Improved myocardial protection with blood and crystalloid cardioplegia

Slides:

Advertisements

Similar presentations

The role of arteriovenous shunts in the pathogenesis of varicose veins Howard C. Baron, M.D., Sebastiano Cassaro, M.D. Journal of Vascular Surgery Volume.

Advertisements

The effect of inguinal lymphatic manipulation on regional lymph flow patterns Jeffrey R. Rubin, MD, Lisa B. Eberlin, MD Journal of Vascular Surgery Volume.

A review of 100 consecutive reconstructions of the distal vertebral artery for embolic and hemodynamic disease Ramon Berguer, MD, PhD, Mark D. Morasch,

Popliteal artery stenosis caused by a Baker's cyst

Aortic injury occurring after minor trauma in ankylosing spondylitis

Heparin-coated catheters and heparin-induced thrombocytopenia

Late survival in abdominal aortic aneurysm patients: The role of selective myocardial revascularization on the basis of clinical symptoms Martha M. Reigel,

Ultrasound measurement of the luminal diameter of the abdominal aorta and iliac arteries in patients without vascular disease Ole Martin Pedersen, MD,

Richard T. Purdy, M. D. , Frederick C. Beyer, M. D. , William D

Joseph S. Coselli, MD, Scott A. LeMaire, MD, Dwayne F

Creation and closure of temporary arteriovenous fistulas for venous reconstruction or thrombectomy: Description of technique Richard J. Sanders, M.D.,

Mycotic axillary artery aneurysm

David Rosenthal, MD, Southern Association for Vascular Surgery

Optimal flow rates for integrated cardioplegia

A new valvulotome for in situ bypass grafts

Aortic injury occurring after minor trauma in ankylosing spondylitis

Walter J. Scott, M.D., Bruce L. Gewertz, M.D.

Progressive improvement of myocardial perfusion after off-pump revascularization with bilateral internal thoracic arteries: Comparison of early versus.

Malcolm O. Perry, MD, Richard Kempczinski, MD

Recurrent thoracic outlet syndrome

Aortic root replacement with anomalous origin of the coronary arteries

Protecting the brain and spinal cord

Antegrade and retrograde cardioplegia: Alternate or simultaneous?

Heparin-coated catheters and heparin-induced thrombocytopenia

Milton M. Slocum, MD, John G. Adams, MD, Rosemary Teel, MT, Donald P

The coronary artery bypass conduit: II

Role of myocardial temperature measurement in monitoring the adequacy of myocardial protection during cardiac surgery Joseph A Dearani, MD, Trevor C.

Joseph L. Mills, MD, Spence M. Taylor, MD, Roy M. Fujitani, MD

George T. Christakis, M. D. , Stephen E. Fremes, M. D. , Richard D

Objective tinnitus resulting from internal carotid artery stenosis

The use of an aortoiliac side-arm conduit to maintain distal perfusion during thoracoabdominal aortic aneurysm repair Kenneth Ouriel, MD Journal of.

Renal artery repair in African-Americans

S.Amjad Hussain, MD, FRCSC, Ahmet Bayar, MD

Derrick Y. Tam, MD, Stephen E. Fremes, MD, MSc

Lactate release during reperfusion predicts low cardiac output syndrome after coronary bypass surgery Vivek Rao, MD, PhD, Joan Ivanov, RN, MSc, Richard.

Using bilateral internal thoracic arteries—just do it

Robert A. McCready, MD, Steven K. Miller, MD, Ronald C

Calvin B. Ernst, MD Journal of Vascular Surgery

An improved retraction system for vascular surgical procedures

Ruptured abdominal aortic aneurysm: A population-based study

Aortoiliac surgery in renal transplant patients

Ramesh Lokanathan, MD, FRCS(C), David C. Taylor, MD, FRCS(C)

Gangrene of the immediate postoperative above-knee amputation stump: Role of emergency revascularization in preventing death T.J. Bunt, M.D. Journal.

Cardiovascular surgery—The rocket and its stars: Presidential address

The role of a defined protocol for cardiac risk assessment in decreasing perioperative myocardial infarction in vascular surgery T.J. Bunt, MD Journal.

Dipyridamole thallium 201 scintigraphy to detect coronary artery disease before abdominal aortic surgery Bruce S. Cutler, M.D., Jeffrey A. Leppo, M.D.

Composite sequential bypasses to the ankle and beyond for limb salvage

J. Kenneth Davison, MD, Richard P. Cambria, MD, David J

The origins of open heart surgery at the University of Minnesota 1951 to 1956 Richard A. DeWall, MD The Journal of Thoracic and Cardiovascular Surgery

Renal failure after embolization of a prosthetic mitral valve disc and review of systemic disc embolization Thomas H. Schwarcz, M.D., Laurence H. Coffin,

Regional nerve block for femoropopliteal and tibial arterial reconstructions Joseph M. Giordano, M.D., George A. Morales, M.D., Hugh H. Trout, M.D., Ralph.

Intermittent warm blood cardioplegia in the surgical treatment of congenital heart disease: Clinical experience with 1400 cases Yves Durandy, MD, Sylvie.

John W. Fehrenbacher, MD, Robert A. McCready, MD, David A

Seizures following subclavian-carotid bypass

Should patient age be a consideration in carotid endarterectomy?

Kim J. Hodgson, M.D., David S. Sumner, M.D.

Acute aortic occlusion – Factors that influence outcome

Monitoring vascular surgical performance

D. Emerick Szilagyi, MD—An appreciation

Superficial temporal artery aneurysms

Presidential address: The second-generation vascular surgeon

George D. Lilly 1906–1988 Journal of Vascular Surgery

James A. DeWeese, MD Journal of Vascular Surgery

Left subclavian artery aneurysm: Two cases of rare congenital etiology

Innominate artery trauma: A thirty-year experience

Journal changes and initiatives

Thigh claudication due to profunda femoris artery occlusion

Endovascular repair of two abdominal aortic aneurysms

Optimal proximal anastomosis/tunnel for axillofemoral grafts

Cornelius A. Sullivan, MD, Michael J. Rohrer, MD, Bruce S. Cutler, MD

Presentation transcript:

Improved myocardial protection with blood and crystalloid cardioplegia Richard D. Weisel, M.D., Stephen E. Fremes, M.D., Ronald J. Baird, M.D., Joan Ivanov, R.N., M.Mindy Madonik, B.Sc., Donald A.G. Mickle, M.D. Journal of Vascular Surgery Volume 1, Issue 5, Pages 656-659 (September 1984) DOI: 10.1016/0741-5214(84)90133-2 Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 The long cross-clamp cardioplegic technique is depicted with crystalloid (left) and blood (right) cardioplegia. In the crystalloid group cold potassium cardioplegia (CPC) was delivered at 4° C. In the blood group a crystalloid solution was mixed with oxygenated blood (from the systemic reservoir) in a 2:1 ratio, cooled with a pediatric heat exchanger, and delivered at 10° C with a roller pump. Following the initial infusion (1 L), the temperature in the most ischemic regions (left anterior descending [LAD] and right coronary artery [RCA]) was warmer than in the least ischemic region (circumflex [CIRC]). The proximal anastomoses were constructed following the distal anastomoses to the most ischemic regions. To prevent air from entering the aortic root during construction of the proximal anastomosis, a cold potassium cardioplegic solution was delivered into root by gravity in both groups. Subsequent cardioplegic infusions eliminated temperature gradients between the most and least ischemic regions, but myocardial temperatures were warmer in the blood than the crystalloid groups. Journal of Vascular Surgery 1984 1, 656-659DOI: (10.1016/0741-5214(84)90133-2) Copyright © 1984 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions