Retrograde Autologous Priming for Minimally Invasive Mitral Valve Surgery.
blood transfusion
minimally invasive mitral surgery
oxygen delivery index
retrograde autologous priming
Journal
Journal of cardiothoracic and vascular anesthesia
ISSN: 1532-8422
Titre abrégé: J Cardiothorac Vasc Anesth
Pays: United States
ID NLM: 9110208
Informations de publication
Date de publication:
08 2022
08 2022
Historique:
received:
13
01
2022
revised:
05
03
2022
accepted:
27
03
2022
pubmed:
27
5
2022
medline:
16
6
2022
entrez:
26
5
2022
Statut:
ppublish
Résumé
Little is known about the safety and clinical utility of retrograde autologous priming (RAP) in patients undergoing minimally invasive mitral valve surgery. The study authors hypothesized that RAP would increase the oxygen delivery index (DO2i) while decreasing red blood cell transfusion requirements compared to valve surgery without RAP. The study was an observational analysis. A single institutional study. The authors analyzed data from 500 consecutive patients who underwent minimally invasive isolated mitral valve repair from December 31, 2012, to December 31, 2019. RAP was performed in 235 patients (47%) prior to the initiation of cardiopulmonary bypass (CPB). A continuous monitoring system was used for DO2 management during CPB. The mean arterial pressure was maintained between 55 and 70 mmHg, and the cardiac index was set at 2.4 L/min/m In a minimally invasive mitral valve context, RAP was safe and associated with better DO2i, higher hematocrit, and fewer intraoperative and postoperative red blood cell transfusions.
Identifiants
pubmed: 35618591
pii: S1053-0770(22)00209-9
doi: 10.1053/j.jvca.2022.03.031
pii:
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
3028-3035Informations de copyright
Copyright © 2022 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflicts of Interest None.