Efficacy of intraoperative blood salvage during coronary artery bypass grafting.

Abstract:

OBJECTIVE:To analyze the usefulness of autologous blood salvage and intraoperative isovolemic hemodilution in conjunction with autologous blood salvage in cardiac surgery, and also to compare two different autologous blood salvage methods. EXPERIMENTAL DESIGN:Retrospective analysis of transfusion practice in cardiac surgery. SETTING:University hospital. PATIENTS:One hundred and sixty two consecutive patients who had coronary artery bypass grafting (CABG) from January to September, 1993. INTERVENTIONS:A review of transfusion records of patients who underwent intraoperative autologous blood salvage and isovolemic hemodilution. MEASURES:Perioperative transfusion requirements were analyzed in patients undergoing CABG using a cell saver system whereby blood was collected, processed and reinfused to the patients in the operating room. RESULTS:Nineteen percent of patients did not receive perioperative homologous blood transfusion when a cell saver was used intraoperatively. When autologous isovolemic hemodilution was used in conjunction with a cell saver, fifty-four percent of the patients did not receive homologous blood transfusion. The results of this study were compared to matched patients undergoing CABG using a different type of cell saver system whereby blood was collected in the operating room, processed in the blood bank and reinfused in the intra- and/or postoperative period. We found that the former system provided a more timely and greater yield of blood salvaged and as a consequence, less homologous blood transfusion. CONCLUSIONS:Intraoperative blood salvaging provides an immediate source of red blood cells and decreases the utilization of homologous blood. In addition, isovolemic hemodilution in conjunction with blood salvage further decreases homologous blood transfusion needs.

journal_name

Minerva Cardioangiol

authors

Lee J,Ikeda S,Johnston MF

subject

Has Abstract

pub_date

1997-09-01 00:00:00

pages

395-400

issue

9

eissn

0026-4725

issn

1827-1618

journal_volume

45

pub_type

杂志文章
  • [Effect of cilazapril therapy on diastolic filling and left ventricular hypertrophy in patients with arterial hypertension].

    abstract:BACKGROUND:Of the main aspects of hypertension, left ventricular hypertrophy and appearance of cardiac dysfunction seem to be the most common and to produce an early and severe cardiac deterioration. Even in the presence of normal systolic function diastolic filling abnormalities are described. The efficacy of many ant...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: De Simone R,Irace L,Perna B,Caruso C,Guida M,Iacono A

    更新日期:1993-05-01 00:00:00

  • [Pseudoaneurysm of the superficial femoral artery diagnosed preoperatively by magnetic resonance].

    abstract::A case of pseudoaneurysm of the superficial femoral artery identified preoperatively by Magnetic Resonance is reported. The number of different parameters and planes covered by the technique permitted an accurate assessment of the site, extent, internal conformation and staging of the thrombotic deposits inside the ps...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Pavone P,Tella S,Di Renzi P,Di Cesare E

    更新日期:1989-03-01 00:00:00

  • Unusual pacemaker implantation through a left sided superior vena cava via anonymous vein after heart transplantion.

    abstract::We report the case of a 56-year-old male heart transplant recipient, who underwent postoperative pacemaker implantation through a left sided superior vena cava (LSVC) via anonymous vein. We describe our successful management of this case. We suggest that the specific anatomic conditions should be considered in all hea...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Fuchs U,Murray E,Gueldner H,Tenderich G,Minami K,Koerfer R

    更新日期:2006-08-01 00:00:00

  • The prevalence of masked hypertension in a group of young healthy soldiers.

    abstract:BACKGROUND:To assess the prevalence of masked hypertension (MH) in young Saudi National Guard soldiers based on 24h ambulatory blood pressure monitoring (ABPM). METHODS:A prospective study of 196 soldiers, aged between 21-50 years, without a history of hypertension or antihypertensive medication use. Each participant ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:10.23736/S0026-4725.20.05288-3

    authors: Abuosa AM,Kinsara AJ,Elshiekh AH,Abrar MB

    更新日期:2020-06-10 00:00:00

  • [Clinical experience in patients with chronic peripheral obliterating arteriopathy: defibrotide versus definite molecular weight heparan sulfate (MW 7500-15000 dalton)].

    abstract::In a controlled study of 100 patients, mean age 65 years old, suffering from chronic peripheral obliterative arterial disease, Leriche's stage II, were randomised in two groups treated respectively with defibrotide (400 mg bid) or heparan-sulfate (40 mg bid) by the oral route for a period of 6 months. At basal and aft...

    journal_title:Minerva cardioangiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Michelini S,Micci A,Failla A,Grechi G,Iantaffi A

    更新日期:1996-01-01 00:00:00

  • The role of myocardial fibrosis in determining the success rate of ablation for the treatment of atrial fibrillation.

    abstract::Atrial fibrillation is the most common sustained cardiac arrhythmia and with an aging population its prevalence will increase. In addition to appropriate anticoagulation to reduce the thromboembolic risk, there has been an increasing need for a personalized approach in identifying which patients are likely to benefit ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:10.23736/S0026-4725.17.04371-7

    authors: Selvendran S,Aggarwal N,Li J,Tse G,Vassiliou VS

    更新日期:2017-08-01 00:00:00

  • Catheter ablation for cardiac arrhythmias.

    abstract::The clinical introduction of catheter ablation in 1981 revolutionized the treatment of cardiac arrhythmias. Implementation of radiofrequency as an alternative energy source, with the advantages of higher selectivity and less collateral damage, provided an expansion of catheter ablation therapy. Today the majority of a...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Lickfett L,Calkins H

    更新日期:2002-06-01 00:00:00

  • [Left intraventricular thrombosis causing an embolism to the right leg during an acute myocardial infarct. A report of a case monitored echocardiographically with diagnostic and therapeutic comments].

    abstract::Report of a case of a 54-year-old man who, during acute anterior myocardial infarction developed an apical thrombus and an embolism of the right leg. The serial echocardiographic study demonstrates how the original shape of the thrombus acutely changed at the same time of the embolic episode and how the new morphology...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Butera A,Lupia Palmieri G,Pelaggi P,Vitale U,Ferlaino G

    更新日期:1993-12-01 00:00:00

  • The predictive value of plasma biomarkers in discharged heart failure patients: role of galectin-3.

    abstract::Over the last years a number of new biomarkers reflecting different aspects of heart failure (HF) pathophysiology have been evaluated in order to improve diagnosis and to better define prognosis of patients. Among these, Galectin 3 (Gal-3) seems particularly promising. It is a soluble beta galactoside-binding lectin p...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Leone M,Iacoviello M

    更新日期:2016-04-01 00:00:00

  • Procedural and long-term results of sirolimus-eluting stent in patients at high risk for restenosis.

    abstract:AIM:In-stent restenosis still affects 10-50% of long-term outcome after percutaneous coronary intervention (PCI). Large clinical trials have shown that sirolimus-eluting stents (SES) have reduced restenosis rate to 0-9% in lesions at low-moderate risk. The aim of this study was to evaluate long-term clinical and angiog...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Presbitero P,Zavalloni D,Scatturin M,Marisco F,Pagnotta P,Boccuzzi G

    更新日期:2004-06-01 00:00:00

  • [Hypertensive emergency during large vessel surgery].

    abstract::The effectiveness of a new alpha-blocking agent with additional mechanism of action was evaluated during intraoperative hypertensive crises. Urapidil was administered both in bolus form and as a continuous infusion in order to compare the two routes of delivery. During the study systolic, diastolic, mean pressure and ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Pagani C,Selva S,Meloni G,Loguercio G,Cristofori GB

    更新日期:1990-07-01 00:00:00

  • How true delivery profile diminution reduces vascular access challenges and complications.

    abstract::Transcatheter aortic valve implantation (TAVI) is the treatment of choice among patients with symptomatic severe aortic stenosis (AS) deemed inoperable and a valuable alternative to surgical aortic valve replacement for high-risk surgical patients. Over the years, this procedure proved to be relatively safe, but despi...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Tamburino CI,IMMè S,Barbanti M,Capranzano P,Sgroi C,Scalia M,Riccobene F,Condorelli A,Gulino S,Capodanno D,Tamburino C

    更新日期:2016-06-01 00:00:00

  • Early versus late tracheal intubation in COVID-19 patients: a pro-con debate also considering heart-lung interactions.

    abstract::The best timing of orotracheal intubation and invasive ventilation in COVID-19 patients with acute respiratory distress syndrome is unknown. The use of non-invasive ventilation, a life-saving technique in many medical conditions, is debated in patients with ARDS since prolonged NIV and delayed intubation may be harmfu...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:10.23736/S0026-4725.20.05356-6

    authors: Cabrini L,Ghislanzoni L,Severgnini P,Landoni G,Baiardo Redaelli M,Franchi F,Romagnoli S

    更新日期:2020-10-15 00:00:00

  • Effects of ACE-inhibitors and beta-blockers on left ventricular remodeling in chronic heart failure.

    abstract::In recent years, it has become increasingly recognised that a central feature of the disease progression associated with heart failure is the process of left ventricular remodeling. The remodeling process manifests as an increase in left ventricular volumes, leading to a rise in wall stress and a compensatory increase...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Khattar RS

    更新日期:2003-04-01 00:00:00

  • [Cardiac troponin I in unstable angina].

    abstract:BACKGROUND:Unstable angina implies high risk of myocardial infarction and sudden death. Increased levels of cytoplasmatic enzymes and proteins (creatine phosphokinase, MB creatine phosphokinase troponin T, etc.) were described in unstable angina, providing information about incoming major coronary events. Cardiac tropo...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Musso P,Vernocchi A,Crippa A,Bajardi D,Ottello B,Pinnavaia A,Ronzani G,Bergandi G,Ravera A,Scrocca I

    更新日期:1996-04-01 00:00:00

  • [Pseudonecrosis waves: simulation of myocardial necrosis by retrograde P wave].

    abstract::The Authors describe a case of a patient showing, during an episode of chest pain, an ecg-pattern of wide and tall "Q" wave simulating inferior myocardial infarction. In fact, a further ecg recorded during sinus rhythm denotes that the "Q" wave was a retrograde P wave generated by a nodal rhythm. The other known cause...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Cento D,Migliorato A,Cavalli G,Arrigo F

    更新日期:1991-11-01 00:00:00

  • [A case of pulmonary thromboembolism after interruption of treatment with unfractionated heparin].

    abstract::Pulmonary embolism is a quite frequent event (incidence 1/10000/year), and blood stasis, endothelial lesions and coagulation disorders are predisposable factors. Elective treatment is heparin, but the use of this medication is associated with a possible ipercoagulative rebound effect. The case presented is a patient w...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Paglia I,Carrieri L,Oliaro E,Bergerone S,Mangiardi L,Trevi GP

    更新日期:2002-08-01 00:00:00

  • Extracorporeal membrane oxygenation for critically ill patients with coronavirus-associated disease 2019: an updated perspective of the European experience.

    abstract:BACKGROUND:Infection due to severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), i.e. coronavirus-associated disease 2019 (COVID-2019), may occasionally lead to acute respiratory distress syndrome (ARDS), requiring in the most severe cases extracorporeal membrane oxygenation (ECMO). Yet, limited data, if any, ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:10.23736/S0026-4725.20.05328-1

    authors: Marullo AG,Cavarretta E,Biondi Zoccai G,Mancone M,Peruzzi M,Piscioneri F,Sartini P,Versaci F,Morelli A,Miraldi F,Frati G

    更新日期:2020-10-01 00:00:00

  • [Relationship between late ventricular potentials and ventricular arrhythmias in patients in chronic dialysis treatment].

    abstract:BACKGROUND:Arrhythmias are frequent pathology in patients with chronic hemodialysis. We evaluated whether a relatively new technique, signal averaging, could be useful in predicting the development of complex arrhythmias in these patients. METHODS:Thirty-three patients, 18 male and 15 female, subjected to thrice weekl...

    journal_title:Minerva cardioangiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Pomini G,Salvo P,Torchiarella C,Lucangeli A,Ruffatti A,Naso A,Gribaldo R

    更新日期:1997-04-01 00:00:00

  • Abdominal aortic aneurysm associated with renal ectopia.

    abstract::This report describes a rare case of concurrent abdominal aortic aneurysm and bilateral renal ectopia. Preoperative work-up included intravenous pyelography and angiography to assess renal function, renal artery anatomy, and ureter position. Conventional surgery was performed without renal protection. No deterioration...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Bianco G,Micheletti E,Silvestri F,Laezza F,Platì S,Mauro G,Scotto Di Uccio A,De Donato G

    更新日期:2008-10-01 00:00:00

  • Left main coronary artery disease: when and how to perform PCI?

    abstract::Left main coronary artery (LMCA) disease has been reported in up to 10% of all patients with coronary artery disease (CAD) and in the majority of cases are associated with severe three-vessel CAD. Among patients with chronic coronary syndrome revascularization of significant LMCA disease improves prognosis, while ther...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:10.23736/S0026-4725.20.05198-1

    authors: Chiarito M,Mehilli J

    更新日期:2020-10-01 00:00:00

  • Statins in primary prevention: impact on mortality. A meta-analysis study.

    abstract:INTRODUCTION:An evaluation of the effects of statins on total mortality in the context of primary prevention was carried out, by means of the analysis of data taken from major clinical trials published in the literature. EVIDENCE ACQUISITION:Published systematic reviews were used to identify relevant clinical trials, ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,meta分析,评审

    doi:10.23736/S0026-4725.17.04323-7

    authors: Nunes JP

    更新日期:2017-10-01 00:00:00

  • Coronary stenting for ST-elevation myocardial infarction vs. other indications in patients on oral anticoagulation: any difference in in-hospital management and outcome?

    abstract:AIM:The aim of this paper was to compare the in-hospital management and outcome of patients on oral anticoagulation (OAC) undergoing coronary artery stenting (PCI-S) for ST-elevation myocardial infarction (STEMI) vs. other indications. METHODS:One hundred and sixteen patients on OAC at the time of PCI-S who were prosp...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Vecchio S,Zanolla L,Valencia J,Colletta M,Capecchi A,Franco N,Piovaccari G,Margheri M,Di Pasquale G,Rubboli A,WARfarin and Coronary STENTing (WAR-STENT) Study Group.

    更新日期:2011-10-01 00:00:00

  • Prevention of diffuse, minimal lymphatic "retention" with Robuvit®: a concept, supplement registry study.

    abstract:BACKGROUND:The aim of this study was to evaluate the effects of the standardized supplement Robuvit® (oak wood extract) in defined diffuse, minimal lymphatic "retention" (DMLR). METHODS:Robuvit® has already been investigated in both primary and secondary (post-surgical, post chemo-radiotherapy) lymphatic insufficiency...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:10.23736/S0026-4725.19.05026-6

    authors: Hu S,Belcaro G,Hosoi M,Cesarone MR,Scipione V,Scipione C,Dugall M,Feragalli B,Cotellese R,Maione C

    更新日期:2020-06-01 00:00:00

  • Evaluation and management of syncope.

    abstract::Syncope is a common symptom and accounts for approximately 1% of all emergency visits. There are four main causes of syncope: reflex, neurally mediated syncope, orthostatic hypotension and cardiac syncope. The prognosis of patients with reflex syncopes is good, whereas patients with cardiac syncope are at increased ri...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Veltmann C,Borggrefe M,Wolpert C,Schimpf R

    更新日期:2010-12-01 00:00:00

  • [Evaluation of resistance to activated protein C in myocardial infarction patients].

    abstract:BACKGROUND:It is known that resistance to activated protein C (APCR), often associated with a single point mutation (Arg506-->Gln) in the coagulation factor V gene (factor V Leiden), is the most frequent inherited abnormality of blood coagulation. It plays a key role as pathogenetic factor of venous thromboembolism, bu...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Avellone G,Di Garbo V,Di Raimondo D,Bono M,Abruzzese G,De Simone R,Raneli G

    更新日期:2001-12-01 00:00:00

  • Submassive acute pulmonary thromboembolism with normal D-dimer. A case report.

    abstract::Pulmonary thromboembolism is a relatively common disease in an Emergency Department. Diagnosis, often difficult, is based on careful evaluation of risk factors, clinical examination, radiological and laboratory investigations. Plasma D-dimer, a degradation product of cross-linked fibrin with low specificity and very h...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Di Grande A,Tomaselli V,Massarelli L,Narbone G,Sabbia CM,Noto P,Amico S,Nigro F,Di Mauro A

    更新日期:2006-04-01 00:00:00

  • Standardization of Impella®-assisted patient management.

    abstract::The presence of high-risk features on candidates to percutaneous revascularization is increasingly leading to Impella®-assisted procedures (IAPs). While IAPs are safe and effective procedures, they still require managing a degree of complexity. Clinicians often rely on their ability to recall every step of operative p...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:10.23736/S0026-4725.18.04669-8

    authors: Sanna T,Battistoni I,Marini M,Valente S

    更新日期:2018-10-01 00:00:00

  • [Efficacy of intravenous propafenone in the management of arterial flutter and fibrillation of recent onset].

    abstract::We assessed the safety and efficacy of intravenous propafenone in the treatment of atrial fibrillation and flutter of recent onset (1-10 days). The drug was administered, at a dosage of 2 mg/kg, to 46 consecutive patients (with age variable from 35 to 86 years), 36 with atrial fibrillation, 10 with atrial flutter. The...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Minutiello L

    更新日期:1994-03-01 00:00:00

  • Recent developments in renal denervation.

    abstract::Renal denervation is a novel catheter based approach that has been shown to effectively lower blood pressure in patients with resistant hypertension. Small studies have shown additional benefits in patients being treated for hypertension, such as improvements in insulin sensitivity, sleep apnoea and arrhythmias. More ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Raphael CE,Davies JE

    更新日期:2013-06-01 00:00:00