Basic Principles of Cardiopulmonary Bypass

  • George A. Justison
Part of the Interventional Cardiology book series (INCA, volume 1)


The development of percutaneous femoral-femoral cardiopulmonary bypass (CPB) offers new opportunities for treatment of the failing myocardium [1]. By eliminating the time-dependent task of vascular exposure required for conventional cannulation, a new group of patients who were previously excluded can receive the benefit of total CPB [2]. The application of closed-chest femoral-femoral bypass, although related to the more traditional form of CPB, requires a new level of diagnostic and management skills by the clinician. New challenges are presented by percutaneous CPB due to the change in the patient profiles and procedures performed.


Mean Arterial Pressure Cardiopulmonary Bypass Activate Clotting Time Volume Replacement Circulate Blood Volume 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Shawl FA, Domanski MJ, Punja S, Hernandez TJ. Percutaneous institution of cardiopulmonary (bypass) support: Technique and complications. J Am Coil Cardiol 1989; 13(2):159A.Google Scholar
  2. 2.
    Riley JB, Linie KA, Overlie PA, Justison GA, Soronen SW, Berryessa RG, Crowley JC. Supported angioplasty: A new contribution for extra-corporeal circulation technology. JECT 1988; 20(4):134–137.Google Scholar
  3. 3.
    Austin JW, Harner DL. The heart-lung machine and related technologies of open heart surgery. Phoenix Medical Communication, Phoenix, AZ, 1986.Google Scholar
  4. 4.
    Justison GA, Pelley W. Hemodynamic management during closed circuit percutaneous cardiopulmonary bypass. In 27th Proced, JECT 1989, pp. 88–95.Google Scholar
  5. 5.
    Riley JB, Young MR, Kauffman JN, Rigatti RL, Facer DL, Daly WL, Walker CT, Williams MK. In line oxygen saturation monitor. JECT 1983; 15(2):54–58.Google Scholar
  6. 6.
    Justison GA, Parsons S. Improved quality control utilizing continuous blood gas monitoring and computerized perfusion systems. In 27th Proud. JECT, 1989, pp. 83–87.Google Scholar
  7. 7.
    Riley JB, Palmer-Steele CL. Hemoglobin P50 dynamics during hypothermic cardiopulmonary bypass. JECT 15(6):167–170.Google Scholar
  8. 8.
    Riley JB, Heinemann SO, Cavanaugh DS. Technique to give relevance to calculated oxygen transfer during cardiopulmonary bypass. JECT 1983; 15(2):35–40.Google Scholar
  9. 9.
    Noe MA, Riley JB, Litzie KA, Pope T, Soronen SW, Crowley JC. In vitro analysis of the physical characteristics of femoral bypass cannula. In 27th Proced. JECT, 1989, pp. 67–75.Google Scholar
  10. 10.
    Reed CC, Stafford TB. Cardiopubnotaary Bypass. Texas Medical Press Inc., Houston, TX, 1985.Google Scholar
  11. 11.
    Justison GA, Wagner GP, Riley JB. Ventilation technique for CPB patients less than 10 kilograms employing a 1.6m hollow fiber membrane. JECT 16(3):95–101.Google Scholar
  12. 12.
    Little RC. Physiology of the Heart & Circulation. Year Book Medical Publishers, Chicago, 1981.Google Scholar
  13. 13.
    Fletcher RW. A model for estimating post-dilution hematocrit with minimal blood loss. JECT 20(3)_89–91.Google Scholar
  14. 14.
    Utley JR, Stephens DB. Fluid balance during cardiopulmonary bypass. In Pathophysiology and Techniques of Cardiopulmonary Bypass, Vo1.11. Williams & Wilkins, Baltimore, 1983.Google Scholar
  15. 15.
    Holt DW, Dumond DA, Bartosik J, Landis GH, Hardin SB, Miller M. Hemofiltration as an adjunct to cardiopulmonary bypass for total oxygenator volume control. JECT 14(3): 373–377.Google Scholar
  16. 16.
    Dearing JP. Activated clotting times versus protocol anticoagulation management. JECT 15(1):17–19.Google Scholar

Copyright information

© Springer Science+Business Media New York 1991

Authors and Affiliations

  • George A. Justison

There are no affiliations available

Personalised recommendations