Antegrade crystalloid cardioplegia vs antegrade/retrograde cold and tepid blood cardioplegia in CABG

Antegrade crystalloid cardioplegia vs antegrade/retrograde cold and tepid blood cardioplegia in CABG

Background. This study evaluated the myocardial protective strategies in isolated coronary bypass surgeries. Methods. One hundred and twenty-eight patients were prospectively randomized to 3 techniques of myocardial protection; group I (n = 47) antegrade/retrograde tepid blood cardioplegia, group II...

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Veröffentlicht in:The Annals of thoracic surgery 1999-08, Vol.68 (2), p.447-453
Hauptverfasser: Elwatidy, Ahmed M.F, Fadalah, Mohsen A, Bukhari, Emad A, Aljubair, Khalid A, Syed, Aitizazuddin, Ashmeg, Abullah K, Alfagih, Mohamed R
Format: Artikel
Sprache:eng
Schlagworte:
Adult
Aged
Anesthesia
Anesthesia depending on type of surgery
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Cardiac Output, Low - etiology
Cardioplegic Solutions - administration & dosage
Coronary Artery Bypass - methods
Female
Heart Arrest, Induced - methods
Hemodynamics - physiology
Humans
Hypothermia, Induced - methods
Length of Stay
Male
Medical sciences
Middle Aged
Myocardial Reperfusion Injury - etiology
Postoperative Complications - etiology
Prospective Studies
Risk Factors
Temperature
Thoracic and cardiovascular surgery. Cardiopulmonary bypass
Ventricular Fibrillation - etiology
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Zusammenfassung:Background. This study evaluated the myocardial protective strategies in isolated coronary bypass surgeries. Methods. One hundred and twenty-eight patients were prospectively randomized to 3 techniques of myocardial protection; group I (n = 47) antegrade/retrograde tepid blood cardioplegia, group II (n = 40) antegrade/retrograde cold blood cardioplegia with topical cooling, group III (n = 41) antegrade crystalloid cardioplegia with topical cooling. Results. The incidence of spontaneous defibrillation was significantly higher in group I ( p
ISSN:0003-4975
1552-6259
DOI:10.1016/S0003-4975(99)00359-8