Document Detail


Major factors of homologous blood transfusion in valvular heart operation with intraoperative autologous blood predonation in cases with difficulty in preoperative predonation.
MedLine Citation:
PMID:  20306433     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intraoperative autologous blood predonation is reported to be useful for the prevention of homologous blood transfusion in cardiac operations, especially in on-pump coronary artery bypass grafting (CABG). However, CABG is now performed more often off-pump than on-pump. We analyzed the major factors of homologous blood transfusion in 25 consecutive cases of valvular heart operation with intraoperative autologous blood predonation except those with preoperative autologous blood donation. Homologous blood was not transfused in 18 cases, but was in 7 cases only after cardiopulmonary bypass (CPB). The homologous transfusion was not correlated with body weight, CPB dilution or duration, or preoperative hematocrit level, but was found to correlate with age (r2=0.289, p=0.0413), bleeding output (r2=0.197, p=0.0485), and predonation blood volume (r2=0.436, p=0.0152). In conclusion, suitable intraoperative predonation may reduce the necessity for homologous blood transfusion in valvular heart operations.
Authors:
Koichi Sato; Osamu Namura; Kazuhiko Hanzawa; Chizuo Kikuchi; Masaru Takekubo; Fuyuki Asami; Takashi Wakabayashi; Takeshi Saito; Takayuki Homma; Hiroshi Baba; Jun-Ichi Hayashi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The International journal of artificial organs     Volume:  33     ISSN:  0391-3988     ISO Abbreviation:  Int J Artif Organs     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-03-23     Completed Date:  2010-06-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802649     Medline TA:  Int J Artif Organs     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  72-5     Citation Subset:  IM    
Affiliation:
Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
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MeSH Terms
Descriptor/Qualifier:
Blood Loss, Surgical / prevention & control
Blood Transfusion, Autologous / methods*
Coronary Artery Bypass / methods*
Coronary Artery Bypass, Off-Pump / methods
Heart Valve Diseases / surgery
Hematocrit
Humans
Intraoperative Care
Preoperative Care
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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