Patients with an increased systolic PAP of >60 mm Hg and/or a PAVR >200 dynes [cm.sup.-5] and/ or a TPG of >15 mm Hg are considered to be of high risk to develop early perioperative right ventricular failure.
The intention is to prevent mechanical compression of the pulmonary capillary blood flow and increase PAVR, (10) since RV failure or dysfunction is the most common etiology of failure to wean from CPB.
"Because of the limitations of first generation systems - currently in use at specially trained hospitals in Europe and the US - PAVR
remains an exacting, challenging procedure requiring great technical skill, and the clinical outcomes vary greatly," said Charles Larsen, managing director and co-founder of Accuitive Medical Ventures.
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