Is repeated administration of blood-cardioplegia really necessary?

Abstract:

:The aim of this work was to question the necessity of repeated administration of warm blood cardioplegia in modern cardiac surgery. A consecutive series of 4014 patients underwent cardiosurgical procedures in the period from January 2001 to December 2006 in our centre, where modified Calafiore warm blood-cardioplegic solution was used. 1708 patients received a single shot of cardioplegia instead of repeated blood cardioplegia (every 20 min). A multivariate analysis was performed using logistic regression models to reveal the statistical significance of the effect of single-shot cardioplegia on the occurrence of: death, intraoperative need of inotropics, intraoperative intra-aortic balloon pump (IABP), postoperative infarction, arrhythmia, postoperative need for inotropics and postoperative IABP. The results showed statistical insignificance concerning mortality (P=0.704), intraoperative IABP (P=0.247), postoperative inotropics (P=0.273), postoperative IABP (P=0.678), postoperative arrhythmia (P=0.661). Single-shot cardioplegia showed a positive effect concerning postoperative myocardial infarction (P=0.003). However, it showed an unfavourable effect concerning intraoperative inotropics (P=0.038) and postoperative dialysis (P=0.015). The clinical safety of the first shot of warm blood cardioplegia might be exceeding 20 min. In the light of increasingly short cross-clamping time, the safety of the first shot might be long enough to cover the whole cross-clamping time.

authors

Ghazy T,Allham O,Ouda A,Kappert U,Matschke K

doi

10.1510/icvts.2008.192757

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

517-21

issue

5

eissn

1569-9293

issn

1569-9285

pii

icvts.2008.192757

journal_volume

8

pub_type

杂志文章
  • Preoperative atrial fibrillation is an independent risk factor for mid-term mortality after concomitant aortic valve replacement and coronary artery bypass graft surgery.

    abstract:OBJECTIVES:Preoperative atrial fibrillation (PAF) has been associated with poorer early and mid-term outcomes after isolated valvular or coronary artery bypass graft surgery. Few studies, however, have evaluated the impact of PAF on early and mid-term outcomes after concomitant aortic valve replacement and coronary aor...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1093/icvts/ivs538

    authors: Saxena A,Dinh D,Dimitriou J,Reid C,Smith J,Shardey G,Newcomb A

    更新日期:2013-04-01 00:00:00

  • Aortic dissection due to sildenafil abuse.

    abstract::This report deals with a 28-year-old male patient, admitted with a type A aortic dissection, potentially related to the use of sildenafil. In the literature, we found only two other potentially sildenafil-related cases of aortic dissections, one type A and one type B. In our patient, a bicuspid aortic valve and an asc...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.205849

    authors: Tiryakioglu SK,Tiryakioglu O,Turan T,Kumbay E

    更新日期:2009-07-01 00:00:00

  • Thoracoscopic retrieval of an atrial appendage occlusion device after embolization into the left ventricular outflow tract and damaging the mitral valve requiring replacement.

    abstract::Embolization of a percutaneous left atrial appendage occlusion device is a rare, but potentially life-threatening, complication. In this report, we present the case of an embolization of such a device into the left ventricular outflow tract causing extensive damage to the mitral subvalvular apparatus and requiring mit...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivy290

    authors: Yilmaz A,Starinieri P,Antonic M

    更新日期:2019-04-01 00:00:00

  • Outcome of surgical repair of aorto-eosophageal fistulas with cryopreserved aortic allografts.

    abstract::Aorto-oesophageal fistula (AEF) is a rare but life-threatening disease with an underlying infective aetiology that can cause serious complications. This study investigated the clinical outcomes of patients with AEF who received in situ cryopreserved aortic allograft replacement. From August 2000 to February 2011, 11 p...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivr154

    authors: Saito A,Motomura N,Hattori O,Kinoshita O,Shimada S,Saiki Y,Kyo S,Ono M

    更新日期:2012-05-01 00:00:00

  • Is routine postoperative enteral feeding after oesophagectomy worthwhile?

    abstract::A best evidence topic in surgery was written according to a structured protocol. The question addressed was whether, in patients undergoing an oesophagectomy for cancer, immediate postoperative enteral feeding (via percutaneous jejunostomy or nasojejunostomy) provides better patient outcomes as compared to waiting unt...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivs221

    authors: Wheble GA,Benson RA,Khan OA

    更新日期:2012-10-01 00:00:00

  • Sutureless prosthesis for failed small Mitroflow valves: the Perceval-after-Mitroflow procedure.

    abstract::Because of its favourable haemodynamic characteristics and easy implantability, Mitroflow aortic valve bioprosthesis has been the valve of choice for many surgeons in patients with small aortic annulus. Disappointingly, early structural valve deterioration and high transvalvular gradients have been reported mostly in ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx434

    authors: Chiariello GA,Villa E,Messina A,Dalla Tomba M,Cirillo M,Brunelli F,Mhagna Z,Troise G

    更新日期:2018-05-01 00:00:00

  • Evaluating interest in narrative therapy for decision making about pectus excavatum treatment.

    abstract:OBJECTIVES:The decision to proceed with surgical treatment for pectus excavatum (PE) is rarely clear-cut. Patients interested in treatment are referred for evaluation by numerous different specialists, but psychosocial counselling is currently not included in this process. Our objective was to assess whether PE patient...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx308

    authors: Ticchi D,Eisinger RS,Pilegaard HK,Torre M,Sesia SB,Infante M,Voulaz E,Quesada MA,Sisask M

    更新日期:2018-02-01 00:00:00

  • Should surgical pleurectomy for spontaneous pneumothorax be always thoracoscopic?

    abstract::Fifty-seven patients were studied over a period of three years to analyse the efficacy of surgical pleurectomy for spontaneous pneumothorax. Thirty-one and 26 patients underwent open and video-assisted thoracoscopic surgery (VATS) pleurectomy, respectively. VATS was the main modality used for primary spontaneous pneum...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2007.174755

    authors: Qureshi R,Nugent A,Hayat J,Qureshi M,Norton R

    更新日期:2008-08-01 00:00:00

  • Spontaneous bronchopleural fistula following lung volume reduction surgery for emphysema.

    abstract::Five days following bilateral thoracoscopic lung volume reduction surgery for emphysema, a 63-year-old man underwent reoperation for closure of a massive bronchopleural fistula. It was discovered intraoperatively that the fistula was located distant from prior staple lines or resection sites from his surgery. This cas...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2008.197434

    authors: Kilic A,Sciurba FC,Luketich JD,Gilbert S

    更新日期:2009-04-01 00:00:00

  • Comparing bipolar electrothermal device and endostapler in endoscopic lung wedge resection.

    abstract::Video-assisted thoracoscopy (VATS) is gaining on thoracic surgery, having newly developed devices next to endostaplers for haemostatic and airtight sealing of lung parenchyma. Though the bipolar electrothermal Ligasure has good results for pulmonary wedge resection, its literature is small in numbers. Authors compared...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2008.199307

    authors: Kovács O,Szántó Z,Krasznai G,Herr G

    更新日期:2009-07-01 00:00:00

  • The importance of mass diameter in decision-making for preoperative coronary angiography in myxoma patients.

    abstract:OBJECTIVES:Although coronary angiography (CAG) is generally performed to rule out coexisting coronary artery disease in patients with cardiac myxoma, its necessity to evaluate vascular supply of the myxoma is debatable. The aim of this article is to evaluate clinical experience and CAG findings in our patient group. M...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivy217

    authors: Balci AY,Sargin M,Akansel S,Ünal Dayi S,Kuplay H,Mete ME,Orhan G,Aykut Aka S

    更新日期:2019-01-01 00:00:00

  • Sex-specific outcome after minimally invasive direct coronary artery bypass for single-vessel disease.

    abstract:OBJECTIVES:Female gender is reported as an independent risk factor for a poor outcome after coronary artery bypass grafting. We analysed the influence of gender on surgical outcome in patients with single-vessel disease undergoing minimally invasive direct coronary artery bypass (MIDCAB). METHODS:From January 1998 to ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivz279

    authors: Friedrich C,Berndt R,Haneya A,Rusch R,Petzina R,Freitag-Wolf S,Cremer J,Hoffmann G

    更新日期:2020-03-01 00:00:00

  • Traumatic false aneurysms of the left ventricle after an attempt at video-thoracoscopic surgery.

    abstract::OBJECTIVES Video-thoracoscopic surgery (VTS) has been accepted as a safe and credible technique since 1990. Lung injury is one of the main perioperative complications. Few data are available about cardiac trauma and VTS-related false aneurysm of the left ventricular (LV) wall has not yet been reported. METHODS A 62-y...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs119

    authors: Guihaire J,Flecher E,de Latour B,Verhoye JP

    更新日期:2012-07-01 00:00:00

  • Preoperative, postoperative and 1-year follow-up N-terminal pro-B-type natriuretic peptide levels in severe chronic aortic regurgitation: correlations with echocardiographic findings.

    abstract::B-type natriuretic peptide is synthesized in response to increased ventricular wall stress (WS) and hypertrophy. To serially evaluate amino-terminal-pro-BNP (NT-pBNP) serum levels in patients undergoing aortic valve replacement (AVR) for severe chronic aortic regurgitation (AR), blood samples were drawn preoperatively...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 临床试验,杂志文章

    doi:10.1510/icvts.2007.168039

    authors: Della Corte A,Salerno G,Chiosi E,Iarussi D,Santarpino G,Miraglia M,Naviglio S,De Feo M

    更新日期:2008-05-01 00:00:00

  • Transcatheter CoreValve implantation for aortic regurgitation in a Jehovah's witness with prior aortic dissection.

    abstract::Indications for transcatheter valve implantation have been extended to treat native valve aortic regurgitation in case of disproportionate risk for open surgery. Transcatheter aortic valves are also an attractive alternative in patients who refuse blood transfusions. We report the successful off-label implantation of ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw180

    authors: Pocar M,Tavano D,Passolunghi D,Airoldi F

    更新日期:2016-10-01 00:00:00

  • Mid-term outcome after surgical repair of congenital supravalvular aortic stenosis by extended aortoplasty.

    abstract:OBJECTIVES:Congenital supravalvular aortic stenosis (SVAS) is a rare arteriopathy associated with the Williams-Beuren syndrome (WBS) and other elastin gene deletions. Our objective was to review the mid-term outcomes of SVAS repair with extended aortoplasty. METHODS:Congenital SVAS repairs from 2001 to 2010 were retro...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivt236

    authors: Bakhtiary F,Amer M,Etz CD,Dähnert I,Wilhelm Mohr F,Bellinghausen W,Kostelka M

    更新日期:2013-10-01 00:00:00

  • Surgical excision of a giant calcified amorphous tumour of the right ventricle and right pulmonary artery.

    abstract::A cardiac calcified amorphous tumour (CCAT) is a rare non-neoplastic intracavitary mass with unknown causes. We describe a 32-year old male presenting with progressive dyspnoea, cough and oedemas. The transthoracic echocardiography and contrast-enhanced angio-computed tomography demonstrated a 4 × 10 cm calcified mass...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivv258

    authors: Prifti E,Kajo E,Krakulli K,Ikonomi M

    更新日期:2015-12-01 00:00:00

  • Congenital atresia of the left main coronary artery: management of a 5-year-old child in extremis.

    abstract::Atresia of the left main coronary artery is a rare coronary anomaly. We describe the case of a 5-year-old child presenting in emergency in extremis. Clinical findings of haemodynamic collapse, malignant ventricular tachyarrhythmias and severe mitral regurgitation were indicative of a possible ischaemic aetiology. Surg...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivaa268

    authors: Schmiady M,Kretschmar O,Prêtre R,Dave H

    更新日期:2020-11-22 00:00:00

  • Does early coronary artery bypass surgery improve survival in non-ST acute myocardial infarction?

    abstract::A best evidence topic was written according to a structured protocol. Lack of evidence exists regarding the optimal timing for coronary artery bypass graft (CABG) surgery after non-ST myocardial infarction (NSTEMI). While some authors address the importance of the timing of surgery alone, others take into account the ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivt128

    authors: Dayan V,Soca G,Parma G,Mila R

    更新日期:2013-07-01 00:00:00

  • A modified suturing technique for the implantation of the apical cannula of the HeartMate II left ventricular assist device.

    abstract::The secure and haemostatic implantation of the left ventricular assist device (LVAD) apex inflow cannula can sometimes be challenging, especially in the setting of an acute myocardial infarction or significant ventricular wall thinning, when the myocardial tissue may be friable and tissue strength may be compromised. ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.244509

    authors: Charitos EI,Sievers HH

    更新日期:2010-10-01 00:00:00

  • Optimized venous return with a self-expanding cannula: from computational fluid dynamics to clinical application.

    abstract::The Smart canula concept allows for collapsed cannula insertion, and self-expansion within a vein of the body. (A) Computational fluid dynamics, and (B) bovine experiments (76+/-3.8 kg) were performed for comparative analyses, prior to (C) the first clinical application. For an 18F access, a given flow of 4 l/min (A) ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/s1569-9293(02)00006-3

    authors: Mueller XM,Mallabiabrena I,Mucciolo G,von Segesser LK

    更新日期:2002-09-01 00:00:00

  • What size of vegetation is an indication for surgery in endocarditis?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether the of vegetations in endocarditis is an indication for surgery. Altogether, 102 papers were found using the reported search; 16 papers were identified that provided the best evidence to answer t...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivs365

    authors: Okonta KE,Adamu YB

    更新日期:2012-12-01 00:00:00

  • An unusual travel of an endocardial pacing lead to the left ventricle.

    abstract::A 80-year-old lady was admitted because of dyspnea, complete AV block and ventricular rate of 15 bpm. A DDDR pacemaker was successfully implanted. Postoperative EKG showed right bundle branch block and X-ray the ventricular lead in the left ventricle. It traveled all the way through a foramen ovale being later relocat...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/S1569-9293(03)00185-3

    authors: Ninot S,Sánchez G,Mestres CA

    更新日期:2003-12-01 00:00:00

  • Nasogastric tube knotting with tracheoesophageal fistula - a rare association.

    abstract::The nasogastric tube is used extensively in medical practice. However, this innocent-looking tube can at times cause unexpected complications especially in patients with preexisting risk factors. A 25-year-old male was referred to our hospital with a blocked and impacted nasogastric tube which had been inserted to mai...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2007.157065

    authors: Mohsin M,Saleem Mir I,Hanief Beg M,Nazir Shah N,Arjumand Farooq S,Altaf Bachh A,Quadir A

    更新日期:2007-08-01 00:00:00

  • The hemiclamshell approach in thoracic surgery: indications and associated morbidity in 50 patients.

    abstract::This retrospective study was carried out to evaluate the indications for and outcomes of the hemiclamshell (HCS) approach (longitudinal partial sternotomy with antero-lateral thoracotomy) in patients undergoing mass resection in thoracic surgery. All patients (50) who underwent a HCS procedure in our department, betwe...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.211623

    authors: Lebreton G,Baste JM,Thumerel M,Delcambre F,Velly JF,Jougon J

    更新日期:2009-12-01 00:00:00

  • Uniportal and three-portal video-assisted thoracic surgery lobectomy: analysis of the Italian video-assisted thoracic surgery group database.

    abstract:OBJECTIVES:This study compares the uniportal with the 3-portal video-assisted thoracic surgery (VATS) by examining the data collected in the Italian VATS Group Database. The primary end point was early postoperative pain; secondary end points were intraoperative and postoperative complications, surgical time, number of...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1093/icvts/ivz153

    authors: Tosi D,Nosotti M,Bonitta G,Mazzucco A,Righi I,Mendogni P,Rosso L,Palleschi A,Rocco G,Crisci R,Italian VATS Group.

    更新日期:2019-11-01 00:00:00

  • Factors associated with deep sternal wound infection and haemorrhage following cardiac surgery in Victoria.

    abstract::Serious non-fatal complications of cardiac surgery include deep sternal wound infection (DSWI) and haemorrhage. Understanding the factors associated with these complications (both pre-operatively and intra-operatively) may aid in the prevention and avoidance of such complications. The aim of the current report is to i...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1510/icvts.2006.132191

    authors: Robinson PJ,Billah B,Leder K,Reid CM,ASCTS Database Committee.

    更新日期:2007-04-01 00:00:00

  • Thimble type knot pusher: bioprosthesis stents no longer interfere with tying.

    abstract::When a stented bioprosthetic valve is used for aortic valve replacement, the valve stents protruding to the aortic side can interfere with suture tying. To resolve this problem, we developed a novel knot pusher for use on the index finger. This device has a short push rod appropriate for replacing bioprosthetic aortic...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.238188

    authors: Shibata T,Hattori K,Kato Y,Bito Y

    更新日期:2010-08-01 00:00:00

  • Endovascular stent grafting of a complicated type B aortic dissection with approach through the innominate artery using a side-branch graft.

    abstract::Endovascular stent grafting has emerged as an effective method for the treatment of complicated acute type B aortic dissections. In cases where access to the aorta cannot be established through the ileofemoral trunks, the axillary arteries are used as an alternative route. Often, however, these arteries are too small ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2011.268748

    authors: Calcaterra D,Hashimi S,Brown TC,Sharma K

    更新日期:2011-08-01 00:00:00

  • Modified ultrafiltration attenuates pulmonary-derived inflammatory mediators in response to cardiopulmonary bypass.

    abstract::Cardiopulmonary bypass (CPB) stimulates systemic and pulmonary inflammation. Modified ultrafiltration (MUF) mitigates deleterious CPB effects by unclear mechanisms. We evaluated pulmonary inflammation in piglets undergoing CPB followed by MUF. Twenty-four piglets underwent 60 min of hypothermic CPB. MUF subjects (n=12...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.234344

    authors: Atkins BZ,Danielson DS,Fitzpatrick CM,Dixon P,Petersen RP,Carpenter AJ

    更新日期:2010-11-01 00:00:00