A narrative review on miniaturized extracorporeal technology and circuits: a revolutionary approach to cardiac surgery

Abstract

Abstract Background The development of the cardiopulmonary bypass machine for extracorporeal circulation by Dr. John Gibbon marked a significant milestone in the advancement of medical technology. Subsequent enhancements in this equipment and methodologies have refined this ground-breaking invention for better cardiac surgical results. Main body of the abstract The emergence of miniaturized extracorporeal circuits has demonstrated more promising results in various research studies. This narrative article explores the impacts of miniaturized extracorporeal circuits on different organ systems and their potential advantages over traditional bypass systems, focusing on currently commercially available devices to enhance our understanding. Short conclusion Nevertheless, practical limitations in standard usage and acceptance have hindered its widespread implementation. Hence, this technique is still in the process of acceptance as the standard of care. The information presented in this review has been collected by accessing major databases and recent reviews, meta-analyses and clinical trials on the internet, adhering to the Revised Standards for QUality Improvement Reporting Excellence (SQUIRE 2.0) guidelines.

Keywords

• Cardiopulmonary bypass
• Extracorporeal circulation
• Miniaturized extracorporeal circuit