Terumo Cardiovascular Systems

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Autotransfusion

Fresenius C.A.T.S (Continuous AutoTransfusion System), the only available continuous flow autotransfusion technology, is distributed exclusively in the U.S. by Terumo Cardiovascular Systems.

Information provided on this website is not intended to make claims that the products are safe and effective for any use other than those explicitly described in the Instructions for Use. Clinicians should refer to the Instructions for Use or Owner's Manuals for complete information on the intended use of any product mentioned in this website.

CASE STUDY: Embrace Change or Face Extinction
As perfusion shifts from traditional cardiopulmonary bypass to a more general blood management focus, Al Stammers, CCP, Geisinger Medical Center, has increased his perfusion caseload through autotransfusion and platelet gel.

BEST PRACTICE: STS Blood Conservation Revision 2011
The STS Blood Conservation Guideline Task Force released its new 2011 practice guidelines: 2011 Update to The Society of Thoracic Surgeons and the Society of Cardiovascular Anesthesiologists Blood Conservation Clinical Practice Guidelines.

PROTOCOL: Fresenius C.A.T.S System Plasma Sequestration Protocol.
The plasma sequestration protocol and process to help reduce blood and platelet transfusions during CPB at Mission St. Joseph's Hospital in Asheville, NC.

CD-ROM: Reducing Sternal Wound Infections with PRP
Al Stammers, CCP, discusses the use of PRP to reduce sternal infection rates using the Fresenius C.A.T.S System at the 2005 Optimizing Cardiac Surgery Symposium.

ABSTRACT: Continuous Autotransfusion in a Jehovah's Witness Undergoing Coronary Artery Bypass Grafting. Anesth & Analg. 1999; 89:262. Booke, et al.
The authors reported the set up and use of the Fresenius C.A.T.S system in a case-report with a Jehovah's Witness patient.

ABSTRACT: Intraoperative Autotransfusion in Small Children: An In-vitro Investigation to Study its Feasability. Anesth Analg, April 1999; 88(4): 763-6. Booke, et al.
This in-vitro study demonstrates the ability of the Fresenius C.A.T.S System to produce high quality HCT independent of blood volume suggesting the feasability of IAT in small children.

ABSTRACT Implementation of the Continuous AutoTransfusion System (C.A.T.S) in Open Abdominal Aortic Aneurysm Repair: An Observational Comparative Cohort Study. Vascular and Endovascular Surgery, Feb-March 2008; Vol. 42, 32-39, Tawfick, W, et al.
In 187 patients, who underwent AAA, the authors found the Fresenius C.A.T.S system reduced the amount of blood transfused, was associated with reduced ICU and hospital stay, and was cost effective.

ABSTRACT: Improved Outcomes during Cardiac Surgery: a Multifactorial Enhancement of Cardiopulmonary Bypass Techniques. JECT 2005; 37:165-172. Trowbridge CC, et al.
In this study of 576 patients, the authors conclude that patients treated with a best-practice care plan that implements multiple changes simultaneously had significantly fewer complications and decreased mortality rates.

ABSTRACT: Continuous-Flow Cell Saver Reduces Cognitive Decline in Elderly Patients After Coronary Bypass Surgery. Circulation. 2007;116:1888-1895. Djaiani et al.
In this 226-patient randomized, double-blinded study, the use of the Fresenius C.A.T.S System to process shed blood showed less post-operative cognitive dysfunction than those using unprocessed shed blood.

ABSTRACT: Quality of Processed Blood for Autotransfusion. JECT March 2000; 32: 11-9. Shulman, et al.
The authors evaluate the quality of processed blood using several parameters and demonstrate that the C.A.T.S System has a high washout efficiency and produces consistently high HCT at high flow rates.

ABSTRACT: Qualitative Assessment of Blood Washing with the Continuous Autologous Transfusion System (CATS). Int J Art Org, April 1997; 20: 234-9. Walpoth, et al.
In this prospective study, the authors consistently found HCT of 62% and elimination rates greater than 93% for plasma components using the Fresenius C.A.T.S System.

ABSTRACT: Blood Separation with Two Different Autotransfusion Devices: Effects on Blood Cell Quality and Coagulation Variables. Int. J Artif Organs, Dec 1998; 2: 820-4. Rosalski, et al.
The authors compare the Fresenius C.A.T.S System with another device and found that C.A.T.S had a higher platelet recovery rate and higher platelet concentration.

ABSTRACT: Levels of Inflammatory Markers in the Blood Processed by Autotransfusion Devices during Cardiac Surgery Associated with Cardiopulmonary Bypass Circuit. Perfusion 2002; 17:117-123. Amand, et al.
This study evaluates the ability of several cell salvage devices to remove white cells. The C.A.T.S System and Haemonetics CS5 devices removed the highest percentage of white cells.