Cardioplegia and myocardial protection: time for a reassessment?
نویسندگان
چکیده
منابع مشابه
Continuous warm blood cardioplegia: a new technique for myocardial protection.
Hypothermia is used to prolong the safe period of ischemic arrest by reducing the heart's oxygen demands. Due to this effect, hypothermia has been the fundamental component of most methods of myocardial protection during cardiac surgery. However, hypothermia has a number of unwanted side effects, such as detrimental effects on enzyme function, energy generation, and cell membranes. Since electr...
متن کاملDel Nido Cardioplegia: Elixir of Choice for Pediatric Myocardial Protection.
I think we’re going to be really talking about Del Nido today, because of its observed effectiveness. It kind of went viral. A lot of surgeons wound up leaving Boston and going through other centers and taking it with them and it sort of spread like a little virus and other surgeons wanted this single-dose cardioplegia. The idea of operating uninterrupted sounds pretty appealing. Like Bob (Groo...
متن کاملMyocardial protection by continuous, blood, antegrade-retrograde cardioplegia in rabbits.
PURPOSE To study the effectiveness of the continuous, blood, antegrade-retrograde cardioplegia in an experimental model of isolated heart, evaluating ventricular function. METHODS Rabbits were divided into four groups: Control--C(n=10); ischemic crystalloid cardioplegia--IC(n=10); ischemic blood cardioplegia--IB(n=10); ischemic non cardioplegia--INC(n=10). After the ischemic protocol period t...
متن کاملAntegrade versus Antegrade* / Retrograde Cardioplegia for Myocardial Protection in Patients Undergoing Coronary Artery Bypass Grafting
Objective: Nonhomogeneous distribution of cardioplegia antegradely in severe coronary artery stenosis and evolving acute myocardial infarction has been demonstrated experimentally. Administration of cardioplegia retrogradely causes homogeneous distribution and offers a good alternative for myocardial protection. Methods: Thirty five consecutive patients with three vessel-disease undergoing elec...
متن کاملThe efficacy of custodiol as blood cardioplegia for myocardial protection in adult cardiac surgery
Background/Introduction Custodiol cardioplegia is attractive method of myocardial protection, as a single dose provides a long period of preservation. Despite widespread use in Europe, the available data confirming its efficacy is little compared with conventional methods of cardioplegia. Custodiol solution is administered in a single-dose, allowing the operation to be done continuously. This i...
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ژورنال
عنوان ژورنال: Journal of Thoracic Disease
سال: 2019
ISSN: 2072-1439,2077-6624
DOI: 10.21037/jtd.2019.05.08