663 41.566 13.723 37.79 13.723 c The information provided here is not intended to provide information to patients and the general public. This manual offers instructions for use of the CentriMag Blood Pump. 0 -1.417 Td A 28-Fr metal-tipped, right-angle DLP (Medtronic, Inc., Minneapolis, MN) cannula was placed in the right atrial appendage. CMYK [(for patients who ar)10.2 (e unable or un)10.1 (willing to be tr)10.1 (eated with an appr)10.2 (opriate anticoagulant such as H)25.3 (eparin or a )]TJ /T1_1 1 Tf )25 (com)]TJ [(whether the patient will need alternativ)10.4 (e)20 (, longer)40.1 (-term ther)10 (ap)10 (y)80 (. Choice C is the correct answer as perioperative costs are reduced with the CentriMag. The CentriMag ventricular assist device in acute heart failure refractory to medical management. CentriMag Blood Pump Instructions For Use (IFU) -13.881 -3.674 m At 7 years of age, he underwent device closure of a residual secundum ASD. Mean duration of VAD support was 25.0 days in precardiotomy group, 10.9 days in postcardiac surgery cardiogenic shock group, 8.8 days in post-transplant . These magnetically levitated centrifugal pumps offer low prime volumes, minimal hemolysis, and are approved by the Food and Drug Administration for 30 days use. 55915 )Tj [(PMA appr)13 (o)16 (v)10 (al for 30-)-30 (da)5 (y use of CentriM)7 (ag)-59.9 (\231 S)15 (ys)5 (tem components include: )]TJ I)15 (t is also indicated for use in e)15 (xtr)10 (acorpor)10 (eal support sys)5 (tems \(for)-10 ( )]TJ This manual offers instructions for use of the CentriMag RVAS Blood Pump. This on-demand webinar focuses on how centers handled the logistics of COVID 19 outbreak and how they expect to tackle a second potential wave of the infection. /T1_1 1 Tf h BT /T1_0 1 Tf Coagulation minimum and maximum ranges are presented in Table 2. [(e)15 (xtr)10 (acorpor)10.1 (eal membr)10 (ane o)10.1 (xy)15 (genation for support of critically ill patients with r)10.5 (efr)10 (actory car)10.1 (diogenic shock. 0 -1.417 Td With a CVP in the mid-20s, the decision was made to place a RV support device. Are you a healthcare professional? Postoperative transesophageal echocardiogram (TEE) showed mildly depressed right ventricular (RV) function and mild tricuspid regurgitation (TR) with a low velocity jet. Target PTT is 1.5-1.8 times normal (50-60 secs) f 56475 0 -1.417 Td 37.764 -18.369 l /T1_1 1 Tf -6.837 -24.387 -3.776 -27.447 0 -27.447 c . 0 Magenta . Illustrations are artist's representations only and should not be considered as engineering drawings or photographs. xmp.did:42e7571e-f239-4b26-a099-c0bfd03066f9 We report the use of a CentriMag device with low-dose heparin therapy without device failure or thrombotic events. 2.241 -20.586 l The patient was then transported back to the PCICU. / 3 std sizes by height (30, 40, 50 cc balloons) IABP positioning. Addressing the broadest spectrum of clinical challenges The CentriMag blood pump functions as: 0 -1.417 Td from application/postscript to application/vnd.adobe.illustrator 0 -1.417 Td Background: Bleeding and need for blood products are major complications associated with extracorporeal membrane oxygenation (ECMO) use. TradeGothic h 18.916 -1.522 l -0.357 2.553 0 1.598 0 0 c In conclusion, our experience illustrates that it is possible to support a patient with RV failure using the CentriMag. )Tj 0.000000 Fifteen minutes after the initiation of the VAD, coagulation laboratory values were sent (Table 1). -2.324 -3.56 -1.444 -3.904 -0.457 -3.904 c We describe our early experience of using ECMO with Levitronix Centrimag device and the Hilite hollow fibre membrane oxygenator (Medos Hilite LT, Medos Medizintechnik AG) in three cases following lung transplantation. 17.204 -3.904 17.952 -3.06 17.952 -1.522 c It offers freedom of choice and fits seamlessly into custom circuit designs, and can be used with a variety of cannulation options. The Abbott CentriMag (Abbott Laboratories, formerly Thoratec Corporation, Pleasanton, CA, USA) is an extracorporeal VAD that has an actively magnetically levitated rotor. He did not develop complications. References 1. 3.528 2.508 5.234 3.904 7.574 3.904 c ( )Tj 495552171 A repeat echocardiogram (ECHO) in the PCICU showed worsening TR. 0.01 Tc -0.01 Tw -1.5 -2.167 Td It contains information on contraindications, warnings and adverse events related to the CentriMag Blood Pumping System, as well as steps for pump setup and operation and emergency pump replacement. PROCESS [(who ar)10 (e unable or un)10 (willing to be tr)10 (eated with an appr)10 (opriate anticoagulant such as H)25 (eparin or a compar)10 (able alternativ)10.1 (e)20 (. Studies have been conducted in the adult population for post-cardiopulmonary bypass cardiogenic shock, showing the benefit of the CentriMag for short-term mechanical support (58). )]TJ The Levitronix CentriMag (Levitronix LLC, Waltham, MA) ventricular assist device (VAD) is a magnetically levitated rotary pump designed for temporary extracorporeal support. 20.999999 )]TJ The CentriMag System is the only acute circulatory support system approved for 30-day LVAD, RVAD and BiVAD support. uuid:B7DCE4836E3AE411BF6CC0B1966BD836 On-demand Webinars 951707066 When paired with the Full MagLev Flow Technology of the CentriMag and PediMag Blood Pumps, our portfolio of PMP Oxygenators provide a complete ECMO* solution for a wide variety of patients. IABP timing. -0.001 Tw 0 -2.167 Td pEx/#x~a$f&ST0UL-t2]L/3Da&3O0KQsy\a217'| +Neiv+kYv;ngwO_={/;\7q\+n5=Es#8w{{{ w#w+/&9w_7+ &~q~'O?[ This manual offers instructions for use of the CentriMag RVAS Blood Pump. This on-demand webinar discusses considerations on how to develop and maintain an acute circulatory support program to effectively treat this critical patient population. 22.8 -1.35 l EMC /Span<>> BDC [prod, crx3, samplecontent, publish, crx3tar], https://vascular.abbott.com/,https://mri.merlin.net/,https://www.thelancet.com/,https://www.ahajournals.org/,https://www.onlinejacc.org/,https://jamanetwork.com/,https://www.sciencedirect.com/,https://onlinelibrary.wiley.com/,https://www.cms.gov/,https://www.novitas-solutions.com/,https://event.on24.com/,https://dx.doi.org/,https://www.myloopaccount.com/,https://www.invasivecardiology.com/,https://manuals.sjm.com/,https://www.cardiovascular.abbott, Optimal Patient Care for a Variety of Applications, Produces flows of up to 10 LPM with fewer rotations per minute, https://dx.doi.org/10.1016/j.jtcvs.2007.01.085, https://dx.doi.org/10.1016/j.jtcvs.2010.03.046, https://dx.doi.org/10.1016/j.healun.2009.08.025, https://www.jhltonline.org/article/S1053-2498(09)00238-1/fulltext, Extracorporeal bypass circuit for periods up to 30 days*, to support the left, right, or both ventricles of the heart. . [(S)5 (upport S)15.1 (ys)5 (tem is contr)10.1 (aindicated for use as a car)10.2 (diotom)10.1 (y suction de)5.1 (vice)20 (. TradeGothic-BoldTwo from application/postscript to application/vnd.adobe.illustrator 23.302 -3.904 24.057 -3.06 24.057 -1.522 c 12.812 -1.522 l Indicates a trademark of the Abbott group of companies. It contains information on contraindications, warnings and adverse events related to the CentriMag Blood Pumping System, as well as steps for pump setup and operation and emergency pump replacement. -0.01 Tw 0 -1.417 Td 22.8 -2.071 22.644 -2.498 22.048 -2.498 c -6.367 6.725 l Q . -26.394 -3.674 l [(car)10 (diotom)10 (y suction de)5.2 (vice)20 (. 15.415 2.413 l 1.029 -19.26 -1.49 l The protocol states to maintain an activated partial thromboplastin time (aPTT) of 6080 seconds unless otherwise ordered. 0.000000 [(The CentriM)10.1 (ag )]TJ q 1 0 0 1 527.8196 94.2067 cm 0 -1.417 Td TradeGothic-Light 0 0 m 0 0 0 1 k -26.394 -2.292 l 628695704 18.916 -3.122 19.806 -3.904 21.422 -3.904 c [(b)10 (ypass cir)10.1 (cuit for e)15.1 (xtr)10 (acorpor)10 (eal cir)10.1 (culatory support for periods appr)10.3 (opriate to car)10.1 (diopulmonary b)10.1 (ypass \()10 (up to six hours\) )]TJ Optional accessories include: CentriMag System Cart, CentriMag System Transporter and Pressure Transducer. Full MagLev Flow Technology provides a contact-free environment that features: Watch this video to see the CentriMag Pump in action. xmp.did:42e7571e-f239-4b26-a099-c0bfd03066f9 Indicates a third party trademark, which is property of its respective owner. 951707066 This on-demand webinar features centers sharing their experiences in preparing for and managing COVID-19 patients requiring ECMO support. HLW{l^0~`~l 9 cBO{>|64((EPB IRA-!jyDMiiJZ7NBgf~ofwgc QG.K( 4]\iWN+X8q|9~]^Yt N!l@y`(` hmADA 2168896655 COVID-19 Hospital Preparedness: Lessons Learned, The NYC Experience. Initial e)15.1 (xperience with CentriM)10.2 (ag )]TJ [(compar)10 (able alternativ)10.1 (e)20.1 (. This on-demand webinar, sponsored by Abbott, facilitates a discussion on the impact of COVID-19 on heart failure patients and how Abbotts products can assist with managing the challenges. Wingdings -22.159 6.725 m The sys)5.1 (tem is also contr)10.1 (aindicated for patients who ar)10.3 (e )]TJ -6.837 13.723 l Flow rates were maintained at 3.6 L/min (2.6 L/min/m2) until weaning mechanical support, which began on VAD Day 5 (POD 8). 3017722613 0 -2.167 Td We present a 13-year-old boy (39.7 kg, 145 cm, 1.27 m2) with a history of hypoplastic right heart syndrome, multiple atrial septal defects (ASDs) with endocardial fibroelastosis, and progressive ventricular dysfunction. 0 Tc 0 Tw 0 -2.167 Td /T1_0 1 Tf -14.791 -3.674 l On postoperative Day (POD) 4, the patient had worsening right ventricular dysfunction and dilation with severe TR and escalation of inotropic support (epinephrine from .01 g/kg/min to .02 g/kg/min, dopamine from 5 g/kg/min to 10 g/kg/min, milrinone from .5 g/kg/min to 1 g/kg/min). 0 -1.417 Td -19.021 6.725 l [(contr)10 (aindications)10.1 (, w)10.1 (arnings)10 (, pr)10 (ecautions)10.1 (, potential adv)10.1 (erse e)5.1 (v)10 (ents and dir)10.1 (ections for use)20.1 (. 29296 [(CentriM)10 (ag)-60 (\231 M)25.1 (otor)70 (, M)10 (ag M)25 (onitor)70.1 (, \037o)15 (w pr)9.9 (obe)20 (, and CentriM)10 (ag)-60 (\231 Dr)10 (ainage Cannula and CentriM)10 (ag)-60 (\231 R)20 (eturn Cannula. 30.902 0 l Centrimag anticoagulation. TradeGothic As a result of the increased chest tube output, it was determined that lower aPTTs would be acceptable in the immediate postoperative period, providing that no visible clot is evident in the circuit. 1.029 7.574 2.649 m The anticoagulation regimen was designed in conjunction with experts from Berlin Heart AG, Berlin, Germany. Extracorporeal Membrane Oxygenation (ECMO): Then and Now: This on-demandwebinar discusses the historical progression of ECMO, future advancements in technology and ECMO application. [(The P)40 (ediM)10.1 (ag Blood Pump is contr)10.2 (aindicated )]TJ The CentriM)10.1 (ag)-60 (\231 R)30.1 (V)50 (AS is authorized b)10.1 (y F)50.1 (eder)10 (al La)20 (w )]TJ
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