PMID: 6965852Mar 1, 1980Paper

Clinical experience with cold blood as the vehicle for hypothermic potassium cardioplegia

The Annals of Thoracic Surgery
H B BarnerV L Willman

Abstract

Intermittent cold ischemic arrest was compared with hypothermic potassium cardioplegia using cold blood as the vehicle in two consecutive series of patients having isolated coronary bypass grafting. Between January 1, 1977, and June 30, 1977, 196 patients were operated on using cold ischemic arrest. The incidence of perioperative infarction was 14.3%, and mean total myocardial ischemia time was 42 +/- 1.2 minutes. From July 1, 1977, to June 30, 1978, there were 428 operations done using cold blood with potassium. The incidence of perioperative infarction was 5.6% (p less than 0.005), and the mean total myocardial ischemic time was 80 +/- 2.1 minutes. In the five years prior to this study, the incidence of perioperative infarction was constant at 13% while operative mortality was declining from 5 to 1% and the need for postoperative myocardial support was declining also. Use of cold blood potassium cardioplegia compared with cold ischemic arrest for myocardial protection during coronary artery operations has significantly reduced the incidence of perioperative infarction while doubling cross-clamp time.

References

Jan 1, 1977·The Annals of Thoracic Surgery·R L FiskJ C Callaghan
Dec 1, 1979·The Annals of Thoracic Surgery·H B BarnerV L Willman
Sep 1, 1978·The Annals of Thoracic Surgery·J E CoddV L Willman
Dec 11, 1975·Journal of Molecular and Cellular Cardiology·C E Holland, R E Olson
Feb 5, 2004·The Annals of Thoracic Surgery·Yves A G LouagieAndré Gruslin

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Citations

Jan 1, 1995·Journal of Tongji Medical University = Tong Ji Yi Ke Da Xue Xue Bao·X L DuZ Q Sun
Apr 30, 1986·Clinica Chimica Acta; International Journal of Clinical Chemistry·J E DevineJ E Codd
May 1, 1983·Journal of the American College of Cardiology·E R Rosenkranz, G D Buckberg
Sep 1, 1984·Journal of Vascular Surgery·R D WeiselD A Mickle
Jan 1, 1985·The Annals of Thoracic Surgery·D G PenningtonV L Willman
Aug 1, 1993·Journal of Cardiothoracic and Vascular Anesthesia·J A GatellK Shevde
Jan 1, 1984·The Annals of Thoracic Surgery·D H TyrasV L Willman
Mar 1, 1982·The Annals of Thoracic Surgery·F P CatinellaF C Spencer
Aug 1, 1986·The Annals of Thoracic Surgery·F OgumaS Eguchi
Apr 1, 1989·The Annals of Thoracic Surgery·K S NaunheimG C Kaiser
Apr 1, 1987·The Annals of Thoracic Surgery·W M DaggettW G Austen
Dec 1, 1991·The Annals of Thoracic Surgery·H B Barner
Feb 1, 1985·The Annals of Thoracic Surgery·J E CoddV L Willman
May 1, 1983·The Annals of Thoracic Surgery·G L HicksR A DeWall
Sep 1, 1986·Journal of Cardiac Surgery·A S WechslerJ P Goldstein

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