METHOD OF CONDITIONING A DONOR HEART

In medicine, and more specifically, in cardiac surgery and perfusiology. In order to improve heart transplantation results by optimizing the conditioning of a heart, the method of conditioning a donor heart comprises a set of measures including an administration of a blood cardioplegic solution, an...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Hauptverfasser: Ashyrov, Zhanybek Zaydinovich, Lesbekov, Timur Dostaevich, Ibrayev, Talgat Ergalievich, Pya, Yuriy Vladimirovich, Bekbossynov, Serik Temirkhanovich, Nurmykhametova, Zhuldyz Askarovna, Smagulov, Nurlan Kuandykovich, Novikova, Svetlana Petrovna, Kaliyev, Rymbay Bolatovich, Faizov, Linar Rinatovich
Format: Patent
Sprache:eng
Schlagworte:
Online-Zugang:Volltext bestellen
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:In medicine, and more specifically, in cardiac surgery and perfusiology. In order to improve heart transplantation results by optimizing the conditioning of a heart, the method of conditioning a donor heart comprises a set of measures including an administration of a blood cardioplegic solution, an ultrafiltration and Levosimendan. For cardioplegia in the body of the donor, a normothermic solution consisting of donor blood and a crystalloid solution at the ratio of 5:1 (potassium chloride 4%, magnesium sulfate 25%, lidocaine 2%, sodium hydrocarbonate, and mannitol 15%) is used. To protect the myocardium and enhance its blood circulation, a single dose of Levosimendan (45 μg/kg) is injected into the perfusate. To remove inflammatory mediators, an excessive amount of fluid, and to correct the electrolyte composition and the hematocrit, the perfusate is ultrafiltered. Prior to transplantation to a recipient, the blood cardioplegic solution is administrated to wean the donor heart off the OCS device.