{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T02:37:52Z","timestamp":1779244672416,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2017,6,3]],"date-time":"2017-06-03T00:00:00Z","timestamp":1496448000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perfusion"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Safety concerns have been one of the main reasons opposing a wider acceptance of minimal invasive extracorporeal circuits (MiECC). Following an extensive experience and a multitude of modifications, we have set out to employ a modular MiECC as a universal extracorporeal circuit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 129 cardiac surgical procedures were performed by a single surgeon in 2013. Excluding procedures done under circulatory arrest or with the potential need of such, the MiECC was utilized in almost 90% of surgeries. Of sixty-two (simple procedures) patients who underwent coronary artery bypass grafting (CABG), aortic valve replacement (AVR) or CABG + AVR, 82% were non-elective, 10% had a left ventricular ejection fraction (EF) &lt;30% and most had an impaired renal function. Thirty-eight patients had more complex surgeries (complex procedures), 37% of which were urgent, 15% had an EF &lt;30% and the majority had renal dysfunction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The 30-day mortality was 5% in simple procedures and 2.5% in complex procedures. The incidence of postoperative atrial fibrillation was 13% and 16%, respectively. Optimum outcome was defined as a freedom from all complications and blood transfusions and was achieved in 52% and 42%, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This report shows that modular MiECC can be employed with a high safety margin in cardiac surgery. Furthermore, it emphasizes the impact that minimal invasive philosophy could have in improving patient care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0267659117712404","type":"journal-article","created":{"date-parts":[[2017,6,3]],"date-time":"2017-06-03T03:41:45Z","timestamp":1496461305000},"page":"598-605","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Modular minimal invasive extracorporeal circuits: another step toward universal applicability?"],"prefix":"10.1177","volume":"32","author":[{"given":"Aschraf","family":"El-Essawi","sequence":"first","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Klinikum Braunschweig, Braunschweig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Morjan","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Klinikum Braunschweig, Braunschweig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingo","family":"Breitenbach","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Klinikum Braunschweig, Braunschweig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Bechri","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Klinikum Braunschweig, Braunschweig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rene","family":"Brouwer","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Klinikum Braunschweig, Braunschweig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfgang","family":"Harringer","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Klinikum Braunschweig, Braunschweig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,6,3]]},"reference":[{"key":"bibr1-0267659117712404","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivv380"},{"key":"bibr2-0267659117712404","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2005.05.080"},{"key":"bibr3-0267659117712404","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1594.2007.00367.x"},{"key":"bibr4-0267659117712404","doi-asserted-by":"publisher","DOI":"10.1177\/0267659109106727"},{"key":"bibr5-0267659117712404","doi-asserted-by":"publisher","DOI":"10.1177\/0267659111419035"},{"key":"bibr6-0267659117712404","doi-asserted-by":"publisher","DOI":"10.1177\/0267659112457971"},{"key":"bibr7-0267659117712404","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.11.078"},{"key":"bibr8-0267659117712404","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivt285"},{"key":"bibr9-0267659117712404","doi-asserted-by":"publisher","DOI":"10.1177\/0267659114567555"},{"key":"bibr10-0267659117712404","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2004.01.041"},{"key":"bibr11-0267659117712404","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2008.192559"},{"key":"bibr12-0267659117712404","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2008.08.057"},{"key":"bibr13-0267659117712404","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2012.01.020"},{"key":"bibr14-0267659117712404","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2011.08.033"},{"key":"bibr15-0267659117712404","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.10.058"}],"container-title":["Perfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0267659117712404","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0267659117712404","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0267659117712404","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:26:37Z","timestamp":1777656397000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0267659117712404"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6,3]]},"references-count":15,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2017,10]]}},"alternative-id":["10.1177\/0267659117712404"],"URL":"https:\/\/doi.org\/10.1177\/0267659117712404","relation":{},"ISSN":["0267-6591","1477-111X"],"issn-type":[{"value":"0267-6591","type":"print"},{"value":"1477-111X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,6,3]]}}}