Prospective, Randomized, Double-Blind Study of High-Dose Aprotinin in Pediatric Cardiac Operations  Michael J Davies, FRCS, Alison Allen, BScHons, Henry.

Slides:



Advertisements
Similar presentations
Emboli capture using the Embol-X intraaortic filter in cardiac surgery: a multicentered randomized trial of 1,289 patients  Michael K Banbury, MD, Nicholas.
Advertisements

Cardiac surgery with cardiopulmonary bypass in patients with type II heparin-induced thrombocytopenia  Abdellah Aouifi, MD, Pascale Blanc, MD, Vincent.
Mannitol, furosemide, and dopamine infusion in postoperative renal failure complicating cardiac surgery  Srikrishna Sirivella, MD, Isaac Gielchinsky,
Cumulative Corticosteroid Exposure and Infection Risk After Complex Pediatric Cardiac Surgery  Christopher W. Mastropietro, MD, Renee Barrett, MD, Maria.
Cytokine release and neutrophil activation are not prevented by heparin-coated circuits and aprotinin administration  Jean-Olivier Defraigne, MD, PhD,
Risk-Adjusted Prolonged Length of Stay as an Alternative Outcome Measure for Pediatric Congenital Cardiac Surgery  Ming Liu, MS, MA, Charlotte M. Druschel,
Robert J Cerfolio, MD, Cyndi Bass, MSN, Charles R Katholi, PhD 
Mannitol, furosemide, and dopamine infusion in postoperative renal failure complicating cardiac surgery  Srikrishna Sirivella, MD, Isaac Gielchinsky,
Amr Mohammad Allama, MD  The Annals of Thoracic Surgery 
Modified Ultrafiltration Attenuates Dilutional Coagulopathy in Pediatric Open Heart Operations  Robert H Friesen, David N Campbell, David R Clarke, Michael.
Does Diabetes Affect the Postoperative Outcomes After Total Arterial Off-Pump Coronary Bypass Surgery in Multivessel Disease?  Jae-Sung Choi, MD, PhD,
Gal Levy, MD, Mark A. Cordes, MD, Alexander S. Farivar, MD, Ralph W
James L Zellner, MD, Scott B Kribbs, BS, B
Health-Related Quality of Life Outcome After On-Pump Versus Off-Pump Coronary Artery Bypass Graft Surgery: A Prospective Randomized Study  Reza Motallebzadeh,
What is the marginal cost for marginal risk in cardiac surgery?
Off-Pump Coronary Artery Bypass Surgery Versus Percutaneous Coronary Intervention: A Meta-Analysis of Randomized and Nonrandomized Studies  J. James Edelman,
François Dagenais, MD, L.Conrad Pelletier, MD, Michel Carrier, MD 
Coagulofibrinolysis during heparin-coated cardiopulmonary bypass with reduced heparinization  Hiroshi Kumano, MD, PhD, Shigefumi Suehiro, MD, PhD, Koji.
Aprotinin in pediatric cardiac operations: a benefit in complex malformations and with high-dose regimen only  Thierry P Carrel, MD, Mike Schwanda, MD,
Susanne Lison, MD, Michael Spannagl, MD, PhD, Wulf Dietrich, MD, PhD 
Hedi H Schreurs, Marianne J Wijers, Y
Amedeo Anselmi, MD, Gianfederico Possati, MD, Mario Gaudino, MD 
An Analysis of Oxygen Consumption and Oxygen Delivery in Euthermic Infants After Cardiopulmonary Bypass With Modified Ultrafiltration  Jia Li, MD, PhD,
Effect of Heparin Loading During Congenital Heart Operation on Thrombin Generation and Blood Loss  Sophronia O Turner-Gomes, MB, ChB, Evan P Nitschmann,
Managing Fibrinolysis Without Aprotinin
Heparin-induced thrombocytopenia and cardiac surgery
Cardiac surgery with cardiopulmonary bypass in patients with type II heparin-induced thrombocytopenia  Abdellah Aouifi, MD, Pascale Blanc, MD, Vincent.
Surgical Dilemmas: Diagnosis and Treatment of Atrial Plasmacytoma
Anne H Kuitunen, MD, Lasse J Heikkilä, MD, Markku T Salmenperä, MD 
Leiomyosarcoma of the esophagus: results of surgical treatment
Safety and efficacy of perioperative cell salvage and autotransfusion after coronary artery bypass grafting: a randomized trial  Gavin J Murphy, MD, FRCS,
Coronary surgery without cardiotomy suction and autotransfusion reduces the postoperative systemic inflammatory response  Martin Westerberg, MD, Anders.
Pediatric open heart operations without diagnostic cardiac catheterization  Jean-Pierre Pfammatter, MD, Pascal A Berdat, MD, Thierry P Carrel, MD, Franco.
The Left Atrial “Medusa Myxoma”
Support Your Specialty
Migrating pleural mesothelial cyst
Michel Carrier, MD, Michel Pellerin, MD, Louis P Perrault, MD, PhD, B
Michael J. Wolf, MD, Kirk R. Kanter, MD, Paul M. Kirshbom, MD, Brian E
Editorial Board, January 2010
Anticoagulation with bivalirudin during cardiopulmonary bypass in cardiac surgery  Julio C Vasquez, MD, Anna Vichiendilokkul, PharmD, Syed Mahmood, MD,
Postoperative Pleural Effusion in Bronchioloalveolar Cancer
No benefit of reduced heparinization in thoracic aortic operation with heparin-coated bypass circuits  Christian Olsson, MD, Agneta Siegbahn, MD, PhD,
Effect of cardiopulmonary bypass on pulmonary gas exchange: a prospective randomized study  Craig M Cox, Raimondo Ascione, MD, Alan M Cohen, Ian M Davies,
Neurocognitive Function and Cerebral Emboli: Randomized Study of On-Pump Versus Off-Pump Coronary Artery Bypass Surgery  Reza Motallebzadeh, MRCS, J.
Michael W. A. Chu, MD, Steve R. Wilson, BS, Richard J
Aprotinin Enhances the Endogenous Release of Interleukin-10 After Cardiac Operations  Gary E Hill, Robert P Diego, Alfred H Stammers, Suzanne M Huffman,
Comparison of epsilon aminocaproic acid and low-dose aprotinin in cardiopulmonary bypass: efficiency, safety and cost  Michael J Ray, PhD, Mark F O’Brien 
Massimo Meco, MD, Silvia Cirri, MD  The Annals of Thoracic Surgery 
Topical use of tranexamic acid in coronary artery bypass operations: A double-blind, prospective, randomized, placebo-controlled study  Michele De Bonis,
The future of cardiac surgery training: A survival guide
A Target for Perioperative Blood Pressure During Cardiac Operations
Improved Long-Term Survival for Diabetic Patients With Surgical Versus Interventional Revascularization  Paul Kurlansky, MD, Morley Herbert, PhD, Syma.
Method and Value of Digital Recording of Operations for Congenital Heart Disease  Mazyar Kanani, MRCS, Ergin Kocyildirim, MD, Gordon Cohen, MD, Kieran.
“Transitions” for Cardiothoracic Surgeons Now Listed on the Web:
Reduced inotropic support after aprotinin therapy during pediatric cardiac operations  Carl F Wippermann, MD, Franz X Schmid, MD, Balthasar Eberle, MD,
Sérgio A de Oliveira, MD  The Annals of Thoracic Surgery 
Prospective Validation of a Novel Vasoactive-Ventilation-Renal Score as a Predictor of Outcomes After Pediatric Cardiac Surgery  Kyle G. Miletic, MD,
Emboli capture using the Embol-X intraaortic filter in cardiac surgery: a multicentered randomized trial of 1,289 patients  Michael K Banbury, MD, Nicholas.
The use of routine chest x-ray films after chest tube removal in postoperative cardiac patients  James T McCormick, DO, Michael S O’Mara, MD, Pavlos K.
Successful use of argatroban as a heparin substitute during cardiopulmonary bypass: heparin-induced thrombocytopenia in a high-risk cardiac surgical patient 
Prospective randomized trial of high thoracic epidural analgesia for coronary artery bypass surgery  Colin Royse, MBBS, MD, Alistair Royse, MBBS, MD,
Fibrinolysis-adjusted perioperative low-dose aprotinin reduces blood loss in bypass operations  Martin Misfeld, MD, Sven Dubbert, Sawas Eleftheriadis,
Dumbor L. Ngaage, MD, FRCS (C-Th), Michael E. Cowen, FRCS 
The Impact of New Technology on Cardiothoracic Surgical Practice
Aortic root replacement versus aortic valve replacement: a case-match study  Paul P Urbanski, MD, Matthias Wagner, MD, Michael Zacher, MD, Robert W Hacker,
Slide Tracheoplasty in Infants and Children: Risk Factors for Prolonged Postoperative Ventilatory Support  Peter B. Manning, MD, Michael J. Rutter, MD,
Domenico Galetta, MD, PhD, Lorenzo Spaggiari, MD, PhD 
Robert J Frumento, MS, MPH, Catherine M
Karl A. Bocchieri, BS, CCP, S. Jacob Scheinerman, MD, L
Thrombophilic Variables Do Not Increase the Generation or Procoagulant Activity of Thrombin During Cardiopulmonary Bypass  Peter Raivio, MD, Jari Petäjä,
Presentation transcript:

Prospective, Randomized, Double-Blind Study of High-Dose Aprotinin in Pediatric Cardiac Operations  Michael J Davies, FRCS, Alison Allen, BScHons, Henry Kort, BS, Nihal A Weerasena, FRCS, Domenico Rocco, MD, Claire L Paul, BScHons, Beverley J Hunt, FRCP, Martin J Elliott, FRCS  The Annals of Thoracic Surgery  Volume 63, Issue 2, Pages 497-503 (February 1997) DOI: 10.1016/S0003-4975(96)01031-4

Fig. 1 Perioperative and 24-hour postoperative fibrin(ogen) degradation products (FDP) titers. (A = after anesthesia; B = before heparin administration; H = 4 hours postoperatively; I = 12 hours postoperatively; J = 24 hours postoperatively; ∗p < 0.02 for aprotinin group versus control group.) The Annals of Thoracic Surgery 1997 63, 497-503DOI: (10.1016/S0003-4975(96)01031-4)

Fig. 2 Perioperative and 24-hour postoperative β-thromboglobulin (bTG) levels. (A = after anesthesia; D = while on bypass; G = after administration of protamine; H = 4 hours postoperatively; ∗p = 0.03 for aprotinin group versus control group.) The Annals of Thoracic Surgery 1997 63, 497-503DOI: (10.1016/S0003-4975(96)01031-4)