The use of selective cytopheresis following cardioplegia during open heart surgery
Shilov, V.V.; Skorik, V.I.; Cherkas, D.D.; Kazakov, S.P.
Anesteziologiia i Reanimatologiia 3: 29-32
1991
ISSN/ISBN: 0201-7563 PMID: 1897789 Document Number: 374379
The analysis of 20 operations on the open heart performed with selective cytopheresis (apparatus PK-0.5) or without it has demonstrated that in pharmacological and ice-chip cardioplegia the technique to a great extent prevents the loss of the patient's own blood removed with cardioplegic solution and makes it possible to reduce donor blood consumption by 27%. The course of the postoperative period improves considerably: blood loss is reduced, the recovery of blood cellular composition becomes more intensive. Cardioplegia performed in combination with selective cytopheresis does not exclude certain protein loss (up to 15 g/l during one session), which confirms the necessity of adequate homeostasis correction with protein blood preparations.