[Experience with ambulatory, preoperative autologous blood donation in heart surgery patients with special reference to hemodynamic parameters].
Our study is based on 843 autologous blood donations that we collected from 379 patients. The coronary angiogram, the diagnosis of the ventricles and the ergometry served to judge the patients suffering from a coronary insufficiency. The complication rate could be reduced to 1% with the help of volume substitution during the donation and the contraindications we ascertained. The exercise electrocardiogram proved to be a significant parameter of the complication rate. It was not the number and the extent of stenoses, but the interpretation of the myocardial oxygen supply that proved to be helpful for the diagnosis based on the evaluation of the coronary angiogram. Our technique of collecting blood and the assessment of the patients' ability as donors give even patients with highly affected coronary vessels the possibility of a preoperative autologous blood donation.
Breitfeld
T M
TM
Deutsches Herzzentrum Berlin.
Schmucker
P
P
Heim
W
W
D001804:Blood Transfusion, Autologous / Q000379:methods*; D002302:Cardiac Output / Q000502:physiology; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000601:surgery*; D004562:Electrocardiography; D005080:Exercise Test; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans
Erfahrungen mit der ambulanten, präoperativen autologen Blutspende bei kardiochirurgisch zu versorgenden Patienten unter besonderer Berücksichtigung hämodynamischer Parameter.