Leucocyte depletion during cardiac surgery: A comparison of different filtration strategies

Perfusion

Volumn 18, Issue 1, 2003, Pages 31-38

  de Vries, Adrianus J ^a   Gu, Y John ^a   Post, Wendy J ^a   Vos, Paulien ^a   Stokroos, Ietse ^a   Lip, Harm ^a   van Oeveren, Willem ^a  

^a UNIVERSITY MEDICAL CENTER GRONINGEN   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

ELASTASE; HEPARIN; PROTAMINE;

ADULT; AGED; ARTERIAL BLOOD; ARTERIAL OXYGEN TENSION; ARTICLE; BLOOD FLOW; BLOOD TRANSFUSION; CARDIOVASCULAR EQUIPMENT; CELL SEPARATION; CLINICAL ARTICLE; CONTROLLED STUDY; ELECTRON MICROSCOPE; ENZYME BLOOD LEVEL; FEMALE; FILTER; HEART SURGERY; HUMAN; INTERMETHOD COMPARISON; LEUKOCYTE COUNT; LEUKOPENIA; MALE; OXYGENATOR; PRESSURE GRADIENT; PRIORITY JOURNAL; PUMP; RANDOMIZATION; SCANNING ELECTRON MICROSCOPY; SURGICAL PATIENT; VENOUS BLOOD; VENOUS RETURN;

AGED; BLOOD GAS MONITORING, TRANSCUTANEOUS; CARDIAC SURGICAL PROCEDURES; CELL SEPARATION; FILTRATION; HUMANS; LEUKOCYTES; MICROSCOPY, ELECTRON, SCANNING; MIDDLE AGED; OXYGEN; PANCREATIC ELASTASE;

EID: 1642564343     PISSN: 02676591     EISSN: None     Source Type: Journal    
DOI: 10.1191/0267659103pf643oa     Document Type: Article

References (19)

1. Kirklin JK, Westaby S, Blackstone EH, Kirklin JW, Chenoweth DE, Pacifico AD. Complement and the damaging effects of cardiopulmonary bypass. J Thorac Cardiovasc Surg 1983; 86: 845-57.
2. Butler J, Rocker GM, Westaby S. Inflammatory response to cardiopulmonary bypass. Ann Thorac Surg 1993; 55: 552-59.
3. Royston D. The inflammatory response and extracorporeal circulation. J Cardiothorac Vasc Anesth 1997; 11: 341-54.
4. Gu YJ, van Oeveren W, Boonstra PW, Haan J, Wildevuur CRH. Leukocyte activation with increased expression of CR3 receptors during cardiopulmonary bypass. Ann Thorac Surg 1992; 53: 839-43.
5. Gillinov AM, Redmond JM, Winkelstein JA et al. Complement and neutrophil adhesion during cardiopulmonary bypass: a study in the complement-deficient dog. Ann Thorac Surg 1994; 57: 126-33.
6. Tönz M, Mihaljevic T, von Segesser LK, Fehr J, Schmid ER, Turina MI. Acute lung injury during cardiopulmonary bypass: are the neutrophils responsible? Chest 1995; 108: 1551-56.
7. Palanzo DA, Manley NJ, Montesano RM, Yeisley GL, Gordon D. Clinical evaluation of the LeukoGuard (LG-6) arterial line filter for routine open-heart surgery. Perfusion 1993; 8: 489-96.
8. Gu YJ, de Vries AJ, Boonstra PW, van Oeveren W. Leukocyte depletion results in improved lung function and reduced inflammatory response after cardiac surgery. J Thorac Cardiovasc Surg 1996; 112: 494-500.
9. Baksaas ST, Flom-Halvorsen HI, Ovrum E et al. Leucocyte filtration during cardiopulmonary reperfusion in coronary artery bypass surgery. Perfusion 1999; 14: 107-17.
10. Mair P, Hoermann C, Mair J, Margreiter J, Puschendorf B, Balogh D. Effects of a leucocyte depleting arterial line filter on perioperative proteolytic enzyme and oxygen free radical release in patients undergoing aortocoronary bypass surgery. Acta Anesthesiol Scand 1999; 43: 452-57.
11. Gu YJ, de Vries AJ, Vos P, Boonstra PW, van Oeveren W. Leukocyte depletion during cardiac operations: a new approach through the venous bypass circuit. Ann Thorac Surg 1999; 67: 604-609.
12. Hachida M, Hanayama N, Okamura T et al. The role of leukocyte depletion in reducing injury to myocardium and lung during cardiopulmonary bypass. ASAIO J 1995; 41: M291-94.
13. Gott JP, Cooper WA, Schmidt FE Jr et al. Modifying risk for extracorporeal circulation: trial of four anti-inflammatory strategies. Ann Thorac Surg 1998; 66: 747-54.
14. Milhaljevic T, Tönz M, von Segesser LK et al. The influence of leukocyte filtration during cardiopulmonary bypass on postoperative lung function: a clinical study. J Thorac Cardiovasc Surg 1995; 109: 1138-45.
15. Lust RM, Bode AP, Yang L, Hodges W, Chitwood WR. In-line leukocyte filtration during bypass: clinical results from a randomized prospective trial. ASAIO 1996; 42: M819-22.
16. Matheis G, Scholz M, Gerber J, Abdel-Rahman U, Wimmer-Greinecker G, Moritz A. Leucocyte filtration in the early reperfusion phase on cardiopulmonary bypass reduces myocardial injury. Perfusion 2001; 16: 43-49.
17. Stefanou DC, Gourlay T, Asimakopoulos G, Taylor KM. Leucodepletion during cardiopulmonary bypass reduces blood transfusion and crystalloid requirements. Perfusion 2001; 16: 51-58.
18. Smit JJJ, de Vries AJ, Gu YJ, van Oeveren W. Filtration of activated granulocytes during cardiopulmonary bypass surgery: a morphological and immunological study to characterize the trapped leukocytes. J Lab Clin Med 2000; 135: 238-46.
19. Asimakopoulos G, Smith PL, Ratnatunga CP, Taylor KM. Lung injury and acute respiratory distress syndrome after cardiopulmonary bypass. Ann Thorac Surg 1999; 68: 1107-15.