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. 2025 Feb 5;40(2):ivaf002.
doi: 10.1093/icvts/ivaf002.

2024 EACTS/EACTAIC/EBCP Guidelines on cardiopulmonary bypass in adult cardiac surgery

Alexander Wahba  1   2 , Gudrun Kunst  3   4 , Filip De Somer  5 , Henrik Agerup Kildahl  1   2 , Benjamin Milne  6 , Gunilla Kjellberg  7 , Adrian Bauer  8 , Friedhelm Beyersdorf  9   10 , Hanne Berg Ravn  11 , Gerdy Debeuckelaere  12 , Gabor Erdoes  13 , Renard Gerhardus Haumann  14   15 , Tomas Gudbjartsson  16 , Frank Merkle  17 , Davide Pacini  18   19 , Gianluca Paternoster  20   21 , Francesco Onorati  22 , Marco Ranucci  23 , Nemanja Ristic  24 , Marc Vives  25   26 , Milan Milojevic  27 ; EACTS/EACTAIC/EBCP Scientific Document Group
Collaborators, Affiliations

2024 EACTS/EACTAIC/EBCP Guidelines on cardiopulmonary bypass in adult cardiac surgery

Alexander Wahba et al. Interdiscip Cardiovasc Thorac Surg. .
No abstract available

Keywords: EACTAIC; EACTS; EBCP; Guidelines; cardiac anaesthesia; cardiac surgery; cardiopulmonary bypass; clinical perfusionist; evidence-based practice; extracorporeal circulation; minimally invasive extracorporeal circulation; recommendations.

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Conflict of interest statement

Adrian Bauer reports a leadership role for LivaNova related to customer meetings for new products. Friedhelm Beyersdorf reports receiving consulting fees from Franz Köhler Chemie, Germany, (< 10,000 EUR) and honoraria from AtriCure. Friedhelm Beyersdorf also reports leadership roles in EACTS and DGTHG. Filip De Somer reports receiving a grant and consulting fees from LivaNova, both paid to University Ghent. Filip De Somer also reports a leadership position in EBCP (unpaid). Gudrun Kunst reports receiving honoraria from Edwards for contributions to two discussion workshops in 2024 and 2022, and from BioMerieux for a presentation contribution to a webinar. Gudrun Kunst also reports leadership roles for the National Institute of Academic Anaesthesia Royal College of Anaesthesia UK as Grant Officer and Board and Research Council Member, for the Association of Cardiothoracic Anaesthesia and Critical Care UK as Scientific Chair and Board Member, and for the European Board of Cardiovascular Perfusion as Scientific Chair and Board Member. Frank Merkle reports receiving consulting fees and honoraria from LivaNova and Terumo Europe (both to the institution). Benjamin Milne reports receiving consulting fees from Edwards Lifesciences. Milan Milojevic reports receiving a speaker fee from Corcym in relation to ERAS (<1000K) and one from Medtronic in relation to CPB (<1000K). Milan Milojevic also reports a role of Guidelines Program Director at EACTS. Francesco Onorati reports receiving grants from Edwards Lifesciences, and honoraria from Edwards Lifesciences and Abbott. Francesco Onorati reports receiving support from Edwards Lifesciences and Abbott for attending meetings. Francesco Onorati reports participation on an advisory board for the IMPACT and INDURE trials. Francesco Onorati reports leadership positions in EBCTS and the Italian Society of Cardiac Surgery. Francesco Onorati also reports receiving equipment from IPP Med. Davide Pacini reports receiving grants from Artivion, Terumo Aortic, Peters, and Corcym. Davide Pacini reports receiving consulting fees and honoraria from Terumo Aortic and Peters. Davide Pacini reports receiving support for attending meetings from Corcym. Davide Pacini reports participating on the advisory board for the TRACS trial. Davide Pacini also reports leadership positions for the Italian Society of Cardiac Surgery and the Francis Fontan Foundation. Marco Ranucci reports receiving royalties from LivaNova for a GDP monitor patent. Marco Ranucci reports receiving consulting fees from LivaNova as a personal payment, and honoraria from LivaNova and Medtronic as personal payments. Marco Ranucci also reports receiving personal payment from LivaNova for participating on an advisory board.

Figures

None
Central Illustration:  Multidisciplinary Approach to Cardiopulmonary Bypass Management.
Figure 1:
Figure 1:
(A) Cross-section of a heart from a 22-year-old with no cardiac history, who died in an automobile accident. The relatively thin free wall of the right ventricle contrasts with the more substantial muscle mass of the left ventricle’s septal and free walls, which are nearly equal in size and mass. (B) Fibre orientation of the right ventricle and septum: the free wall consists primarily of transverse fibres, while the septum contains helical or oblique fibres, allowing the septum to twist and shorten while the free wall constricts [354]. (Reprinted from Allen et al. [328], with permission from Oxford University Press). LV: left ventricle; RV: right ventricle.
Figure 2:
Figure 2:
Proposed algorithm for managing challenging weaning scenarios from cardiopulmonary bypass. RV: right ventricle.
See this image and copyright information in PMC

References

    1. Puis L, Milojevic M, Boer C, De Somer F, Gudbjartsson T, van den Goor J, et al. 2019 EACTS/EACTA/EBCP guidelines on cardiopulmonary bypass in adult cardiac surgery. Interact Cardiovasc Thorac Surg. 2020;30(2):161–202. - PMC - PubMed
    1. Kunst G, Milojevic M, Boer C, De Somer F, Gudbjartsson T, van den Goor J, et al. 2019 EACTS/EACTA/EBCP guidelines on cardiopulmonary bypass in adult cardiac surgery. Br J Anaesth. 2019;123(6):713–57. - PubMed
    1. Casselman F, Lance MD, Ahmed A, Ascari A, Blanco-Morillo J, Bolliger D, et al. 2024 EACTS/EACTAIC Guidelines on patient blood management in adult cardiac surgery developed in collaboration with EBCP. Eur J. Cardiothorac Surg. 2024:ezae352. doi: 10.1093/ejcts/ezae352. - DOI - PubMed
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    1. Sousa-Uva M, Head SJ, Thielmann M, Cardillo G, Benedetto U, Czerny M, et al. Methodology manual for European Association for Cardio-Thoracic Surgery (EACTS) clinical guidelines. Eur J Cardiothorac Surg. 2015;48(6):809–16. - PubMed

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