Journal article
Blood product use in cardiac revascularization: comparison of on- and off-pump techniques
The Annals of thoracic surgery, Vol.68(5), pp.1640-1643
11/1999
DOI: 10.1016/S0003-4975(99)00827-9
PMID: 10585034
Abstract
Background. Cardiac revascularization on a beating heart avoids the side effects of cardiopulmonary bypass (eg, neurologic injury, hemodilution, and coagulopathy). We examined perioperative bleeding and use of blood products during coronary artery bypass grafting using either on-pump or off-pump techniques.
Method. The charts of 126 patients who had coronary artery bypass grafting were reviewed. Data from 66 patients revascularized off pump and 60 patients with cardiopulmonary bypass (on pump) were analyzed using unpaired Student’s t test.
Results. Average age was 62.5 years in either group. More patients received heparin preoperatively in the off-pump group that resulted in mild elevation of preoperative partial thromboplastin time and activated clotting time (40.4 ± 2.9 seconds and 150.1 ± 5.3 seconds, respectively). However, the off-pump group had less perioperative (intraoperative or postoperative) bleeding (2312 ± 212 mL versus 3251 ± 155 mL, p < 0.05) and required fewer blood products compared with the on-pump group. Hemoglobin and platelets decreased more in the conventional on-pump group.
Conclusions. Avoiding cardiopulmonary bypass decreases perioperative bleeding and, consequently, reduces the use of blood products after coronary artery bypass grafting, which might result in fewer transfusion-related complications.
Details
- Title: Subtitle
- Blood product use in cardiac revascularization: comparison of on- and off-pump techniques
- Creators
- Nader D Nader - Division of Cardiothoracic Surgery, State University of New York at Buffalo, and the Veterans’ Administration Western New York Healthcare System, Buffalo, New York, USAWiam Z Khadra - Division of Cardiothoracic Surgery, State University of New York at Buffalo, and the Veterans’ Administration Western New York Healthcare System, Buffalo, New York, USANeal T Reich - Department of Anesthesia, State University of New York at Buffalo, and the Veterans’ Administration Western New York Healthcare System, Buffalo, New York, USADouglas R Bacon - Department of Anesthesia, State University of New York at Buffalo, and the Veterans’ Administration Western New York Healthcare System, Buffalo, New York, USATomas A Salerno - Division of Cardiothoracic Surgery, State University of New York at Buffalo, and the Veterans’ Administration Western New York Healthcare System, Buffalo, New York, USAAnthony L Panos - Division of Cardiothoracic Surgery, State University of New York at Buffalo, and the Veterans’ Administration Western New York Healthcare System, Buffalo, New York, USA
- Resource Type
- Journal article
- Publication Details
- The Annals of thoracic surgery, Vol.68(5), pp.1640-1643
- DOI
- 10.1016/S0003-4975(99)00827-9
- PMID
- 10585034
- NLM abbreviation
- Ann Thorac Surg
- ISSN
- 0003-4975
- eISSN
- 1552-6259
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 11/1999
- Academic Unit
- Surgery; Cardiothoracic Surgery
- Record Identifier
- 9984051777402771
Metrics
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