In cardiac surgery patients does Voluven(R) impair coagulation less than other colloids?

Abstract:

:Hydroxyethyl starch (HES) solutions are commonly used for volume replacement in cardiac surgery patients. The degree of impairment of the haemostatic system depends on the molecular weight and substitution degree of HES solutions. It is claimed that as HES 130/0.4 (Voluven(®)) exhibits a lower in vitro molecular weight and a lower degree of hydroxyethyl substitution than HES 200/0.5 (HAES-steril(®)) therefore it has less impact on haemostasis. A best evidence topic in cardiac surgery was written according to a structured protocol to verify this statement. The question addressed was: in cardiac surgery patients does volume replacement with Voluven(®) impair coagulation less than other colloids? Using the reported search 12 papers, three in vitro and nine clinical studies, were found to represent the best evidence to answer the clinical question. The nine clinical studies were all randomised controlled trials. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. The in vitro studies suggest that HES 130/0.4 has no significant effect on platelet variables, shows a faster clot formation process and a better clot retraction as compared with the other HES solutions. On the other hand, current best available evidence (level 1b) from clinical studies, limited by heterogeneity predominantly in terms of dosage of HES 130/0.4 administered and the sample size of individual trials, overwhelmingly suggests that HES 130/0.4 compared with HES 200/0.5 or gelatin-based volume replacement fluid affects coagulation to the same extent resulting in similar degree of blood loss. It can be concluded that contrary to in vitro studies HES 130/0.4 in clinical practice has comparable effects on blood loss after cardiac surgery.

authors

Raja SG,Akhtar S,Shahbaz Y,Masood A

doi

10.1510/icvts.2010.263939

subject

Has Abstract

pub_date

2011-06-01 00:00:00

pages

1022-7

issue

6

eissn

1569-9293

issn

1569-9285

pii

icvts.2010.263939

journal_volume

12

pub_type

杂志文章,评审
  • Correction of postpneumonectomy syndrome in infants with saline-filled expandable prosthesis.

    abstract::We report two infants who underwent right pneumonectomy in infancy and developed postpneumonectomy syndrome with obstruction of the left main bronchus causing severe airway obstruction in one patient and gastrointestinal reflux due to a displaced and grossly dilated oesophagus in the other patient. Both patients were ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.261164

    authors: Saatvedt K,Hoel T,Westvik J,Lindberg H

    更新日期:2011-07-01 00:00:00

  • Calibrated cusp sizers to facilitate aortic valve repair: development and clinical application.

    abstract::Based on the natural mathematical relationships between the components of the human tri-leaflet aortic valve, new calibrated cusp sizers were developed in order to facilitate aortic valve assessment in the operating room and enhance the chance for a perfect restoration of aortic valve competence. These sizers were use...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivr082

    authors: Izzat MB

    更新日期:2012-02-01 00:00:00

  • HEARTSTRING enabled no-touch proximal anastomosis for off-pump coronary artery bypass grafting: current evidence and technique.

    abstract::Surgical revascularization remains the standard of care for many patients. Off-pump coronary artery bypass grafting (OPCAB) without cardiopulmonary bypass (CPB) has evolved during the past 20 years, and as such can significantly reduce the occurrence of neurological complications. While avoiding the aortic cross-clamp...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivt237

    authors: Emmert MY,Grünenfelder J,Scherman J,Cocchieri R,van Boven WJ,Falk V,Salzberg SP

    更新日期:2013-09-01 00:00:00

  • Anatomical circumstances and aortic cross-clamp time in minimally invasive aortic valve replacement.

    abstract:OBJECTIVES:Prolonged operative times, potentially leading to increased morbidity, are a possible drawback of minimally invasive aortic valve replacement. The aim of this study was to assess the impact of anatomical circumstances in the chest on aortic cross-clamp time. METHODS:This retrospective study included 68 pati...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivaa251

    authors: Jug J,Štor Z,Geršak B

    更新日期:2021-01-22 00:00:00

  • Right coronary artery revascularization in patients undergoing bilateral internal thoracic artery grafting: comparison of the free internal thoracic artery with saphenous vein grafts.

    abstract::From April 1996 to July 1999, 241 consecutive patients underwent complete arterial revascularization with composite T-graft, including right coronary artery grafting with free right internal thoracic artery (ITA) (ITA group). They were compared with 127 bilateral ITA patients in whom saphenous vein grafts (SVG) was us...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/s1569-9293(02)00062-2

    authors: Paz Y,Lev-Ran O,Locker C,Shapira I

    更新日期:2002-12-01 00:00:00

  • Use of 3-dimensional computed tomography for planning a complex sleeve bronchoplasty with total parenchyma-sparing resection of a carcinoid tumour in the right main bronchus.

    abstract::Bronchoplasty is frequently required for radical resection of central typical carcinoid tumours. As sleeve bronchoplasty can be a complex procedure, an accurate evaluation of the tumour location is mandatory. Although the endobronchial part of the tumour can be easily evaluated by bronchoscopy, the exo-bronchial part ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivz124

    authors: Betser L,De Wolf J,Glorion M,Chapelier A

    更新日期:2019-10-01 00:00:00

  • Infective endocarditis with cerebrovascular complications: timing of surgical intervention.

    abstract::Management of infective endocarditis (IE) with cerebrovascular complications is difficult due to absence of concrete evidence. These patients usually have multiple neurological deficits and the optimal timing for cardiac operation remains controversial. The aims of this study were to present cases and discuss the trea...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivr038

    authors: Fukuda W,Daitoku K,Minakawa M,Fukui K,Suzuki Y,Fukuda I

    更新日期:2012-01-01 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

  • In patients undergoing video-assisted thoracoscopic surgery excision, what is the best way to locate a subcentimetre solitary pulmonary nodule in order to achieve successful excision?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was 'In patients undergoing video-assisted thoracoscopic surgery (VATS) excision, what is the best way to locate a subcentimetre solitary pulmonary nodule (PN) in order to achieve successful excision?' Altog...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivs068

    authors: Zaman M,Bilal H,Woo CY,Tang A

    更新日期:2012-08-01 00:00:00

  • First experience with the deltastream(R) DP3 in venovenous extracorporeal membrane oxygenation and air-supported inter-hospital transport.

    abstract:OBJECTIVES:Based on continuous technical innovations and recent research, extracorporeal membrane oxygenation (ECMO) has become a promising tool in the treatment of patients with acute (cardio)pulmonary failure. Nevertheless, any extracorporeal technique requires a high degree of experience and knowledge, so that a res...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivt320

    authors: Lunz D,Philipp A,Judemann K,Amann M,Foltan M,Schmid C,Graf B,Zausig YA

    更新日期:2013-11-01 00:00:00

  • Rapid resolution of Ortner's syndrome with giant left atrium after double-valve replacement surgery.

    abstract::Hoarseness of voice due to recurrent laryngeal nerve palsy is an uncommon manifestation of cardiothoracic disease. Ortner's syndrome is hoarseness attributed to mechanical compression of the left recurrent laryngeal nerve in association with several cardiopulmonary disease states. We here describe a rare case of Ortne...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivx166

    authors: Acharya MN,Bahrami T,Popov AF,Kishore Bhudia S

    更新日期:2017-10-01 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

  • Four-dimensional modelling of the mitral valve by real-time 3D transoesophageal echocardiography: proof of concept.

    abstract:OBJECTIVES:The complexity of the mitral valve (MV) anatomy and function is not yet fully understood. Assessing the dynamic movement and interaction of MV components to define MV physiology during the complete cardiac cycle remains a challenge. We herein describe a novel semi-automated 4D MV model. METHODS:The model ap...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu357

    authors: Noack T,Mukherjee C,Kiefer P,Emrich F,Vollroth M,Ionasec RI,Voigt I,Houle H,Ender J,Misfeld M,Mohr FW,Seeburger J

    更新日期:2015-02-01 00:00:00

  • Small pulmonary granuloma is often misdiagnosed as lung cancer by positron emission tomography/computer tomography in diabetic patients.

    abstract:OBJECTIVES:A small pulmonary granuloma (SPG) is often misdiagnosed as lung cancer in diabetic patients by positron emission tomography/computed tomography (PET/CT). The present study was conducted to investigate whether diabetes is the influencing factor and to determine other related factors that have an impact on the...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivy263

    authors: Lu T,Zhan C,Huang Y,Zhao M,Yang X,Ge D,Shi Y,Wang Q

    更新日期:2019-03-01 00:00:00

  • Management of a patient with giant aneurysms in the popliteal and coronary arteries.

    abstract::Coexistence of multiple peripheric arterial and coronary artery aneurysms of different sizes is extremely rare in young adults. We present a case of rare giant coronary aneurysm and concurrent giant left popliteal aneurysm treated with classical open repair. ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivv372

    authors: Yildirim F,Senarslan DA,Ozturk T,Tetik O

    更新日期:2016-04-01 00:00:00

  • Late outcomes for the surgical management of absent pulmonary valve syndrome in infants.

    abstract:OBJECTIVES:Absent pulmonary valve syndrome (APVS) is a rare cardiac malformation that is usually associated with aneurysmal dilatation of pulmonary arteries and respiratory distress. The surgical mortality of neonates and infants with APVS has decreased tremendously, from 60% in 1980s to 10-20% recently. This study ret...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivt050

    authors: Hu R,Zhang H,Xu Z,Liu J,Su Z,Ding W

    更新日期:2013-06-01 00:00:00

  • Results of coronary artery bypass grafting alone and combined with surgical ventricular reconstruction for ischemic heart failure.

    abstract::In this study, we included 236 patients with ischemic heart failure and ejection fraction (EF) <35% who underwent surgical treatment. Patients were randomized in two groups. There were 116 patients who underwent coronary artery bypass grafting (CABG) with surgical ventricular reconstruction (SVR) and 120 patients who ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1510/icvts.2010.253716

    authors: Marchenko A,Chernyavsky A,Efendiev V,Volokitina T,Karaskov A

    更新日期:2011-07-01 00:00:00

  • Cardiopulmonary bypass line sternal wrapping for protection and haemostasis.

    abstract::Sternal marrow haemostasis is often obtained with the application of bone wax, with potential side effects pertaining to sternal wound healing. We illustrate an alternative technique which also offers some protection to sternal edges. Two lengths of tubing from the discarded cardiopulmonary bypass (CPB) circuit are cu...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2008.199596

    authors: Aratari C,Manché A,Ferretti L,Fusella M

    更新日期:2009-08-01 00:00:00

  • Repair of aortoesophageal fistula after total aortic arch grafting.

    abstract::This case report describes the repair of an aortoesophageal fistula caused by a previously placed aortic arch graft. A 62-year-old man underwent total aortic arch graft replacement one year ago. He was readmitted with hematemesis and a high fever. Examination by endoscopy revealed a perforation and two swollen lesions...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.257501

    authors: Yamanaka K,Nonaka M,Iwakura A,Asao Y

    更新日期:2011-04-01 00:00:00

  • Management of complicated postoperative air-leak - a new indication for the Asherman chest seal.

    abstract::Postoperative air-leak is a problem which is frequently encountered in thoracic surgery. We describe the utility of the Asherman chest seal, a device used in primary trauma care in the successful management of a complicated postoperative air-leak. The Asherman Chest Seal is a sterile occlusive dressing with a one-way ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2007.161497

    authors: Rathinam S,Steyn RS

    更新日期:2007-12-01 00:00:00

  • A remarkable outcome after video-assisted thoracoscopic resection of a giant bulla.

    abstract::A 56-year-old woman visited our hospital for mild exertional dyspnea. Radiological investigations revealed a giant bulla of the left lung that was treated with video-assisted thoracoscopic bullectomy. The result of treatment was a better stamina, and, more strikingly, a major change of voice. ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/S1569-9293(03)00169-5

    authors: Schnater JM,Plaisier PW,van den Berg PM,Schütte PR

    更新日期:2003-12-01 00:00:00

  • Evaluation of differential pulmonary perfusion using 99mTc macroaggregated albumin after the Fontan procedure.

    abstract:OBJECTIVES:The Fontan procedure [total cavopulmonary connection (TCPC)] is the final palliation for patients with univentricular physiology. We studied differential perfusion ratio and percentage uptake of a radiotracer in different zones of each lung following TCPC. METHODS:Between July 2015 and June 2017, 45 patient...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx377

    authors: Talwar S,Sankhyan L,Patel C,Sreenivas V,Choudhary SK,Airan B

    更新日期:2018-04-01 00:00:00

  • The antioxidant effect of melatonin in lung injury after aortic occlusion-reperfusion.

    abstract::Acute aortic occlusion with subsequent ischemia-reperfusion of the lower extremities is well known to predispose to lung injury. Melatonin (MEL), a pineal hormone, is a free radical scavenger and an antioxidant. The purpose of this study was to assess the putative protective role of MEL in lung ischemia-reperfusion in...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/j.icvts.2004.05.005

    authors: Okutan H,Savas C,Delibas N

    更新日期:2004-09-01 00:00:00

  • Segmental arterial ligation under video-assisted thoracoscopy combined with transcatheter embolotherapy for multiple bilateral pulmonary arteriovenous malformations.

    abstract::Multiple bilateral pulmonary arterio-venous malformations (PAVM) were diagnosed in a 15-year-old girl with erythrocytosis. Although transcatheter embolotherapy is generally accepted as a treatment of PAVM, the largest lesion in the right lower lobe was fed by a 13-mm diameter feeding artery without downstream narrowin...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/j.icvts.2004.07.003

    authors: Kohno M,Noda K,Moriyama H,Nishimura Y

    更新日期:2004-12-01 00:00:00

  • Staging algorithm for diffuse malignant pleural mesothelioma.

    abstract::An algorithm of preoperative mediastinal nodal staging with endobronchial/endoesophageal ultrasonography (EBUS/EUS) and transcervical extended mediastinal lymphadenectomy (TEMLA) combined with laparoscopy/peritoneal lavage and cytology was analyzed to establish the realistic criteria for radical multimodality treatmen...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.213611

    authors: Zielinski M,Hauer J,Hauer L,Pankowski J,Nabialek T,Szlubowski A

    更新日期:2010-02-01 00:00:00

  • Surgical revascularization for premature coronary artery disease in second and third decade of life.

    abstract::Coronary artery bypass grafting surgery may be needed in children and young adults for significant premature coronary artery occlusive disease. We report a case series of seven patients who underwent surgical revascularization in their second and third decade of life for significant multivessel coronary artery occlusi...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw295

    authors: Reddy SM,Byrapaneni RB,Rangappa C,Gouni UK,Vakati C,Suryavanshi S,Kola PR

    更新日期:2017-01-01 00:00:00

  • Giant atrial septal aneurysm originating from the right coronary artery.

    abstract::Giant coronary artery aneurysm is a rare clinical entity and its involvement in the interatrial space is extremely rare. We here report the rare surgical case of a 67-year old man with giant right coronary artery aneurysm located in the atrial septum with fistula formation to the right atrium, complicated with congest...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw099

    authors: Osada H,Kanemitsu N,Meshii K,Ohnaka M

    更新日期:2016-08-01 00:00:00

  • Epicardial catheter-based ventricular reconstruction: a novel therapy for ischaemic heart failure with anteroapical aneurysm.

    abstract:OBJECTIVES:Surgical ventricular reconstruction has been used to treat ischaemic cardiomyopathy with large akinetic or dyskinetic areas. However, application of this approach requires a sternotomy, cardiopulmonary bypass and a left ventriculotomy. This study assessed the feasibility and efficacy of minimally invasive, o...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivt387

    authors: Cheng Y,Aboodi MS,Wechsler AS,Kaluza GL,Granada JF,Van Bladel K,Annest LS,Yi GH

    更新日期:2013-12-01 00:00:00

  • Repair of isolated aortic coarctation over two decades: impact of surgical approach and associated arch hypoplasia.

    abstract:OBJECTIVES:A variety of surgical approaches and techniques are used for isolated coarctation repair. We have retrospectively reviewed our results of isolated repair of coarctation over the last 20 years, to establish whether the approach affects clinical outcome and the need for re-intervention. METHODS:Two hundred an...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs265

    authors: Sakurai T,Stickley J,Stümper O,Khan N,Jones TJ,Barron DJ,Brawn WJ

    更新日期:2012-11-01 00:00:00

  • Intent-to-cure surgery for small-cell lung cancer in the era of contemporary screening and staging methods.

    abstract:OBJECTIVES:Our goal was to report on the contemporaneous single-centre experience of patients with small-cell lung cancer (SCLC) who had lung resection with curative intent. METHODS:Between 2005 and 2018, 31 patients were operated on for SCLC with curative intent. There were 11 women and 20 men whose ages averaged 63 ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivz299

    authors: Chenesseau J,Bourlard D,Cluzel A,Trousse D,D'Journo XB,Thomas PA

    更新日期:2020-04-01 00:00:00