Extracorporeal Circulation
Extracorporeal Circulation
Bloodmanagement, cellsaving
Bloodmanagement, cellsaving
Training and Education
Training and Education
Training and Education
Training and Education
Bloodmanagement, cellsaving
Bloodmanagement, cellsaving
Extracorporeal Circulation
Extracorporeal Circulation, Mini-ECC
Extracorporeal Circulation
Extracorporeal Circulation

Training Robotic Surgery Team

ECCare takes part in the robotic surgery program of the Isala Klinieken Heartcentre. After an initial start of the program, involving robotic assisted lung procedures and OPCABG procedures the program is now really kicking of with the start of mitral-valve repair procedures. This of course involves extracorporeal circulation support.

da Vinci robot The Isala Klinieken are the first to be using the da Vinci robot in cardiac and pulmonary surgery. It offers potentially many advantages to the patient like:

  • smaller incisions, less pain and therefore reduced exposure to anesthetic an pain medication
  • reduced bloodloss and need for donor blood transfusions
  • reduced risk for infection
  • shorter hospital stay, faster recovery to normal day live
  • less scarring

The complete robotic team will be sent out to receive intensive training prior to performing the first procedure. They will take part in the icrs-training program at Saint Joseph, Atlanta, USA. They will receive their training from the team led by D.A. Murphey MD.


The Saint Joseph's Hospital was in 2004 named as the exclusive training center in the Southeast USA for the daVinci® robotic surgery system. Saint Joseph's International College of Robotic Surgery (ICRS) is one of only five training sites in the world for the daVinci® surgical system, where physicians from throughout the southeast and around the world are trained in the techniques of minimally invasive, robotic surgery.

The International College of Robotic Surgery (ICRS) is a non-profit organization dedicated to the advancement of minimally invasive techniques using robotic instrumentation. Their goal is to share the knowledge and team experience along with innovative methods in robotic surgery.

ICRS offer a whole range of instructional videos with regard to robotic surgery at their website. Certainly worthwhile checking out.

30,000th Perfusion procedure

One year ahead of the 25th anniversary of the Isala Klinieken Heartcentre, perfusionists of ECCare performed the 30,000th extracorporeal circulation in support of a cardiac surgical procedure. Although ECCare came in to existence only late 2009, all current members were previously employed by the Isala Klinieken and as such involved in all perfusion procedures.

Extracorporeal circulation at the Isala Klinieken Heartcentre has evolved immensely over the past 24 years. Initially only perfusion procedures were performed. Nowadays this has expanded to extracorporeal support procedures outside the OR setting as in ECMO or ECLS and bloodmanagement as well.

Also extracorporeal circulation techniques and available materials have changed. At the start an extracorporeal circuit with an open venous reservoir, rollerpump, a shiley m2000 flat-sheet oxygenator with a total priming volume of 2.5L was used.Nowadays this has been replaced with a low-volume (1 to 1.5L) fully coated closed extracorporeal circuit, incorporating a modern fiber oxygenator and centrifugal pump. A lot of effort has been put into making the circuit and perfusion procedure as less traumatic to the patient as possible. We think this has resulted in the current high standard of care which makes it possible to operate on increasingly older and sicker patients with good results in patient outcome.

30,000th patient receiving flowers To celebrate this milestone the patient involved was offered flowers by perfusionist Ad Boogaart and cardiac surgeon George Brandon Bravo Bruinsma after she made her speedy recovery from the cardiac and extracorporeal procedure.

Follow link to official Isala press release.

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