Evidence map›Paper›PMID 41002644›Full record

ReviewJournal of cardiovascular development and disease2025

Between Air and Artery: A History of Cardiopulmonary Bypass and the Rise of Modern Cardiac Surgery.

Vasileios Leivaditis, Andreas Maniatopoulos, Francesk Mulita, Paraskevi Katsakiori, Nikolaos G Baikoussis, Sofoklis Mitsos, Elias Liolis, Vasiliki Garantzioti, Konstantinos Tasios, Panagiotis Leventis and 6 more

Abstract readReview
In one paragraph

Review in Journal of cardiovascular development and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. The history of cardiopulmonary bypass and the evolution ofArchives of medical sciences. Atherosclerotic diseases · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Vasileios LeivaditisDepartment of Cardiothoracic and Vascular Surgery, Westpfalz Klinikum, 67655 Kaiserslautern, Germany.ORCID 0000-0001-8692-0059
Andreas ManiatopoulosDepartment of Electrical and Computer Engineering, Democritus University of Thrace, 67100 Xanthi, Greece.
Francesk MulitaDepartment of General Surgery, General Hospital of Eastern Achaia-Unit of Aigio, 25100 Aigio, Greece.ORCID 0000-0001-7198-2628
Paraskevi KatsakioriDepartment of General Surgery, General Hospital of Eastern Achaia-Unit of Aigio, 25100 Aigio, Greece.ORCID 0009-0001-1640-1058
Nikolaos G BaikoussisDepartment of Cardiac Surgery, Ippokrateio General Hospital of Athens, 11527 Athens, Greece.ORCID 0000-0001-5645-662X
Sofoklis MitsosDepartment of Thoracic Surgery, School of Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, 12462 Athens, Greece.ORCID 0000-0002-0606-7287
Elias LiolisDepartment of Oncology, General University Hospital of Patras, 26504 Patras, Greece.
Vasiliki GarantziotiDepartment of Surgery, General University Hospital of Patras, 26504 Patras, Greece.ORCID 0009-0008-8183-4408
Konstantinos TasiosDepartment of Surgery, General University Hospital of Patras, 26504 Patras, Greece.ORCID 0000-0002-3189-0590
Panagiotis LeventisDepartment of General Surgery, General Hospital of Eastern Achaia-Unit of Aigio, 25100 Aigio, Greece.
Nikolaos KornarosDepartment of General Surgery, General Hospital of Eastern Achaia-Unit of Aigio, 25100 Aigio, Greece.
Andreas AntzoulasDepartment of Surgery, General University Hospital of Patras, 26504 Patras, Greece.
Dimitrios LitsasDepartment of Surgery, General Hospital of Lamia, 35100 Lamia, Greece.ORCID 0009-0004-0913-7350
Levan TchabashviliDepartment of General Surgery, General Hospital of Eastern Achaia-Unit of Aigio, 25100 Aigio, Greece.
Konstantinos NikolakopoulosDepartment of Vascular Surgery, General University Hospital of Patras, 26505 Patras, Greece.
Manfred DahmDepartment of Cardiothoracic and Vascular Surgery, Westpfalz Klinikum, 67655 Kaiserslautern, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiopulmonary bypass (CPB) is one of the most groundbreaking medical innovations in history, enabling safe and effective heart surgery by temporarily replacing the function of the heart and lungs. This review starts with ancient concepts of cardiopulmonary function and then traces the evolution of CPB through important physiological and anatomical discoveries, culminating in the development of the modern heart-lung machine. In addition to examining the contributions of significant figures like Galen, Ibn al-Nafis, William Harvey, and John Gibbon, we also examine the ethical and technical challenges faced in the early days of open heart surgery. Modern developments are also discussed, such as miniature extracorporeal systems, off-pump surgical techniques, and the increasing importance of extracorporeal membrane oxygenation (ECMO) and extracorporeal life support (ECLS), while the evolving role of perfusionists in diverse cardiac teams and the variations in global access to CPB technology are also given special attention. We look at recent advancements in CPB, including customized methods, nanotechnology, artificial intelligence-guided perfusion, and organ-on-chip testing, emphasizing CPB's enduring significance as a technological milestone and a living example of the cooperation of science, medicine, and human inventiveness because it bridges the gap between the past and the future.

Indexed as

cardiopulmonary bypassECMOextracorporeal circulationheart–lung machinemedical historyperfusion technologysurgical innovation

Identifiers

PMID41002644
PMCPMC12471178

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.