TITLE

Extracorporeal circulation in 2050: a speculation

AUTHOR(S)
Bartlett, Robert H.
PUB. DATE
May 2003
SOURCE
Perfusion;May2003, Vol. 18 Issue 3, p207
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
This article reports on the use of extracorporeal circulation 50 years from now. Vascular disease, respiratory failure, renal failure, and infection will still be the final common pathways of mankind. Temporary and permanent mechanical devices to treat these problems will be commonplace. The applications of extracorporeal circulation and the technical details of that technology are discussed in this speculation. Operations on the heart continue to be a major application of extracorporeal circulation, which will include routine placement, replacement, and removal of mechanical cardiac support devices and cardiac transplants. Cardiac transplantation, like all solid organ transplantation, will be commonplace and facilitated by organ banks in which human organs are maintained for months using techniques adapted from extracorporeal circulation. Organ perfusion technology will be used, not only for preserving and banking organs for transplantation and other purposes, but will include routine isolated organ perfusion in the operating room. Extracorporeal circulation with extrathoracic access will be used routinely for acute cardiac failure and cardiogenic shock leading to recovery or cardiac replacement. The same technology will be used for acute respiratory failure leading to recovery or prosthetic lung replacement bridging until transplantation.
ACCESSION #
10378535

 

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