October 10, 2015

Hands-on experience for temporary caval stenting by cannulation with
virtually wall-less cannulas and remote access in full size dry and wet models
was again made available by Smartcanula LLC at the HeartLab in Zurich on
November 12 - 14, 2015, Hilton Zurich Airport.

More at www.heartlab.org




September 15, 2015

The new percutaneous small diameter MICS Smartcanula® and the new
ECMO Smartcanula designed for augmented venous drainage with a
centrifugal pump or vacuum are presented at the 29th Annual Meeting of the
European Assocation for Cardio-Thoracic Surgery in Amsterdam, Netherlands,
October 3 - 7, 2015.

More at www.eacts.org




August 15, 2015

Eurosets and Smartcanula organize a special course for hands-on training
with the NEW MICS smartcanula® on September 6, just before the FOCUS
VALVE 2015 Meeting in Innsbruck, September 6-9, 2015

More at www.focusvalve.org




May 15, 2015

The NEW MICS smartcanula® will be shown at the 2015 ISMICS in Berlin, June 3-6, 2015

More at www.ismics.org




April 20, 2015

New ECMO concepts with the smartcanula® will be shown at the 4th EuroELSO Regensburg, May 7-10, 2015

More at http://regensburg-euroelso2015.jimdo.com




March 1, 20154

Smartcanula LLC presents it’s virtually wall-less cannulas for augmented venous drainage
in MICS including results for pediatric applications at ESCVS2015.

More at www.escvs2015.org




January 9, 2015

Videos about tricuspid reoperations without caval snears using self-expanding cannulas have been published by Miguel Pinon et al in the European Journal of Cardio-Thoracic Surgery.

More here

Comment
Redo-procedures in cardiac surgery can be difficult and there are not too many
tricks to make things easier. The authors report the use of a new surgical
technique based on modern cannula design, i.e. use of a single self-expanding
cannula in combination with gravity drainage of both caval veins for an open
right heart operation. The trick here is due to several specific features of
the anatomy and the cannula used:

A) in a supine patient, the tricuspid orifice is a few centimeters above the
inferior vena cava, i.e. above the blood level in the cases shown. This can be
seen easily seen in routine CT slices of the heart with some contrast in the
caval veins

B) in a supine patient, the drainage point (here the femoral vein) is usually
below the tricuspid orifice. Again, this can be checked prior to the procedure
with a CT-scan

C) the cannula used has no wall, but acts as a spacer in the venous
vasculature. Hence, the blood can enter the cannula lumen directly at all
intravenous levels. This is very much in contrast to traditional percutaneous
cannulas, where the blood has to travel to the right atrium, before it enters the cannula
orifices at the tip. This also also explains the immediate air-lock with traditional
cannulas within an open right atrium

D) due to the self-expanding mechanism, the mean cross-sectional area of the
cannula to used can be selected well above that of access vessel selected and
therefore gravity is enough for adequate venous drainage in this setting.