title: Clinical experience with the mini-extracorporeal circulation system: an evolution or a revolution?
abstract: OBJECTIVE
  We studied a cohort of 150 patients operated on with a new cardiopulmonary bypass (CPB) system. This is the mini-extracorporeal circulation (MECC) system.
  
  
  METHODS
  The MECC is a fully heparin coated closed-loop CPB system that includes a centrifugal pump and has a priming volume of 450 mL. Between March 2001 and September 2002, 150 consecutive patients were operated on using the mini-CPB (MECC) method. This includes 105 coronary artery bypass graft and 45 aortic valve replacement patients. The median age was 66.7 +/- 10.7 years with a gender ratio of 3.27 males to 1 female.
  
  
  RESULTS
  The 30-day operative mortality was 1.3%. The hemoglobin concentration was stable and perioperative transfusion was needed in only 6% of all patients. The renal and neuropsychiatric complications were less than 1%.
  
  
  CONCLUSIONS
  In our experience, the MECC system is a reliable new concept for CPB with good clinical results.
authors.affiliation: Cardiovascular Surgery Unit, Amiens, France. jpremadi@aol.com
authors.forename: Jean-Paul
authors.initials: JP
authors.lastname: Remadi
authors.forename: Paul
authors.initials: P
authors.lastname: Marticho
authors.forename: Irina
authors.initials: I
authors.lastname: Butoi
authors.forename: Zava
authors.initials: Z
authors.lastname: Rakotoarivelo
authors.forename: Faouzi
authors.initials: F
authors.lastname: Trojette
authors.forename: Amar
authors.initials: A
authors.lastname: Benamar
authors.forename: Sadek
authors.initials: S
authors.lastname: Beloucif
authors.forename: Dominique
authors.initials: D
authors.lastname: Foure
authors.forename: Henri J
authors.initials: HJ
authors.lastname: Poulain
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000601:surgery; D001026:Coronary Artery Bypass; D004867:Equipment Design; D005112:Extracorporeal Circulation / Q000009:adverse effects / Q000295:instrumentation*; D005260:Female; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008904:Miniaturization; D011183:Postoperative Complications
chemical_list: D006454:Hemoglobins