ArticleKardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery2019
Warm blood versus St. Thomas cardioplegia for myocardial protection in patients undergoing coronary artery bypass grafting.
Article in Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Aim: We retrospectively analyzed early results of coronary artery bypass grafting (CABG) surgery using antegrade intermittent warm blood or St. Thomas cold crystalloid cardioplegia. Material and methods: From January 2015 to May 2018, in 556 patients undergoing isolated CABG, cardiac arrest was obtained using warm blood (WB group, Results: In-hospital mortality was 1.74% in the WB group, 0.65% in the ST group. As compared with the WB group, in the ST group the number of distal coronary artery anastomoses per patient was significantly higher (2.9 ±0.9 vs. 2.6 ±0.8) ( Conclusions: Based on a single-center experience, both types of cardioplegia are associated with equivalent clinical results. St. Thomas cardioplegia, despite the greater number of grafts per patient and therefore greater extracorporeal circulation and aortic cross-clamping times, and greater postoperative need for blood transfusion, appears to be associated with a lower rate of CK-MB ratio > 5%. Warm blood cardioplegia allows better protection when administered in an 18-minute re-dosing interval.
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