MAST system: a new condensed cardiopulmonary bypass circuit for adult cardiac surgery.
There have been many refinements in cardiopulmonary bypass (CPB) techniques over the past few decades specific to design, materials and function. Despite these improvements, use of the standard length circuit tubing and pump oxygenator alter cellular, biochemical and rheological properties by inducing a systemic inflammatory response, persisting well into the early postoperative phase. We have designed a new condensed CPB circuit, the MAST system, where the oxygenator and the pumps are brought closer to the operating table (within 30 inches) with the help of a series of telescopic swivel steel poles to which they are attached. The control console is retained at the usual remote location of 2ft behind the MAST system. This configuration accomplishes a decrease in tubing length, priming volume and blood circulatory time within the extracorporeal circuit. Early experience of a hundred consecutive cases utilizing the MAST CPB system is presented along with a comparative analysis of prime volume, hemodilution and transfusion parameters of MAST system vs the low prime system, which is another newly developed CPB circuit utilizing a pediatric oxygenator to reduce prime volume and hemodilution.
McCusker
K
K
Department of Cardiothoracic Surgery, Portsmouth Regional Hospital, New Hampshire 03801, USA. kmccusker@heart-and-lung-center.com
Vijay
V
V
DeBois
W
W
Helm
R
R
Sisto
D
D
D000328:Adult; D000368:Aged; D001783:Blood Flow Velocity; D001803:Blood Transfusion / Q000706:statistics & numerical data; D006348:Cardiac Surgical Procedures / Q000295:instrumentation*; D002315:Cardiopulmonary Bypass / Q000295:instrumentation* / Q000592:standards; D004867:Equipment Design; D005112:Extracorporeal Circulation; D005260:Female; D006400:Hematocrit; D006438:Hemodilution; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D008297:Male; D010106:Oxygenators; D012189:Retrospective Studies; D018746:Systemic Inflammatory Response Syndrome / Q000517:prevention & control