**5. Conclusions**

The optimisation of ECC management through:


**Conflict of interest**

de Charleroi, Gilly, Belgium;

Hôspital de Charleroi, Gilly, Belgium;

Mr. Dominique Bourgeois, professional welder.

\*, Marc Detroux2

\*Address all correspondence to: umberto.borrelli@hotmail.com

The Annals of Thoracic Surgery. 1993;**55**:552-559

Riyadh, Saudi Arabia;

Canada;

**Author details**

Umberto Borrelli1

**References**

411-416

The authors declare that they have no conflicts of interest.

The author wishes to thank the people who made this project possible:

G. Baert MD and B. Trifan MD from Department of Cardiovascular Surgery, Grand Hôpital

Holder System for External Pumps Positioned Remote from the CPB Console: 23 Years' Experience

A.M. Calafiore MD from Department of Cardiac Surgery, Prince Sultan Cardiac Center,

N. Al-Attar MD from Department of Cardiac Surgery, Golden Jubilee Hospital, Glasgow, UK; A. Silvestri ECCP and S. Mercurio ECCP from Department of Cardiovascular Perfusion, Grand

A. Pappalardo MD, M. Gabrielli MD, C. Gripari CCP, G. Gustin CCP, D. Fasolo CCP, and

F. Perron CCP from Department of Cardiovascular Perfusion, Kelowna General Hospital, BC,

, Stephane Nikis2

and Pierre Nakers2

http://dx.doi.org/10.5772/intechopen.77121

165

A. Scala CCP from Department of Cardiac Surgery, Ospedali Riuniti, Trieste, Italy;

, Remi Nottin<sup>3</sup>

1 Department of Cardiovascular Perfusion, Grand Hôspital de Charleroi, Gilly, Belgium

[1] Butler J, Rocker GM, Westaby S. Inflammatory response to cardiopulmonary bypass.

[2] Bracey AW, Radovancevic R. The hematologic effects of cardiopulmonary bypass and the use of hemotherapy in coronary artery bypass grafting. Arch Pathol Lab Med 93;**118**:

2 Department of Cardiovascular Surgery, Grand Hôpital de Charleroi, Gilly, Belgium 3 Department of Cardiac Surgery, Center Surgical Marie Lannelongue, Paris, France

**Notes/Thanks/Other declarations**


It has a direct impact on postoperative patients who have undergone surgical intervention under ECC; it could be comparable to an artificial reduction of ECC time.

For 23 years, this strategy of developing the McECC and the CPB console with the Holder System, the circuit, the various components that constitute the ECC allowed us to operate all types of patients with various pathologies with a safe and versatile system that is adapted to each patient. It gave us the possibility of a different approach for fragile patients or having to undergo paediatric, valvular or minimally invasive heart surgery.

The CPB HL30 console is very stable; thanks to its concept with its center of gravity which is low, it allowed us to place the Holder system away from the CPB console without having any technical problems. The assembly is very safe and flexible, the weight of the overall holder system provided with four roller pumps is 33 kg.

For 11 years, we have realised more than 3600 cardio-thoracic surgeries in our hospital with this concept of McECC and holder system.

This holder system was placed in 2009 on two CPB consoles at the Azienda Ospedaliera Universitaria "Ospedali Riuniti In Trieste, Italy, where more than 4300 cardio-vascular surgery were carried out with this ECC concept.
