Warfarin pretreatment does not lead to increased bleeding tendency during cardiac surgery.

Abstract:

OBJECTIVE:To study the influence of preoperative warfarin anticoagulation on postoperative blood loss and allogeneic blood requirement. DESIGN:Retrospective study with a matched control group. SETTING:University and community hospital, single institutional. PARTICIPANTS:240 patients scheduled for cardiac surgery. INTERVENTIONS:Warfarin sodium was administered to 125 patients preoperatively to prevent thromboembolic complications of their underlying heart disease, 115 served as control. Approximately half of the patients in each group received aprotinin treatment during operation. MEASUREMENTS AND MAIN RESULTS:The international normalized ratio (INR) of the prothrombin time was preoperatively 2.4 (95% confidence interval [CI 0.95]: 2.3 to 2.6) in the warfarin group and 1.1 (CI 0.95: 1.0 to 1.1) in the control group (p < 0.05), and postoperatively 1.9 (CI 0.95: 1.8 to 2.1) (warfarin) and 1.5 (CI 0.95: 1.4 to 1.5) (control) (p < 0.05). The postoperative blood loss after 6 and 12 hours was 381 (CI 0.95: 329 to 434)/505 (CI 0.95: 439 to 571) mL (warfarin) compared with 472 (CI 0.95: 403 to 541)/612 (CI 0.95: 527 to 697) mL (control) (p < 0.05). This difference was blunted when the proteinase inhibitor aprotinin was used. Neither preoperative nor postoperative prothrombin time correlated with blood loss. Despite lower heparin consumption the activated coagulation time (ACT) during CPB was significantly prolonged in the warfarin group. CONCLUSIONS:Warfarin pretreatment does not lead to increased bleeding but may even have a beneficial anticoagulant effect that may lead to better preserved postoperative hemostasis and reduced blood loss.

authors

Dietrich W,Dilthey G,Spannagl M,Richter JA

doi

10.1016/s1053-0770(05)80316-7

subject

Has Abstract

pub_date

1995-06-01 00:00:00

pages

250-4

issue

3

eissn

1053-0770

issn

1532-8422

pii

S1053-0770(05)80316-7

journal_volume

9

pub_type

杂志文章
  • Comparison of cardiovascular effects of pipecuronium versus vecuronium in patients receiving sufentanil anesthesia for myocardial revascularization.

    abstract::This study was designed to compare the cardiovascular effects of pipecuronium bromide (PIP) to vecuronium (V) when combined with sufentanil (SF) in patients undergoing coronary artery bypass surgery. Eighty-two patients were studied; 40 were normotensive and 42 had hypertension currently controlled by pharmacological ...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/1053-0770(91)90321-j

    authors: Starr NJ,Kraenzler EJ,Wong D,Koehler LS,Estafanous FG

    更新日期:1991-04-01 00:00:00

  • No evidence of memory processing during propofol-remifentanil target-controlled infusion anesthesia with bispectral index monitoring in cardiac surgery.

    abstract:OBJECTIVE:Auditory information presented during anesthesia can activate memory. Surgical stimulation may enhance memory formation. The authors' hypothesis is that implicit memory processing is not preserved during unconsciousness, even in the presence of a surgical stimulus. DESIGN:A double-blind randomized controlled...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1053/j.jvca.2008.09.016

    authors: Bejjani G,Lequeux PY,Schmartz D,Engelman E,Barvais L

    更新日期:2009-04-01 00:00:00

  • Effect of gender on fast-track recovery after coronary artery bypass graft surgery.

    abstract:OBJECTIVE:To examine the effects of gender on time to extubation after coronary artery bypass graft (CABG) surgery and intensive care unit and hospital length of stay. DESIGN:Retrospective study comparing outcomes as related to gender. SETTING:Tertiary care university teaching hospital. PARTICIPANTS:Consecutive pati...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1053/jcan.2001.21933

    authors: Capdeville M,Lee JH,Taylor AL

    更新日期:2001-04-01 00:00:00

  • Platelet-induced vasomotion of isolated canine coronary artery in the presence of halothane or isoflurane.

    abstract::To determine the effect of 1.5 MAC of two volatile anesthetics (halothane and isoflurane) on platelet-induced contraction of canine coronary artery, isolated, denuded coronary rings were suspended between two stirrups, placed into organ chambers filled with an oxygenated Krebs-Ringer solution, and connected to an isom...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1016/1053-0770(94)90058-2

    authors: Blaise GA,Parent M,Laurin S,Omri A,Reader TA,Moutquin JM

    更新日期:1994-04-01 00:00:00

  • Nitric oxide synthesis inhibition and right ventricular systolic function in swine.

    abstract:OBJECTIVES:The present study was designed to evaluate the effects of the nitric oxide synthesis inhibitor NG-nitro-L-arginine methyl ester (L-NAME) on right ventricular (RV) contractility, both pulsatile and nonpulsatile contributions to afterload, and relate any changes to alterations in performance of the RV as a pum...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1016/s1053-0770(96)80055-3

    authors: Heerdt PM,Pleimann BE

    更新日期:1996-12-01 00:00:00

  • A Focused Transesophageal Echocardiography Protocol for Intraoperative Management During Orthotopic Liver Transplantation.

    abstract:OBJECTIVE:The value of a simplified, focused intraoperative transesophageal echocardiography (TEE) protocol in patients undergoing liver transplantation (LT) is unknown. We sought to create and assess a 5-view LT TEE examination focused on 5 prespecified common causes of hypotension during LT. DESIGN:Retrospective coh...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1053/j.jvca.2020.01.028

    authors: Vanneman MW,Dalia AA,Crowley JC,Luchette KR,Chitilian HV,Shelton KT

    更新日期:2020-07-01 00:00:00

  • Von Willebrand Factor Concentrate Administration for Acquired Von Willebrand Syndrome- Related Bleeding During Adult Extracorporeal Membrane Oxygenation.

    abstract:OBJECTIVE:To review the use of Von Willebrand Factor (VWF) concentrate for treatment of acquired Von Willebrand syndrome (VWS)-related bleeding in adult extracorporeal membrane oxygenation (ECMO) patients and determine if it was associated with improved VWF laboratory parameters. DESIGN:Retrospective observational coh...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1053/j.jvca.2020.06.083

    authors: Mazzeffi M,Bathula A,Tabatabai A,Menaker J,Kaczorowski D,Madathil R,Galvagno S,Pasrija C,Rector R,Tanaka K,Herr D

    更新日期:2020-07-03 00:00:00

  • New directions in perioperative management for pediatric solid organ transplantation.

    abstract::Advances in pediatric solid organ transplantation have furthered the understanding of end-organ failures and refined the strategies for perioperative management of these otherwise lethal diseases. As the donor pool expands, the number of transplantations increases and long-term survival continues to improve, more comp...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,评审

    doi:10.1016/s1053-0770(98)90205-1

    authors: Montenegro LM,Ward A,McGowan FX,Davis PJ

    更新日期:1998-08-01 00:00:00

  • The role of the vascular endothelium in inflammatory syndromes, atherogenesis, and the propagation of disease.

    abstract::The vascular endothelium is intimately involved in a wide variety of normal physiological processes, including coagulation/anticoagulation, the maintenance of vascular tone, and pathological processes, including reperfusion injury, inflammatory syndromes, and tumor cell metastasis. This review discusses the importance...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,评审

    doi:10.1016/s1053-0770(97)90101-4

    authors: Hill GE,Whitten CW

    更新日期:1997-05-01 00:00:00

  • Hypothermic versus normothermic cardiopulmonary bypass in patients with valvular heart disease.

    abstract:OBJECTIVE:The aim of this study was to test the hypothesis that normothermic cardiopulmonary bypass (CPB) is as effective as hypothermic CPB in terms of cardiac protection (cTnI level) and outcome in patients with valvular heart disease. DESIGN:Prospective randomized study. SETTING:A tertiary cardiothoracic referral ...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1053/j.jvca.2013.03.009

    authors: Lomivorotov VV,Shmirev VA,Efremov SM,Ponomarev DN,Moroz GB,Shahin DG,Kornilov IA,Shilova AN,Lomivorotov VN,Karaskov AM

    更新日期:2014-04-01 00:00:00

  • The Impact of Anesthetic Regimen on Outcomes in Adult Cardiac Surgery: A Narrative Review.

    abstract::Despite improvements in surgical techniques and perioperative care, cardiac surgery still is burdened by relatively high mortality and frequent major postoperative complications, including myocardial dysfunction, pulmonary complications, neurologic injury, and acute kidney injury. Although the surgeon's skills and vol...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,评审

    doi:10.1053/j.jvca.2020.03.054

    authors: Pisano A,Torella M,Yavorovskiy A,Landoni G

    更新日期:2020-04-20 00:00:00

  • Outcomes of Infant Cardiac Surgery for Congenital Heart Disease Concomitant With Persistent Pneumonia: A Retrospective Cohort Study.

    abstract:OBJECTIVES:There is still controversy about whether an infant should have cardiac surgery concomitant with ongoing persistent pneumonia. This study analyzes the outcome of surgical treatment for infants with left-to-right shunt congenital heart disease accompanied with persistent pneumonia and discusses the perioperati...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1053/j.jvca.2018.05.039

    authors: Luo H,Qin G,Wang L,Ye Z,Pan Y,Huang L,Luo W,Guo Q,Peng Y,Wang E

    更新日期:2019-02-01 00:00:00

  • Dexmedetomidine Attenuates Myocardial Injury in Off-Pump Coronary Artery Bypass Graft Surgery.

    abstract:OBJECTIVE:To investigate the cardioprotective effect of the continuous administration of dexmedetomidine using serum cardiac troponin I (cTnI) and creatine kinase MB (CK-MB) concentrations as biomarkers during off-pump coronary artery bypass grafting (OPCAB) surgery. DESIGN:A prospective, randomized, parallel-group co...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1053/j.jvca.2015.06.026

    authors: Chi X,Liao M,Chen X,Zhao Y,Yang L,Luo A,Yang H

    更新日期:2016-01-01 00:00:00

  • Smoking Cessation Can Reduce the Incidence of Postoperative Hypoxemia After On-Pump Coronary Artery Bypass Grafting Surgery.

    abstract:OBJECTIVES:To determine whether smoking cessation can reduce the incidence of postoperative hypoxemia (POH) after on-pump coronary artery bypass grafting (CABG) surgery. DESIGN:Prospective, single-center, observational study. SETTING:Single-center university teaching hospital. PARTICIPANTS:The study comprised 300 pa...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1053/j.jvca.2016.05.011

    authors: Guan Z,Lv Y,Liu J,Liu L,Yuan H,Shen X

    更新日期:2016-12-01 00:00:00

  • Milrinone increases flow in coronary artery bypass grafts after cardiopulmonary bypass: a prospective, randomized, double-blind, placebo-controlled study.

    abstract:OBJECTIVE:To compare the effects of a bolus of milrinone, 50 microg/kg, versus placebo on flow in coronary artery bypass grafts after cardiopulmonary bypass (CPB). DESIGN:A prospective, randomized, double-blind study. SETTING:A university hospital. PARTICIPANTS:Forty-four patients with stable angina and left ventric...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1053/j.jvca.2008.07.005

    authors: Arbeus M,Axelsson B,Friberg O,Magnuson A,Bodin L,Hultman J

    更新日期:2009-02-01 00:00:00

  • Brain Oxygen Supply Parameters in the Risk Assessment of Cerebral Complications During Carotid Endarterectomy.

    abstract:OBJECTIVE:To determine whether preoperative regional cerebral oxygen saturation (rSO2) and the decrease in rSO2 during carotid clamping were predictive of the risk for neurologic complications in carotid endarterectomy and to determine the cutoff values of the studied parameters. DESIGN:Cohort, prospective, nonrandomi...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1053/j.jvca.2016.10.017

    authors: Kamenskaya OV,Loginova IY,Lomivorotov VV

    更新日期:2017-06-01 00:00:00

  • Propofol inhibits desflurane-induced preconditioning in rabbits.

    abstract:OBJECTIVES:The authors tested the hypothesis that ischemic and desflurane-induced preconditioning are blocked by propofol. DESIGN:A prospective, randomized, vehicle-controlled study. SETTING:A university research laboratory. SUBJECTS:New Zealand white rabbits (n = 52). METHODS:Pentobarbital-anesthetized rabbits wer...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1053/j.jvca.2010.07.018

    authors: Smul TM,Stumpner J,Blomeyer C,Lotz C,Redel A,Lange M,Roewer N,Kehl F

    更新日期:2011-04-01 00:00:00

  • An alternative to radioactive microsphere for measuring regional myocardial blood flow, Part 2: Laser-Doppler perfusion monitor.

    abstract:OBJECTIVE:To compare measurements of regional myocardial blood flow volume between microsphere measurement of regional flow (0.5- to 2- g tissue sampling) and a potential alternative measure, local flow (1 mm3) in the microcirculation measured by laser-Doppler perfusion monitor. DESIGN:Prospective, randomized, control...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1016/s1053-0770(96)80100-5

    authors: Sidi A,Rush W

    更新日期:1996-04-01 00:00:00

  • Increased alveolar damage after mechanical ventilation in a porcine model of thoracic surgery.

    abstract:OBJECTIVE:Mechanical stress during one-lung ventilation (OLV) results in lung injury. This study compared the effects of mechanical ventilation, OLV, and surgical manipulation on diffuse alveolar damage (DAD) after application of different anesthetic regimens. DESIGN:Prospective, randomized, controlled, blinded animal...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1053/j.jvca.2009.09.016

    authors: Kozian A,Schilling T,Röcken C,Breitling C,Hachenberg T,Hedenstierna G

    更新日期:2010-08-01 00:00:00

  • Propofol-based versus fentanyl-isoflurane-based anesthesia for cardiac surgery.

    abstract:OBJECTIVE:To evaluate drug costs, time of mechanical ventilation, complications, and hospital length of stay comparing propofol-based with fentanyl-isoflurane-based anesthesia. DESIGN:A prospective, randomized study. SETTING:A university-affiliated, tertiary care community hospital. PARTICIPANTS:Seventy patients und...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s1053-0770(98)90328-7

    authors: Engoren MC,Kraras C,Garzia F

    更新日期:1998-04-01 00:00:00

  • Femoral artery pressures are more reliable than radial artery pressures on initiation of cardiopulmonary bypass.

    abstract:OBJECTIVE:To compare radial and femoral artery perfusion pressure during initiation and various stages of cardiopulmonary bypass (CPB). DESIGN:Prospective study. SETTING:The cardiac center of a tertiary referral teaching institute. PARTICIPANTS:Sixty consecutive patients of all ages undergoing a variety of cardiac o...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:

    authors: Chauhan S,Saxena N,Mehrotra S,Rao BH,Sahu M

    更新日期:2000-06-01 00:00:00

  • Propofol-fentanyl versus isoflurane-fentanyl anesthesia for coronary artery bypass grafting: effect on myocardial contractility and peripheral hemodynamics.

    abstract::To avoid intraoperative awareness and postoperative respiratory depression from high-dose opioid anesthesia, propofol (P), or isoflurane (I) has been combined with moderate-dose opioid with varying results. However, the effects of both P and I on myocardial contractility and left ventricular afterload have not been co...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s1053-0770(05)80050-3

    authors: Sorbara C,Pittarello D,Rizzoli G,Pasini L,Armellin G,Bonato R,Giron GP

    更新日期:1995-02-01 00:00:00

  • Impact of Intubation Time on Survival following Coronary Artery Bypass Grafting: Insights from the Surgical Treatment for Ischemic Heart Failure (STICH) Trial.

    abstract:OBJECTIVE:The authors aimed to assess determinants of intubation time and evaluate its impact on 30-day and 1-year postoperative survival in Surgical Treatment for Ischemic Heart Failure (STICH) trial patients. DESIGN, SETTING, PARTICIPANTS, AND INTERVENTIONS:A multivariable Cox proportional hazards model was used amo...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1053/j.jvca.2017.12.038

    authors: Bouabdallaoui N,Stevens SR,Doenst T,Wrobel K,Bouchard D,Deja MA,Michler RE,Chua YL,Kalil RAK,Selzman CH,Daly RC,Sun B,Djokovic LT,Sopko G,Velazquez EJ,Rouleau JL,Lee KL,Al-Khalidi HR,STICH Trial Investigators.

    更新日期:2018-06-01 00:00:00

  • Reinfusate Heparin Concentrations Produced by Two Autotransfusion Systems.

    abstract:OBJECTIVES:Cell saver reinfusate ideally should contain low, clinically insignificant heparin concentrations. The American Association of Blood Banks has defined the clinically insignificant threshold as 0.5 IU/mL. Furthermore, there is uncertainty about the meaning of cell saver "heparin elimination rates." These conc...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1053/j.jvca.2016.06.014

    authors: Buys WF,Buys M,Levin AI

    更新日期:2017-02-01 00:00:00

  • Impella Placement Guided by Echocardiography Can Be Used as a Strategy to Unload the Left Ventricle During Peripheral Venoarterial Extracorporeal Membrane Oxygenation.

    abstract:OBJECTIVE:At the authors' institution, before 2015, patients cannulated for peripheral venoarterial extracorporeal membrane oxygenation (VA-ECMO) did not undergo left ventricular (LV) decompression with the use of an LV vent. After 2015, the authors' institution began using the Impella device to vent the left ventricle...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1053/j.jvca.2018.05.019

    authors: Fiedler AG,Dalia A,Axtell AL,Ortoleva J,Thomas SM,Roy N,Villavicencio MA,D'Alessandro DA,Cudemus G

    更新日期:2018-12-01 00:00:00

  • High-dose propofol reduces S-100β protein and neuron-specific enolase levels in patients undergoing cardiac surgery.

    abstract:OBJECTIVES:In a variety of experimental models, propofol has been shown to protect the brain. It was hypothesized that a clinically achievable high dose of propofol would induce cerebral protective effects in patients undergoing cardiac surgery with cardiopulmonary bypass (CPB). The authors investigated the effects of ...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1053/j.jvca.2012.10.013

    authors: Ma G,Chen J,Meng X,Deng L,Gao Y,Meng J

    更新日期:2013-06-01 00:00:00

  • Coronary vascular effects of dexmedetomidine during reactive hyperemia in the anesthetized dog.

    abstract:OBJECTIVE:The central sympatholytic effects of alpha2-adrenergic agonists are believed to be beneficial during myocardial ischemia, but the peripheral vasoconstrictive effects are controversial. The aim of this study was to investigate the coronary vascular effects of dexmedetomidine (DM) during reactive hyperemia. DE...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1016/s1053-0770(96)80140-6

    authors: Roekaerts PM,Prinzen FW,de Lange S

    更新日期:1996-08-01 00:00:00

  • Perioperative Echocardiography in the Adult With Congenital Heart Disease.

    abstract::Survival of patients with congenital heart disease has significantly improved over the last 2 decades, confronting interventionalists, surgeons, anesthesiologists, cardiologists, and intensivists with often unfamiliar complex pathophysiology in the perioperative setting. Aside from cardiac catheterization, echocardiog...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,评审

    doi:10.1053/j.jvca.2019.11.036

    authors: Williams T,Lluri G,Boyd EK,Kratzert WB

    更新日期:2020-05-01 00:00:00

  • Total intravenous anesthesia with ketamine for pediatric interventional cardiac procedures.

    abstract:OBJECTIVE:To evaluate the safety and efficacy of ketamine in pediatric patients undergoing interventional cardiac procedures. DESIGN:A retrospective clinical study. SETTING:A single, tertiary referral center. PARTICIPANTS:Patients (n = 107) undergoing interventional cardiac procedures between July 1996 and July 1998...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章

    doi:10.1016/s1053-0770(00)90053-3

    authors: Singh A,Girotra S,Mehta Y,Radhakrishnan S,Shrivastava S

    更新日期:2000-02-01 00:00:00

  • The MIDCAB experience: a current look at evolving surgical and anesthetic approaches.

    abstract::This article reviews and updates the recent modifications in patient selection and revisions in the anesthetic approach to MIDCAB surgery. It outlines the changing surgical selection criteria, current ways to assess graft patency, and evolving anesthetic management. A promising new advancement in coronary artery bypas...

    journal_title:Journal of cardiothoracic and vascular anesthesia

    pub_type: 杂志文章,评审

    doi:10.1016/s1053-0770(97)90019-7

    authors: Gayes JM,Emery RW

    更新日期:1997-08-01 00:00:00