Successful coronary artery bypass grafting with the aid of a portable minimized extracorporeal life support system.
Extracorporeal life support system has been successfully used in patients with cardiac failure after open heart surgery, as a bridge to transplantation, and in patients with prolonged cardiogenic shock or cardiopulmonary arrest. This report presents our early experience with the new system Cardiohelp in coronary artery bypass grafting (CABG). Between August 2010 and June 2011, 50 patients underwent CABG with the aid of Cardiohelp. This subgroup was matched for sex and logistic EuroSCORE with 100 patients, who underwent CABG using two different extracorporeal circulation systems, a minimized (MECC) (n = 50) and a conventional (CECC) (n = 50) during the same period. Because of less hemodilution, the intraoperative blood transfusion was significantly lower in the Cardiohelp group (36%) and MECC group (40%) compared with the CECC group (64%). Postoperative release of creatinine kinase and lactate was lower in the Cardiohelp and MECC groups (p < 0.001). Furthermore, these patients had shorter duration of ventilation and lengths of stay at the intensive care unit (p < 0.05). Device-related complications were not observed. A conversion to CECC was not necessary. In conclusion, the Cardiohelp is a safe alternative for CABG surgery. Valid technical innovations and limited number of side effects support its employment as a highly effective device for coronary surgery.
Department of Cardiothoracic Surgery, University Medical Center Regensburg, Germany. assadhaneya@web.de
Assad
A
Haneya
Alois
A
Philipp
Daniele
D
Camboni
Alexander
A
Fabricius
Claudius
C
Diez
Reinhard
R
Kobuch
Stephan W
SW
Hirt
Andreas
A
Keyser
Leopold
L
Rupprecht
Michael
M
Hilker
Christof
C
Schmid
Thomas
T
Puehler
D000368:Aged; D001803:Blood Transfusion; D002309:Cardiology / Q000379:methods; D002315:Cardiopulmonary Bypass / Q000379:methods; D001026:Coronary Artery Bypass / Q000379:methods*; D003331:Coronary Vessels; D003402:Creatine Kinase / Q000097:blood; D005112:Extracorporeal Circulation / Q000379:methods*; D005260:Female; D006438:Hemodilution; D006801:Humans; D019344:Lactic Acid / Q000097:blood; D008021:Life Support Systems; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
D019344:Lactic Acid; D003402:Creatine Kinase