Perfusion Insider Fall 2015
Max Saket Hospital in New Delhi, India, has been using the Medtronic Affinity Fusion® Oxygenation System since November 2014, when it was used clinically for the first time in a pulmonary endarterectomy (PEA) procedure. The patient, a 46-year old male, presented with a pulmonary thromboembolism requiring a PEA procedure:
The patient was prepared for cardiopulmonary bypass (CPB) in the usual fashion, using a 24 Fr aortic cannula, a 24 Fr femoral vein cannula, and a 34 Fr inferior vena cava cannula. Cooled to 18°C, the patient was put on low flow for three minutes while receiving retrograde cerebral perfusion via the superior vena cava (SVC). Total perfusion time was 161 minutes, clamp time was 94 minutes, and reperfusion time was 10 minutes. After being weaned from CPB, the patient was moved to post-op, and his recovery was normal.
According to Sarita Singh, one of the clinical perfusionists who worked the case, "The Fusion Oxygenation System was easy to assemble and operate, and it successfully handled all the clinical conditions during this trial." Pawan Kumar, another clinical perfusionist from the case, agreed saying, "The Fusion System is a good oxygenator system and exceeded our expectations during the case."
Christiaan Matheve, Medtronic Structural Heart, and the perfusionists at Max Saket Hospital, New Delhi, India, during a pulmonary endarterectomy procedure that used the Fusion® Oxygenation System.