Additive effect on survival of anaesthetic cardiac protection and remote ischemic preconditioning in cardiac surgery: A Bayesian network meta-analysis of randomized trials

PLoS ONE

Volumn 10, Issue 7, 2015, Pages

  Zangrillo, Alberto ^a,b   Musu, Mario ^c   Greco, Teresa ^b   Di Prima, Ambra Licia ^a   Matteazzi, Andrea ^a   Testa, Valentina ^a   Nardelli, Pasquale ^a   Febres, Daniela ^a   Monaco, Fabrizio ^a   Calabrò, Maria Grazia ^a   Ma, Jun ^d   Finco, Gabriele ^c   Landoni, Giovanni ^a,b  

^a SAN RAFFAELE HOSPITAL   (Italy)

^b VITA SALUTE SAN RAFFAELE UNIVERSITY   (Italy)

^c UNIVERSITY OF CAGLIARI   (Italy)

^d CAPITAL MEDICAL UNIVERSITY   (China)

Author keywords

[No Author keywords available]

Indexed keywords

INHALATION ANESTHETIC AGENT;

ARTICLE; BAYES THEOREM; HEART PROTECTION; HEART SURGERY; HUMAN; INTRAVENOUS ANESTHESIA; ISCHEMIC PRECONDITIONING; LONG TERM SURVIVAL; META ANALYSIS; RANDOMIZED CONTROLLED TRIAL (TOPIC); REMOTE ISCHEMIC PRECONDITIONING; SHORT TERM SURVIVAL; SURGICAL MORTALITY; ANESTHESIA; SURVIVAL ANALYSIS; THORAX SURGERY;

ANESTHESIA; BAYES THEOREM; HUMANS; ISCHEMIC PRECONDITIONING; RANDOMIZED CONTROLLED TRIALS AS TOPIC; SURVIVAL ANALYSIS; THORACIC SURGICAL PROCEDURES;

EID: 84941951413     PISSN: None     EISSN: 19326203     Source Type: Journal    
DOI: 10.1371/journal.pone.0134264     Document Type: Article

References (78)

1. Domanski MJ, Mahaffey K, Hasselblad V, Brener SJ, Smith PK, Hillis G, et al. Association of myocardial enzyme elevation and survival following coronary artery bypass graft surgery. JAMA. 2011; 305: 585-591.
2. Heusch G, Schulz RJ. Remote preconditioning. Mol Cell Cardiol. 2002; 34: 1279-1281.
3. Zhou C, Liu Y, Yao Y, Zhou S, Fang N, Wang W, et al. β-blockers and volatile anesthetics may attenuate cardioprotection by remote preconditioning in adult cardiac surgery: a meta-analysis of 15 randomized trials. J Cardiothorac Vasc Anesth. 2013; 27: 305-311.
4. Yang L, Wang G, Du Y, Ji B, Zheng Z. Remote Ischemic Preconditioning Reduces Cardiac Troponin I Release in Cardiac Surgery: A Meta-Analysis. J Cardiothorac Vasc Anesth. 2013; 28: 682-689.
5. Thielmann M, Kottenberg E, Kleinbongard P, Wendt D, Gedik N, Pasa S, et al. Cardioprotective and prognostic effects of remote ischaemic preconditioning in patients undergoing coronary artery bypass surgery: a single-centre randomised, double-blind, controlled trial. Lancet. 2013; 382: 597-604.
6. Landoni G, Augoustides JG, Guarracino F, Santini F, Ponschab M, Pasero D, et al. Mortality reduction in cardiac anesthesia and intensive care: results of the first International Consensus Conference. Acta Anaesthesiol Scand. 2011; 55: 259-266.
7. Landoni G, Greco T, Biondi-Zoccai G, Nigro Neto C, Febres D, Pintaudi M, et al. Anaesthetic drugs and survival: a Bayesian network meta-analysis of randomized trials in cardiac surgery. Br J Anaesth. 2013; 111: 886-896.
8. Swyers T, Redford D, Larson DF. Volatile anesthetic-induced preconditioning. Perfusion. 2014; 29: 10-15.
9. Biondi-Zoccai GG, Agostoni P, Abbate A, Testa L, Burzotta F. A simple hint to improve Robinson and Dickersin's highly sensitive PubMed search strategy for controlled clinical trials. Int J Epidemiol. 2005; 34: 224-225
10. Higgins JPT, Green S. The Cochrane Handbook for Systematic Reviews of Interventions. Version 5.0.2. Available: http://www.mrc-bsu.cam.ac.uk/cochrane/handbook502/
11. Adamakis S, Raftery CL, Walsh RW, Gallagher PT. A Bayesian approach to comparing theoretic models to observational data: A case study from solar flare physics. astro-ph.SR. 2012; arXiv:1102.0242v3. Available: http://arxiv.org/abs/1102.0242
12. Jansen JP, Fleurence R, Devine B, Itzler R, Barrett A, Hawkins N, et al. Interpreting indirect treatment comparisons and network meta-analysis for health-care decision making: report of the ISPOR Task Force on Indirect Treatment Comparisons Good Research Practices: part 1. Value Health. 2011; 14: 417-428.
13. Dias S, Welton NJ, Sutton AJ, Caldwell DM, Lu G, Ades AE. NICE DSU Technical Support Document 4: Inconsistency in networks of evidence based on randomised controlled trials. Available: http://www.nicedsu.org.uk
14. Dias S, Welton, N, Sutton, AJ, Ades AE. NICE DSU Technical Support Document 2: A generalised linear modelling framework for pair-wise and network meta-analysis of Randomised Controlled Trials. Available: http://www.nicedsu.org.uk
15. Amr YM, Yassin IM. Cardiac protection during on-pump coronary artery bypass grafting: ischemic versus isoflurane preconditioning. Semin Cardiothorac Vasc Anesth. 2010; 14: 205-211.
16. Kottenberg E, Thielmann M, Bergmann L, Heine T, Jakob H, Heusch G, et al. Protection by remote ischemic preconditioning during coronary artery bypass graft surgery with isoflurane but not propofol-a clinical trial. Acta Anaesthesiol Scand. 2012; 56: 30-38.
17. Hong DM, Mint JJ, Kim JH, Sohn IS, Lim TW, Lim YT, et al. The effect of remote ischaemic preconditioning on myocardial injury in patients undergoing off-pump coronary artery bypass graft surgery. Anaesth Intensive Care. 2010; 38: 924-929.
18. Liberati A, Altman DG, Tetzlaff J, Mulrow C, GØtzsche PC, Ioannidis JP, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009; 339: b2700.
19. Ballester M, Llorens J, Garcia-de-la-Asuncion J, Perez-Griera J, Tebar E, Martinez-Leon J, et al. Myocardial oxidative stress protection by sevoflurane vs. propofol: a randomised controlled study in patients undergoing off-pump coronary artery bypass graft surgery. Eur J Anaesthesiol. 2011; 28: 874-881.
20. Bein B, Renner J, Caliebe D, Scholz J, Paris A, Fraund S, et al. Sevoflurane but not propofol preserves myocardial function during minimally invasive direct coronary artery bypass surgery. Anesth Analg. 2005; 100:610-616.
21. Belhomme D, Peynet J, Louzy M, Launay JM, Kitakaze M, Menasché P. Evidence for preconditioning by isoflurane in coronary artery bypass graft surgery. Circulation. 1999; 100: II340-344.
22. Bignami E, Landoni G, Gerli C, Testa V, Mizzi A, Fano G, et al. Sevoflurane vs. propofol in patients with coronary disease undergoing mitral surgery: a randomised study. Acta Anaesthesiol Scand. 2012; 56: 482-490.
23. Cavalca V, Colli S, Veglia F, Eligini S, Zingaro L, Squellerio I, et al. Anesthetic propofol enhances plasma gamma-tocopherol levels in patients undergoing cardiac surgery. Anesthesiology. 2008; 108: 988-997.
24. Choi YS, Shim JK, Kim JC, Kang KS, Seo YH, Ahn KR, et al. Effect of remote ischemic preconditioning on renal dysfunction after complex valvular heart surgery: a randomized controlled trial. J Thorac Cardiovasc Surg. 2011; 142: 148-154.
25. Conzen PF, Fischer S, Detter C, Peter K. Sevoflurane provides greater protection of the myocardium than propofol in patients undergoing off-pump coronary artery bypass surgery. Anesthesiology. 2003; 99: 826-833.
26. Cromheecke S, Pepermans V, Hendrickx E, Lorsomradee S, Ten Broecke PW, Stockman BA, et al. Cardioprotective properties of sevoflurane in patients undergoing aortic valve replacement with cardiopulmonary bypass. Anesth Analg. 2006; 103: 289-296.
27. De Hert SG, Cromheecke S, ten Broecke PW, Mertens E, De Blier IG, Stockman BA, et al. Effects of propofol, desflurane, and sevoflurane on recovery of myocardial function after coronary surgery in elderly high-risk patients. Anesthesiology. 2003; 99: 314-323.
28. De Hert SG, Van der Linden PJ, Cromheecke S, Meeus R, ten Broecke PW, De Blier IG, et al. Choice of primary anesthetic regimen can influence intensive care unit length of stay after coronary surgery with cardiopulmonary bypass. Anesthesiology. 2004; 101: 9-20.
29. De Hert SG, Van der Linden PJ, Cromheecke S, Meeus R, Nelis A, Van Reeth V, et al. Cardioprotective properties of sevoflurane in patients undergoing coronary surgery with cardiopulmonary bypass are related to the modalities of its administration. Anesthesiology. 2004; 101: 299-310.
30. De Hert S, Vlasselaers D, Barbé R, Ory JP, Dekegel D, Donnadonni R, et al. A comparison of volatile and non volatile agents for cardioprotection during on-pump coronary surgery. Anaesthesia. 2009; 64: 953-960.
31. Flier S, Post J, Concepcion AN, Kappen TH, Kalkman CJ, Buhre WF. Influence of propofol-opioid vs. isoflurane-opioid anaesthesia on postoperative troponin release in patients undergoing coronary artery bypass grafting. Br J Anaesth. 2010; 105: 122-130.
32. Garcia C, Julier K, Bestmann L, Zollinger A, von Segesser LK, Pasch T, et al. Preconditioning with sevoflurane decreases PECAM-1 expression and improves one-year cardiovascular outcome in coronary artery bypass graft surgery. Br J Anaesth. 2005; 94: 159-165.
33. Gozdzik W, Adamik B, Gomulkiewicz A, Gozdzik A, Dziegiel P. Upregulation of HMBG1 and TLR-4 cardiac right atrium mRNA expression during CABG surgery-the effects of sevoflurane conditioning and postconditioning. Abstracts presented at WCA 2012. Br J Anaesth. 2012; 108: ii37-ii44
34. Guarracino F, Landoni G, Tritapepe L, Pompei F, Leoni A, Aletti G, et al. Myocardial damage prevented by volatile anesthetics: a multicenter randomized controlled study. J Cardiothorac Vasc Anesth. 2006; 20: 477-483.
35. Hellström J, Owall A, Sackey PV. Wake-up times following sedation with sevoflurane versus propofol after cardiac surgery. Scand Cardiovasc J. 2012; 46: 262-268.
36. Helman JD, Leung JM, Bellows WH, Pineda N, Roach GW, Reeves JD 3rd, et al. The risk of myocardial ischemia in patients receiving desflurane versus sufentanil anesthesia for coronary artery bypass graft surgery. The S.P.I. Research Group. Anesthesiology. 1992; 77: 47-62.
37. Hong DM, Jeon Y, Lee CS, Kim HJ, Lee JM, Bahk JH, et al. Effects of remote ischemic preconditioning with postconditioning in patients undergoing off-pump coronary artery bypass surgery-randomized controlled trial. Circ J. 2012; 76: 884-890.
38. Hong DM, Lee EH, Kim HJ, Min JJ, Chin JH, Choi DK, et al. Does remote ischaemic preconditioning with postconditioning improve clinical outcomes of patients undergoing cardiac surgery? Remote Ischaemic Preconditioning with Postconditioning Outcome Trial. Eur Heart J. 2014; 35: 176-183.
39. Howie MB, Black HA, Romanelli VA, Zvara DA, Myerowitz PD, McSweeney TD. A comparison of isoflurane versus fentanyl as primary anesthetics for mitral valve surgery. Anesth Analg. 1996; 83: 941-948.
40. Huang Z, Zhong X, Irwin MG, Ji S, Wong GT, Liu Y, et al. Synergy of isoflurane preconditioning and propofolpostconditioning reduces myocardial reperfusion injury in patients. Clin Sci (Lond). 2011; 121: 57-69.
41. Jovic M, Stancic A, Nenadic D, Cekic O, Nezic D, Milojevic P, et al. Mitochondrial molecular basis of sevoflurane and propofol cardioprotection in patients undergoing aortic valve replacement with cardiopulmonary bypass. Cell Physiol Biochem. 2012; 29: 131-142.
42. Kendall JB, Russell GN, Scawn ND, Akrofi M, Cowan CM, Fox MA. A prospective, randomised, singleblind pilot study to determine the effect of anaesthetic technique on troponin T release after off-pump coronary artery surgery. Anaesthesia. 2004; 59: 545-549.
43. Kim JC, Shim JK, Lee S, Yoo YC, Yang SY, Kwak YL. Effect of combined remote ischemic preconditioning and postconditioning on pulmonary function in valvular heart surgery. Chest. 2012; 142: 467-475.
44. Landoni G, Calabrò MG, Marchetti C, Bignami E, Scandroglio AM, Dedola E, et al. Desflurane versus propofol in patients undergoing mitral valve surgery. J Cardiothorac Vasc Anesth. 2007; 21: 672-677.
45. Lee MC, Chen CH, Kuo MC, Kang PL, Lo A, Liu K. Isoflurane preconditioning-induced cardio-protection in patients undergoing coronary artery bypass grafting. Eur J Anaesthesiol. 2006; 23: 841-847.
46. Leung JM, Goehner P, O'Kelly BF, Hollenberg M, Pineda N, Cason BA, et al. Isoflurane anesthesia and myocardial ischemia: comparative risk versus sufentanil anesthesia in patients undergoing coronary artery bypass graft surgery. The SPI (Study of Perioperative Ischemia) Research Group. Anesthesiology. 1991; 74: 838-847.
47. Li L, Luo W, Huang L, Zhang W, Gao Y, Jiang H, et al. Remote perconditioning reduces myocardial injury in adult valve replacement: a randomized controlled trial. J Surg Res. 2010; 164: e21-e26.
48. Lomivorotov VV, Shmyrev VA, Nepomnyaschih VA, Ponomarev DN, Knyazkova LG, Lomivorotov VN, et al. Remote ischaemic preconditioning does not protect the heart in patients undergoing coronary artery bypass grafting. Interact Cardiovasc Thorac Surg. 2012; 15: 18-22.
49. Lucchinetti E, Hofer C, Bestmann L, Hersberger M, Feng J, Zhu M, et al. Gene regulatory control of myocardial energy metabolism predicts postoperative cardiac function in patients undergoing off-pump coronary artery bypass graft surgery: inhalational versus intravenous anesthetics. Anesthesiology. 2007; 106: 444-457.
50. Meco M, Cirri S, Gallazzi C, Magnani G, Cosseta D. Desflurane preconditioning in coronary artery bypass graft surgery: a double-blinded, randomised and placebo-controlled study. Eur J Cardiothorac Surg. 2007; 32: 319-325.
51. Meybohm P, Renner J, Broch O, Caliebe D, Albrecht M, Cremer J, et al. Postoperative neurocognitive dysfunction in patients undergoing cardiac surgery after remote ischemic preconditioning: a doubleblind randomized controlled pilot study. PLoS One. 2013; 31: e64743.
52. Musialowicz T, Niskanen M, Yppärilä-Wolters H, Pöyhönen M, Pitkänen O, Hynynen M. Auditoryevoked potentials in bispectral index-guided anaesthesia for cardiac surgery. Eur J Anaesthesiol. 2007; 24: 571-579.
53. Rahman IA, Mascaro JG, Steeds RP, Frenneaux MP, Nightingale P, Gosling P, et al. Remote ischemic preconditioning in human coronary artery bypass surgery: from promise to disappointment? Circulation. 2010; 122: S53-S59.
54. Royse CF, Andrews DT, Newman SN, Stygall J, Williams Z, Pang J, et al. The influence of propofol or desflurane on postoperative cognitive dysfunction in patients undergoing coronary artery bypass surgery. Anaesthesia. 2011; 66: 455-464.
55. Saxena P, Aggarwal S, Misso NL, Passage J, Newman MA, Thompson PJ, et al. Remote ischaemic preconditioning down-regulates kinin receptor expression in neutrophils of patients undergoing heart surgery. Interact Cardiovasc Thorac Surg. 2013; 17: 653-658.
56. Schoen J, Husemann L, Tiemeyer C, Lueloh A, Sedemund-Adib B, Berger KU, et al. Cognitive function after sevoflurane-vs propofol-based anaesthesia for on-pump cardiac surgery: a randomized controlled trial. Br J Anaesth. 2011; 106: 840-850.
57. Soro M, Gallego L, Silva V, Ballester MT, Lloréns J, Alvariño A, et al. Cardioprotective effect of sevoflurane and propofol during anaesthesia and the postoperative period in coronary bypass graft surgery: a double-blind randomised study. Eur J Anaesthesiol. 2012; 29: 561-569.
58. Story DA, Poustie S, Liu G, McNicol PL. Changes in plasma creatinine concentration after cardiac anesthesia with isoflurane, propofol, or sevoflurane: a randomized clinical trial. Anesthesiology. 2001; 95: 842-848.
59. Tempe DK, Dutta D, Garg M, Minhas H, Tomar A, Virmani S. Myocardial protection with isoflurane during off-pump coronary artery bypass grafting: a randomized trial. J Cardiothorac Vasc Anesth. 2011; 25: 59-65.
60. Thielmann M, Kottenberg E, Boengler K, Raffelsieper C, Neuhaeuser M, Peters J, et al. Remote ischemic preconditioning reduces myocardial injury after coronary artery bypass surgery with crystalloid cardioplegic arrest. Basic Res Cardiol. 2010; 105: 657-664.
61. Tritapepe L, Giorni C, Di Giovanni C, Pompei F, Cuscianna E, Pietropaoli P. Desflurane-sufentanil reduce troponin-I production after CABG. Eur J Anaesthesiol. 2003; 20: A16.
62. Tritapepe L, Landoni G, Guarracino F, Pompei F, Crivellari M, Maselli D, et al. Cardiac protection by volatile anaesthetics: a multicentre randomized controlled study in patients undergoing coronary artery bypass grafting with cardiopulmonary bypass. Eur J Anaesthesiol. 2007; 24: 323-331.
63. Wagner R, Piler P, Bedanova H, Adamek P, Grodecka L, Freiberger T. Myocardial injury is decreased by late remote ischaemic preconditioning and aggravated by tramadol in patients undergoing cardiac surgery: a randomised controlled trial. Interact Cardiovasc Thorac Surg. 2010; 11: 758-762.
64. Williams JM, Young P, Pilcher J, Weatherall M, Miller JH, Beasley R, et al. Remote ischaemic preconditioning does not alter perioperative cytokine production in high-risk cardiac surgery. Heart Asia. 2012: 97-101.
65. Wu Q, Gui P, Wu J, Ding D, Purusram G, Dong N, et al. Effect of limb ischemic preconditioning on myocardial injury in patients undergoing mitral valve replacement surgery. A randomized controlled trial. Circ J. 2011; 75: 1885-1889.
66. Xie JJ, Liao XL, Chen WG, Huang DD, Chang FJ, Chen W, et al. Remote ischaemic preconditioning reduces myocardial injury in patients undergoing heart valve surgery: randomised controlled trial. Heart. 2012; 98: 384-388.
67. Yildirim V, Doganci S, Aydin A, Bolcal C, Demirkilic U, Cosar A. Cardioprotective effects of sevoflurane, isoflurane, and propofol in coronary surgery patients: a randomized controlled study. Heart Surg Forum. 2009; 12: E1-E9.
68. Young PJ, Dalley P, Garden A, Horrocks C, La Flamme A, Mahon B, et al. A pilot study investigating the effects of remote ischemic preconditioning in high-risk cardiac surgery using a randomised controlled double-blind protocol. Basic Res Cardiol. 2012; 107: 256.
69. Zimmerman RF, Ezeanuna PU, Kane JC, Cleland CD, Kempananjappa TJ, Lucas FL, et al. Ischemic preconditioning at a remote site prevents acute kidney injury in patients following cardiac surgery. Kidney Int. 2011; 80: 861-867.
70. Landoni G, Biondi-Zoccai GG, Zangrillo A, Bignami E, D'Avolio S, Marchetti C, et al. Desflurane and sevoflurane in cardiac surgery: a meta-analysis of randomized clinical trials. J Cardiothorac Vasc Anesth. 2007; 21: 502-511.
71. Bignami E, Greco T, Barile L, Silvetti S, Nicolotti D, Fochi O, et al. The effect of isoflurane on survival and myocardial infarction: a meta-analysis of randomized controlled studies. J Cardiothorac Vasc Anesth. 2013; 27: 50-58.
72. Murry CE, Jennings RB, Reimer KA. Preconditioning with ischemia: a delay of lethal cell injury in ischemic myocardium. Circulation. 1986; 74: 1124-1136.
73. Heush G, Schulz R. Remote precondition. J Mol Cell Cardiol. 2002; 34: 1279-1281.
74. Konstantinov IE, Arab S, Kharbanda RK, Li J, Cheung MM, Cherepanov V, et al. The remote ischemic preconditioning stimulus modifies inflammatory gene expression in humans. Physiol Genomics. 2004; 19: 143-150.
75. Heusch G, Musiolik J, Kottenberg E, Peters J, Jakob H, Thielmann M. STAT5 activation and cardioprotection by remote ischemic preconditioning in humans. Circ Res. 2012; 110: 111-115.
76. Kottenberg E, Musiolik J, Thielmann M, Jakob H, Peters J, Heusch G. Interference of propofol with signal transducer and activator of transcription 5 activation and cardioprotection by remote ischemic preconditioning during coronary artery bypass grafting. J Thorac Cardiovasc Surg. 2014; 147: 376-382.
77. Greco T, Biondi-Zoccai G, Saleh O, Pasin L, Cabrini L, Zangrillo A, et al. The attractiveness of network meta-analysis: a comprehensive systematic and narrative review. Heart, Lung and Vessels. 2015. In press.
78. Greco T, Zangrillo A, Biondi-ZoccaI G, Landoni G. Meta-analysis: pitfalls and hints. Heart, Lung and Vessels. 2013; 5: 219-225.