Clinical evaluation of minimized extracorporeal circulation in high-risk coronary revascularization: Impact on air handling, inflammation, hemodilution and myocardial function

Perfusion

Volumn 24, Issue 3, 2009, Pages 153-162

  Gunaydin, Serdar ^a   Sari, Tamer ^b   McCusker, Kevin ^c   Schonrock, Uwe ^d   Zorlutuna, Yaman ^b  

^a KIRIKKALE UNIVERSITY   (Turkey)

^b BAYINDIR HOSPITAL   (Turkey)

^c Portsmouth Regional Hospital   (United States)

^d KLINIKUM BRAUNSCHWEIG   (Germany)

Author keywords

Cardiopulmonary bypass; CPB inflammatory response; Minimal extracorporeal circulation

Indexed keywords

CD11B ANTIGEN; CD18 ANTIGEN; COMPLEMENT COMPONENT C3A; CREATINE KINASE; CREATINE KINASE MB; HEMOGLOBIN; INTERLEUKIN 6;

ABSORPTION SPECTROPHOTOMETRY; ADULT; ANESTHESIA INDUCTION; BLOOD SAMPLING; CLINICAL ARTICLE; CLINICAL TRIAL; CONFERENCE PAPER; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORONARY ARTERY BYPASS GRAFT; EXTRACORPOREAL CIRCULATION; FEMALE; HEART EJECTION FRACTION; HEART FUNCTION; HEART LEFT VENTRICLE ENDDIASTOLIC PRESSURE; HEART MUSCLE REVASCULARIZATION; HEART PROTECTION; HEMODILUTION; HEMOLYSIS; HUMAN; MALE; OXYGEN SATURATION; PRIORITY JOURNAL; PROTEIN BLOOD LEVEL; RANDOMIZED CONTROLLED TRIAL; RISK FACTOR; THROMBOELASTOGRAPHY;

AGED; CORONARY ARTERY BYPASS; EXTRACORPOREAL MEMBRANE OXYGENATION; HEMODILUTION; HUMANS; INFLAMMATION; MALE; MIDDLE AGED; MYOCARDIAL INFARCTION; MYOCARDIUM; PROSPECTIVE STUDIES;

EID: 70450188140     PISSN: 02676591     EISSN: None     Source Type: Journal    
DOI: 10.1177/0267659109346664     Document Type: Conference Paper

References (22)

1. Mulholland JW, Anderson JR, Yarham GJ, Tuladhur S., Saed I., Oliver MD Miniature cardiopulmonary bypass-the Hammersmith experience. Perfusion 2007; 22(3): 161-166.
2. Immer FF, Ackermann A., Gygax E., et al. Minimal extracorporeal circulation is a promising technique for coronary artery bypass grafting. Ann Thorac Surg 2007; 84: 1515-1521.
3. Perthel M., Kseibi S., Sagebiel F., Alken A., Laas J. Comparison of conventional extracorporeal circulation and minimal extracorporeal circulation with respect to microbubbles and microembolic signals. Perfusion 2005; 20(6): 329-333.
4. Repo H., Jansson SE, Leirisalo-Repo M. Flow cytometric determination of CD11b upregulation in vivo. J Immunol Methods 1993; 164: 193-202.
5. Gunaydin S. Air handling and cardiac surgery: EDAC® quantifier introduces new concepts in solving an old problem. AmSECT Today 2008; 11(10): 11.
6. Tanaka M., Motomura T., Kawada M. et al. Blood compatible aspects of poly(2-methoxyethylacrylate) relationship between protein adsorption and platelet adhesion on PMEA surface. Biomaterials 2000; 21: 1471-1481.
7. Levy JH, Tanaka KA Inflammatory response to cardiopulmonary bypass. Ann Thorac Surg 2003; 75: S715-S720.
8. Zamora E., Delgado L., Castro MA, et al. Coronary artery bypass surgery using the mini-extracorporeal circulation system: A Spanish unit's experience. Rev Esp Cardiol 2008; 61(4): 376-381.
9. Moen O., Fosse E., Dregelid E., et al. Centrifugal pump and heparin coating improves cardiopulmonary bypass biocompatibility. Ann Thorac Surg 1996; 62: 1134-1140.
10. Nishida H., Aomi S., Tomizawa Y., et al. Comparative study of biocompatibility between open circuit and closed circuit in cardiopulmonary bypass. Artif Organs 1999; 23: 547-551.
11. Nollert G., Schwabenland I., Maktav D., et al. Miniaturized cardiopulmonary bypass in coronary artery bypass surgery: Marginal impact on inflammation and coagulation but loss of safety margins. Ann Thorac Surg 2005; 80: 2326-2332.
12. van Boven WJ, Gerritsen WB, Waanders FG, Haas FJ, Aarts LP Mini extracorporeal circuit for coronary artery bypass grafting: Initial clinical and biochemical results: A comparison with conventional and off-pump coronary artery bypass grafts concerning global oxidative stress and alveolar function. Perfusion 2004; 19: 239-246.
13. McCusker K., Vijay V., DeBois W., Helm R., Sisto D. MAST system: A new condensed cardiopulmonary bypass circuit for adult cardiac surgery. Perfusion 2001; 16(6): 447-452.
14. Fransen EJ, Ganushchak YM, Vijay V., de Jong DS, Buurman WA, Maessen JG Evaluation of a new condensed extracorporeal circuit for cardiac surgery: A prospective randomized clinical pilot study. Perfusion 2005; 20: 91-99.
15. Farneti PA, Sbrana S., Spiller D., et al. Reduction of blood coagulation and monocyte-platelet interaction following the use of a minimal extracorporeal circulation system (Synergy®) in coronary artery bypass grafting. Perfusion 2008; 23: 49-56.
16. Ohata T., Mitsuno M., Yamamura M., et al. Minimal cardiopulmonary bypass attenuates neutrophil activation and cytokine release in coronary artery bypass grafting. J Artif Organs 2007; 10: 92-95.
17. Gourlay T., Samartzis I., Taylor KM The effect of haemodilution on blood/ biomaterial contact-mediated CD11b expression on neutrophils: Ex vivo studies. Perfusion 2003; 18: 87-93.
18. Huybregts RAJM, Morariu AM, Rakhorst G., et al. Attenuated renal and intestinal injury after use of a mini-cardiopulmonary bypass system. Ann Thorac Surg 2007; 83: 1760-1767.
19. McCusker K., Chalafant A., de Foe G., Gunaydin S., Vijay V. Influence of hematocrit and pump prime on cerebral oxygen saturation in on-pump coronary revascularization. Perfusion 2006; 21(3): 149-55.
20. Gunaydin S., McCusker K., Vijay V. Clinical performance and biocompatibility of novel hyaluronan-based heparin-bonded extracorporeal circuits. J Extracorp Technol 2005; 37(3): 290-295.
21. Gunaydin S. Clinical significance of coated extracorporeal circuits: A review of novel technologies. Perfusion 2004; 19: S33-S41.
22. Gunaydin S., Farsak B., Kocakulak M., Sari T., Yorgancioglu C., Zorlutuna Y. Clinical performance and biocompatibility of poly (2-methoxyethylacrylate) coated extracorporeal circuits. Ann Thorac Surg. 2002; 74(3): 819-824.