Haneya, Assad and Philipp, Alois and Diez, Claudius and Ried, Michael and Puehler, Thomas and Camboni, Daniele and Zausig, York and Lehle, Karla and Schmid, Christof (2009) Comparison of Two Different Minimized Extracorporeal Circulation Systems: Hematological Effects after Coronary Surgery. ASAIO JOURNAL, 55 (6). pp. 592-597. ISSN 1058-2916,
Full text not available from this repository. (Request a copy)Abstract
Cardiopulmonary bypass induces hemolysis and activation of inflammatory and coagulation systems as a result of a combination of mechanical trauma and biological mechanisms. The aim of our study was to evaluate the performance of two different minimized extracorporeal circulation (ECC) systems and to compare their influence on blood components. From January 2003 to December 2008, 1,218 patients underwent coronary artery bypass grafting with minimized ECC. The PRECiSe system (41%) consists of a microporous capillary membrane oxygenator (MO) and a diagonal pump (DeltaStream DP2). The MECC system (59%) is composed of a polymethylpentene MO with a plasma-tight diffusion membrane and a centrifugal pump (RotaFlow). Serial blood samples were taken preoperatively (TO), on arrival to intensive care unit (T1), 6 hours postoperatively (T2), and at discharge (T3). Demographic data, intraoperative, and technical parameters were similar in both groups. At T1 and T2, the platelet count in the PRECiSe group was significantly lower than that in the MECC group (p < 0.01). Furthermore, at T1, levels of lactate dehydrogenase were significantly higher in the PRECiSe group (p < 0.05). In addition, postoperative blood loss was significantly higher using the PRECiSe system (p < 0.05). In conclusion, cardiac surgery with the MECC system is associated with less postoperative bleeding and improved blood cell preservation. ASAIO Journal 2009; 55:592-597.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | CARDIOPULMONARY BYPASS; MEMBRANE OXYGENATORS; INFLAMMATORY RESPONSE; CENTRIFUGAL PUMP; ROLLER-PUMP; FOLLOW-UP; BLOOD; ISOFLURANE; EXPERIENCE; IMPELLER; |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Anästhesiologie Medicine > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 02 Sep 2020 07:22 |
| Last Modified: | 02 Sep 2020 07:22 |
| URI: | https://pred.uni-regensburg.de/id/eprint/28167 |
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