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Cardiopulmonary bypass and the inflammatory response: a role for serine protease inhibitors?

Abstract：

:Cardiopulmonary bypass has been shown to activate various inflammatory cascades in the body, resulting in pathophysiological changes that may affect patient outcome after cardiac surgery. Many of these inflammatory cascades are enzyme mediated, involving serine proteases. This report reviews the mechanisms of bypass-mediated activation of the inflammatory cascades and outlines the role of serine protease inhibitors in ameliorating the consequences of the inflammatory response. Experimental data are reviewed on the action of aprotinin in inhibiting the intrinsic coagulation system and in limiting the contact activation of blood platelets and leukocytes. Also reviewed is the role of aprotinin in impacting the incidence of perioperative myocardial ischemia and the central nervous system dysfunction and stroke that are not infrequent complications of surgery with cardiopulmonary bypass.

journal_name

J Cardiothorac Vasc Anesth

journal_title

Journal of cardiothoracic and vascular anesthesia

authors

Murkin JM

doi

10.1016/s1053-0770(97)80006-7

subject

Has Abstract

pub_date

1997-04-01 00:00:00

pages

19-23; discussion 24-5

issue

2 Suppl 1

eissn

1053-0770

issn

1532-8422

pii

S1053077097000335

journal_volume

11

pub_type

杂志文章,评审

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