A Systematic Review of Biocompatible Cardiopulmonary Bypass Circuits and Clinical Outcome

作者: Marco Ranucci , Anna Balduini , Antonio Ditta , Alessandra Boncilli , Simonetta Brozzi

DOI: 10.1016/J.ATHORACSUR.2008.09.076

关键词:

摘要: This systematic review and meta-analysis explores the clinical efficacy of biocompatible surfaces for cardiopulmonary bypass in adults. Thirty-six randomized controlled trials were retrieved a total 4360 patients. Patients treated with circuits had lower rate packed red cells transfusions atrial fibrillation, shorter durations stay intensive care unit. When analysis was limited to high-quality studies, only reduction fibrillation unit remained significantly associated use surfaces. Using without other measures contain blood activation results benefit.

参考文章(63)
Venkataramana Vijay, Kevin Mccusker, Serdar Gunaydin, Clinical performance and biocompatibility of novel hyaluronan-based heparin-bonded extracorporeal circuits. The journal of extra-corporeal technology. ,vol. 37, pp. 290- 295 ,(2005)
CR Wildevuur, PG Jansen, PD Bezemer, DJ Kuik, L Eijsman, P Bruins, AP De Jong, FW Van Hardevelt, JD Biervliet, JM Hasenkam, HH Kure, L Knudsen, L Bellaiche, P Ahlburg, DY Loisance, C Baufreton, P Le Besnerais, G Bajan, Amine Matta, Michel Van Dyck, M Th Renotte, A Ponlot-Lois, Philippe Baele, EA McGovern, E Ahlvin, None, Clinical evaluation of Duraflo? II heparin treated extracorporeal circulation circuits (2nd version) the European working group on heparin coated extracorporeal circulation circuits European Journal of Cardio-Thoracic Surgery. ,vol. 11, pp. 616- 623 ,(1997) , 10.1016/S1010-7940(96)01122-0
P.W. Boonstra, Y.J. Gu, C. Akkerman, J. Haan, R. Huyzen, W. van Oeveren, Heparin coating of an extracorporeal circuit partly improves hemostasis after cardiopulmonary bypass The Journal of Thoracic and Cardiovascular Surgery. ,vol. 107, pp. 289- 292 ,(1994) , 10.1016/S0022-5223(94)70483-X
Manuel L. Fontes, Joseph P. Mathew, Henry M. Rinder, Daniel Zelterman, Brian R. Smith, Christine S. Rinder, Atrial fibrillation after cardiac surgery/cardiopulmonary bypass is associated with monocyte activation. Anesthesia & Analgesia. ,vol. 101, pp. 17- 23 ,(2005) , 10.1213/01.ANE.0000155260.93406.29
Marco Ranucci, Clinical impact of heparin-bonded circuits: when a meta-analysis does not clear out the clouds European Journal of Cardio-Thoracic Surgery. ,vol. 34, pp. 703- 704 ,(2008) , 10.1016/J.EJCTS.2008.06.017
M. Südkamp, U. Mehlhorn, M. Reza Raji, K. Hekmat, J. Easo, H.-J. Geissler, D. Sindhu, R. de Vivie, Cardiopulmonary Bypass Copolymer Surface Modification Reduces Neither Blood Loss Nor Transfusions in Coronary Artery Surgery The Thoracic and Cardiovascular Surgeon. ,vol. 50, pp. 5- 10 ,(2002) , 10.1055/S-2002-20156
Christophe Baufreton, Paul Le Besnerais, Piet Jansen, Jean Philippe Mazzucotelli, Charles RH Wildevuur, Daniel Y Loisance, Clinical outcome after coronary surgery with heparin-coated extracorporeal circuits for cardiopulmonary bypass Perfusion. ,vol. 11, pp. 437- 443 ,(1996) , 10.1177/026765919601100603
Alejandro R. Jadad, R.Andrew Moore, Dawn Carroll, Crispin Jenkinson, D.John M. Reynolds, David J. Gavaghan, Henry J. McQuay, Assessing the quality of reports of randomized clinical trials : is blinding necessary? Controlled Clinical Trials. ,vol. 17, pp. 1- 12 ,(1996) , 10.1016/0197-2456(95)00134-4