0 -1.417 Td (Abbott)Tj [(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 (. -19.181 -2.23 -19.573 -2.292 -20.044 -2.292 c 0 -1.417 Td [(CentriM)7 (ag)-60 (\231 Blood Pump Indications [510\()-20 (k\) Clear)10 (ance; 6)-9.9 (-hour use]: )]TJ (Rx Only)Tj Adobe PDF Library 15.0 (1. The CentriMag ventricular assist device in acute heart failure refractory to medical management. Address correspondence to: Ashley B. Hodge, MBA, CCP, FPP, Cardiothoracic Surgery Quality and Safety Officer/Cardiovascular Perfusionist, The Heart Center, Nationwide Childrens Hospital, 700 Childrens Drive, Room T2298, Columbus, OH 43205. PostScript PostScript 2019-12-23T14:59:10-06:00 2168896655 30.902 0 l IABP sizing. White 100.000000 . [(\(for periods up to six hours\) not r)10.3 (equiring complete car)10.2 (diopulmonary b)10.1 (ypass \(e)20.1 (.g)10 (. The surgeon may place the patient on cardiopulmonary bypass to maintain hemodynamic stability.2,4 Surgeons may use anticoagulation before . As a result of decreased chest tube output and the coagulation panel results, heparin was started on VAD Day 2 (POD 6) at 15 U/kg/h and remained between 15 and 20 U/kg/h during mechanical support. 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 2018-12-05T10:12:09-06:00 001.001 This on-demand webinar, sponsored by Abbott, features experiences and lessons learned from the pandemic in New York City. At 2.6 L/min/m2, TEE demonstrated excelled RV decompression and moderate reduction of TR. 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). /T1_0 1 Tf 0 Perfusion should slow or stop CentriMag Completely reverse Heparin -22.661 -2.292 -23.212 -2.244 -23.212 -1.991 c uuid:B7DCE4836E3AE411BF6CC0B1966BD836 1.018 -20.586 0.025 -19.592 0.025 -18.369 c -2.324 -3.56 -1.444 -3.904 -0.457 -3.904 c All Rights R)20.3 (eserv)10 (ed. 0 -1.417 Td 13.737 5.282 13.328 3.668 11.763 3.668 c -8.798 -1.602 -9.156 -2.558 -10.038 -2.558 c 18.916 -1.522 l [(car)10 (diopulmonary b)10.1 (ypass)10 (, pr)10.1 (o)10 (viding a bridge to decision when it is unclear whether the patient)-29.4 (\222)40 (s heart will r)10.2 (eco)10 (v)10 (er or )]TJ Q [(The CentriM)10.1 (ag Cir)10.1 (culatory S)5 (upport )]TJ The CentriMag System is the only acute circulatory support system approved for 30-day LVAD, RVAD and BiVAD support. Default Swatch Group This manual offers instructions for use of the CentriMag Motor. /GS0 gs Provided care and monitoring of patient post heart or lung transplantation, open heart surgery . 951707066 This manual offers instructions for use of the CentriMag Blood Pump. )30.1 (0 | I)15.1 (tem appr)10 (o)10 (v)10 (ed for U)70.1 (.S)30 (. [(The CentriM)10 (ag Cir)10 (culatory S)5 (upport S)15 (ys)5.1 (tem)-10 ( )]TJ Wingdings -6.025 2.065 -6.902 3.904 -9.255 3.904 c It contains information on contraindications, warnings and adverse events related to the CentriMag Blood Pumping System, as well as recommended anticoagulation guidelines and a clinical summary. 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). Operations of an Acute Heart Failure Program. 6.304 -1.85 6.634 -2.65 7.574 -2.65 c -9.957 3.904 -10.695 3.481 -11.276 2.822 c [(J H)30 (ear)-9.9 (t L)5 (ung )]TJ 612.000000 -21.187 4.391 l You may notice problems with h The patient was brought to the operating room for cannulation and initiation of the CentriMag. Anticoagulation is a fine balance in this patient population and therefore must be managed thoughtfully . arch was conducted in five databases for the period 2003 to 2012. ( )Tj Feb 2016 - Dec 20182 years 11 months. 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 21.688 -2.498 21.517 -2.229 21.517 -1.899 c [(mitr)9.9 (al v)10 (alv)10 (e r)10 (eoper)10 (ation, sur)15 (gery of the v)10 (ena ca)30 (v)10 (a or aorta, liv)10 (er tr)10 (ansplants etc.\). /GS1 gs CMYK The effectiveness of this device for this use has not been demonstrated. Varies with each patient 1. -24.777 -1.114 l v)YG>pDxC8)kylB[:_,E] P#?+?_HPIrZ 0.000000 0.000000 16.702 -2.071 16.544 -2.498 15.95 -2.498 c -23.212 -1.771 -23.148 -1.538 -22.977 -0.992 c Aziz, T. A., Singh, G., Popjes, E., Stephenson, E., Mulvey, S., Pae, W., & El-Banayosy, A. [(Important S)5.1 (afety Information )]TJ Trade Gothic LT Std -6.837 13.723 l EMC 0.000000 The protocol states to maintain an activated partial thromboplastin time (aPTT) of 6080 seconds unless otherwise ordered. The right ventricle continued to improve on a daily basis. -11.122 -3.56 -10.242 -3.904 -9.255 -3.904 c /T1_1 1 Tf proof:pdf 0.025 -9.077 l CentriMag RVAS. 2.241 -20.586 l [(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. Flow was started initially at 1 L/min and was gradually increased to 3.3 L/min (2.6 L/min/m2). They remain on heparin anticoagulation while on BiVAD as frequent line changes, tracheostomy, gastrointestinal (GI) bleeding, frequent antibiotic changes, etc. -6.837 -24.387 -3.776 -27.447 0 -27.447 c 0.025 -7.854 1.017 -6.861 2.241 -6.861 c (2010). Points 24.057 -0.128 l This on-demand webinar discusses considerations on how to develop and maintain an acute circulatory support program to effectively treat this critical patient population. use only)80.1 (. -21.219 4.391 m Prior to use, reference the Instructions for Use, inside the product carton (when available) or online for more detailed information on Indications, Contraindications, Warnings, Precautions and Adverse Events. 1.31 -5.082 -3.674 m [(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 [(CentriM)7 (ag Blood Pump Contr)10.2 (aindications [510\()-19.9 (k\) Clear)10 (ance; 6)-9.9 (-hour use]: )]TJ from application/postscript to application/vnd.adobe.illustrator Achieve optimal flow before reversing heparin - Heparin may not be needed in the immediate postoperative period 2. HdnFdH``n@hW@- gm8:H;_$Mrwiw/iqet>m]v~|Oof,K8]oi_k}uizYmmo-M]Vv8N:ma3]N\va:?,YE6"[^AQ r9E. Acute right heart failure posttransplant has traditionally been managed with ECMO in pediatric patients because this has been the only tool available. The Journal of Thoracic and Cardiovascular Surgery, 134(2), 351-358. Acute right ventricular failure post heart transplantation in the pediatric population has not been well documented. /T1_0 1 Tf 0 d8xv`?x ;> W?-0yg9.0U@&` 2014-09-10T14:25:05-07:00 Centrimag anticoagulation. )]TJ "Y ~%J+W_ ~%J+W[^r#kfl e! [(compar)10 (able alternativ)10.1 (e)20.1 (. [(P)40 (ediM)7 (ag Blood Pump Contr)10.1 (aindications [510\()-19.8 (k\) Clear)10 (ance; 6)-9.9 (-hour use]: )]TJ -19.26 -1.49 l Heparin was administered (100 IU/kg) and a 7-Fr Sarns Soft-Flow (Terumo Cardiovascular Systems Corporation, Ann Arbor, MI) aortic cannula was placed in the RV outflow tract under TEE guidance. [(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 (. 0 -2.167 Td )]TJ . h The CentriMag extracorporeal, magnetically levitated, ventricular assist device (Thoratec) may provide short-term support as a bridge to decision for patients with heart failure and cardiogenic shock. [(The P)40 (ediM)10.1 (ag Blood Pump is contr)10.2 (aindicated )]TJ 0.734 0 Td This manual offers instructions for use of the CentriMag RVAS Blood Pump. 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. / -8.798 0 m [(car)10 (diogenic shock due to acute right v)10.4 (entricular failur)10.1 (e)20 (. Anticoagulation is achieved with a combination of dextran, dipyridamole, . -5.645 5.47 l Approved for 30-day use [(P)40 (ediM)7 (ag)-60 (\231 Blood Pump Indications for U)23.3 (se [510\()-20 (k\) Clear)10.1 (ance; 6)-10 (-hour use]: )]TJ 0 -1.333 Td No use of any Abbott trademark, trade name, or trade dress in this site may be made without the prior written authorization of Abbott, except to identify the product or services of the company. 2078538131 [(6035 S)10 (toneridge Driv)10 (e)20 (, Pleasanton, CA 95488 U)10 (S)5 (A)-30 (, T)70 (el: 1 925 847 8600)]TJ [(support for up to 30 da)5.2 (ys for one or both sides of the heart to tr)10.4 (eat pos)5.1 (t)20 (-)-20 (car)10 (diotom)10 (y patients who fail to w)15.3 (ean fr)10 (om )]TJ CentriMag Acute Circulatory Support System for Temporary Use with Extracorporeal Membrane Oxygenation (ECMO) 3682259141 0 -1.417 Td [(whether the patient will need alternativ)10.4 (e)20 (, longer)40.1 (-term ther)10 (ap)10 (y)80 (. 0.000000 /T1_0 1 Tf It contains information on contraindications and warnings for the CentriMag Blood Pumping System, as well as steps for installation. The aim of our study was to investigate the results of CentriMag extracorporeal short-term mechanical circulatory support as a bridge to decision in patients presenting with critical cardiogenic shock in our unit. Q The Abbott CentriMag (Abbott Laboratories, formerly Thoratec Corporation, Pleasanton, CA, USA) is an extracorporeal VAD that has an actively magnetically levitated rotor. 20.999999 0.000000 57593 (2. Adobe Illustrator CC 23.0 (Macintosh) uuid:B7DCE4836E3AE411BF6CC0B1966BD836 The Centrimag inflow and outflow cannulas were facing a 3/8 inch region connected to the loop via a 3/8-1/2 inch adapter . application/postscript 2.773 2.065 1.896 3.904 -0.457 3.904 c 2078538131 )]TJ ABSTRACT. 1.029 /T1_1 1 Tf We describe the successful use of the Thoratec CentriMag in a pediatric patient posttransplantation with acute right ventricular failure. The following pages are intended for medical professionals and provide information on the proper use of products (medical devices, etc.) BT 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). The functionality is limited to basic scrolling. 23.442 3.668 l from application/postscript to application/vnd.adobe.illustrator On VAD Day 1 (POD 4), the TR decreased with a decrease in the size of the tricuspid orifice. RJhUBQ1A) 0 -1.333 Td An institutional anticoagulation management protocol was activated before initiation of the CentriMag. [(CentriM)7 (ag R)33 (V)63 (AS Contr)10 (aindications [H)7 (umanitarian E)10 (x)9.9 (emption De)8 (vice \(HDE\) A)20 (ppr)13 (o)16 (v)10 (al; 30-)-30 (da)5 (y use]: )]TJ 2168896655 f 29296 36.772 6.861 37.764 5.869 37.764 4.645 c The CentriM)10.2 (ag Cir)10 (culatory S)5.1 (upport S)15.1 (ys)5 (tem is contr)10.1 (aindicated for use as a )]TJ 3682259141 0 Target ACT is 160-180 4. 0 -1.417 Td endstream endobj 23 0 obj <> endobj 24 0 obj <>stream No use of any Abbott trademark, trade name, or trade dress in this site may be made without the prior written authorization of Abbott, except to identify the product or services of the company. 495552171 References 1. 44.626 10.663 41.566 13.723 37.79 13.723 c xmp.iid:670a8d2b-61ef-4ec2-9b69-5befd4833fee 0 -2.167 Td CAUTION: These products are intended for use by or under the direction of a physician. Understanding the Hub and Spoke Model for ECMO Support. Some studies report the use of 300 U/kg of heparin for loading doses; however, we load our patients with 100 U/kg (1). -6.902 -3.904 -6.025 -2.071 -6.025 0 c 0 -13.881 -3.674 m It offers freedom of choice and fits seamlessly into custom circuit designs, and can be used with a variety of cannulation options. 0.01 Tc -3.212 -1.417 Td 0 -1.417 Td ET 23.442 2.413 l 8.513 -2.65 8.842 -1.85 8.842 -0.001 c Addressing the broadest spectrum of clinical challenges The CentriMag blood pump functions as: pediatric heart failure, pediatric transplantation, ventricular assist device, anticoagulation, cardiopulmonary bypass equipment, cardiomyopathy. [(appr)10 (opriate to car)10 (diopulmonary b)10 (ypass \()10 (up to six hours\). already built in. The anticoagulation regimen was designed in conjunction with experts from Berlin Heart AG, Berlin, Germany. -0.357 2.553 0 1.598 0 0 c -26.394 -2.292 l Unless otherwise specified, all product names appearing in this Internet site are trademarks owned by or licensed to Abbott, its subsidiaries or affiliates. -11.276 1.598 -10.915 2.553 -10.038 2.553 c The following pages are intended for medical professionals and provide information on the proper use of products (medical devices, etc.) mechanical circulatory support was introduced to provide rescue treatment for patients with cardiac and cardiac-respiratory failure.1-4centrimag extracorporeal blood pumping system (pediatric version is named pedimag in the united states and pedivas outside the united states; thoratec corporation, pleasanton, ca) is one of the most commonly used PT, prothrombin time; INR, international normalized ratio; aPTT, activated partial thromboplastin time; AT, antithrombin III. 0 -1.417 Td 0 -2.167 Td This mechanism warrants further investigation to the safety and effectiveness in treating patients with RV failure. Additional advantages with CentriMag support include the absence of stringent requirements for anticoagulation. 37.79 -27.447 l Finally, we utilize heparin for anticoagulation under guidance of Rotational Thromboelastometry (ROTEM). Background: Bleeding and need for blood products are major complications associated with extracorporeal membrane oxygenation (ECMO) use. [(CentriM)10 (ag)10 (. VAD support was decreased to 1.2 L/min on Day 6 (POD 9) and support was discontinued on Day 7 (POD 10). 0 -2.167 Td Thus, we believe that the phenomena reported in our . PROCESS Eight patients received an Impella pVAD. v)10 (alvuloplas)5 (ty)80 (, cir)10 (culatory support during)-10 ( )]TJ TrueType /T1_1 1 Tf -15.869 -2.292 -16.09 -2.071 -16.401 -1.114 c Indicates a third party trademark, which is property of its respective owner. from application/postscript to application/vnd.adobe.illustrator The information provided here is not intended to provide information to patients and the general public. -0.01 Tc 6 0 0 6 48.456 580.121 Tm Are you a healthcare professional? Minion Pro Minimally invasive CentriMag ventricular assist device support integrated with extracorporeal membrane oxygenation in cardiogenic shock patients: a comparison with conventional CentriMag biventricular support configuration. This document is an addendum to the CentriMag Acute Circulatory Support System Instructions for Use for ECMO during the COVID-19 Public Health Emergency. Start heparin infusion when chest tube drainage is less than 50ml/hour for 2-3 hours 3. 628695704 0 -1.602 -0.357 -2.558 -1.24 -2.558 c 0 -1.417 Td The sys)5.1 (tem is also contr)10.1 (aindicated for patients who ar)10.3 (e )]TJ Watch this video to see how Full MagLev Flow Technology works. CMYK )]TJ )Tj -13.99 5.47 -13.881 5.238 -13.881 4.795 c 0 -1.333 Td TradeGothicLTStd-Bd2 The Thoratec CentriMag for Pediatric Right Ventricular Failure. -2.477 1.598 -2.117 2.553 -1.24 2.553 c Navaratnam M, Maeda K, Hollander SA. 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. . 16.702 -0.128 l 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 . [(MA)35 (T)70 (-)70 (1900200 v1. Fifty-three publications with data for 999 patients, supported with CentriMag, were included. With a CVP in the mid-20s, the decision was made to place a RV support device. VAD, vascular assist device; ACT, activated clotting time; PT, prothrombin time; INR, international normalized ratio; aPTT, activated partial thromboplastin time; Xa, unfractionated antifactor Xa. [(periods up to six hours\) not r)10 (equiring complete car)10 (diopulmonary b)10 (ypass \(e)20 (.g)10 (. I)15 (t is also indicated for use in e)15 (xtr)10 (acorpor)10 (eal support sys)5 (tems \(for)-10 ( )]TJ /T1_0 1 Tf The ventricular assist device (VAD) circuit consisted of 3/8-inch SMARxT-coated (Sorin Group USA, Inc., Arvada, CO) tubing from the right atrial cannula to the inlet of the CentriMag pump and 3/8-inch coated tubing from the outlet to the RV outflow tract (Figure 1). 21.517 6.581 l This method avoids unnecessary blood transfusion and . /T1_0 1 Tf 0 His TR resolved and his RV function improved. TradeGothic 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). -21.785 -3.674 l He did not develop complications. 1 Takayama H, Soni L, Kalesan B, et al. 2018-12-05T10:12:09-06:00 )Tj [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. Print 0 -1.417 Td 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. At 2 years of age, the patient underwent device closure of a smaller ASD; at 5 years of age, he underwent a bidirectional glenn operation for palliation of a progressively dysfunctional right ventricle. too low = covering SMA & renal arteries. An ECHO performed while on minimal support revealed identical findings like during full support and no appreciable change in TR. 0 -1.417 Td EMC Over the next few days, the patient developed RV dysfunction with free TR. The CentriMag (Thoratec, now Abbott, Santa Clara, CA) is a widely used extracorporeal centrifugal pump approved by the U.S. Food and Drug Administration (FDA) that can provide up to 10 L/min of blood flow. -20.06 1.015 l Our pediatric patient showed a clear benefit from RV support with the CentriMag. )]TJ Adobe InDesign CC 14.0 (Macintosh) )]TJ [( 2009;28\(9)10 (\):971)60.1 (-)15 (97)30 (6)10 (. )]TJ 0 Tc 0 -2.083 Td This site uses cookies. 21.517 3.668 l /T1_0 1 Tf 8.842 1.85 8.513 2.649 7.574 2.649 c /T1_1 1 Tf Received 2013 Mar 27; Accepted 2013 May 8. 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. [(\231 Indicates a tr)10.1 (ademark of the Abbott gr)10.2 (oup of companies)10.2 (. VADs may allow for earlier extubation, improved enteral nutrition, and earlier physical therapy (10,11). 41.566 -27.447 44.626 -24.387 44.626 -20.609 c -2.477 6.725 l OpenType - PS 001.001 Extracorporeal Membrane Oxygenation (ECMO): Then and Now: This on-demandwebinar discusses the historical progression of ECMO, future advancements in technology and ECMO application.
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