[Extracorporeal circulation: an extraordinary tool that is not just for cardiac surgeons].
Extracorporeal circulation (ECC) is not only used for open heart surgery. There are also other surgical and medical applications. ECC can be used for encephalic arteries surgery to induce hypothermia and maximally protect the brain. Femoro-femoral ECC may be needful for urgent traumatologic surgery of the supra-aortic trunci. Intracranial aneurysm repair can occasionally necessitate deep hypothermia and circulatory arrest with ECC. Renal cell carcinomas may metastasize to the right atrium and surgery with ECC is mandatory for complete excision. Some reports in the literature mention use of ECC for hepatic surgery of intra-hepatic aneurysms. With acute peripheral ischemia, metabolites in the affected limb can be washed out with good results. Medical indications for ECC are numerous with pulmonary assistance as one of the foremost when mechanical ventilation failed. Homogeneous and rapid rewarming of hypothermic patients can be achieved with ECC. Finally, some groups have reported the use of ECC to administer chemotherapy in limb melanoma.
Demaria
R
R
Service de chirurgie cardiovasculaire, Hôpital Arnaud de Villeneuve, Centre Hospitalier Universitaire, Montpellier, France.
Fortier
S
S
Bédard
A
A
Sinquet
J C
JC
Albat
B
B
Frapier
J M
JM
Perrault
L P
LP
Chaptal
P A
PA
D006348:Cardiac Surgical Procedures; D005112:Extracorporeal Circulation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007674:Kidney Diseases / Q000601:surgery; D008107:Liver Diseases / Q000601:surgery; D008495:Medical Oncology; D019635:Neurosurgical Procedures; D018579:Patient Selection; D017694:Rewarming; D019616:Thoracic Surgical Procedures; D014656:Vascular Surgical Procedures