Factors influencing blood transfusion requirements in robotic totally endoscopic coronary artery bypass grafting on the arrested heart

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Johannes BonattiNikolaos Bonaros

Abstract

Robotic technology enables totally endoscopic coronary artery bypass grafting (TECAB) procedures. These operations can be performed on either the beating or arrested heart. One challenge of the latter version is a potentially increased need for blood transfusions. We investigated factors associated with transfusion requirements in totally endoscopic coronary artery bypass on the arrested heart (AH-TECAB). A total of 161 patients, 124 males and 37 females, aged 59 (31-77 years) years, with European System for Cardiac Operative Risk Evaluation (EuroSCORE) 1 (0-7) underwent AH-TECAB using the daVinci telemanipulation system. The Heartport/Cardiovations™ or ESTECH-RAP™ systems were applied for remote access perfusion and aortic endoocclusion. In all cases, the operation was carried out in moderate hypothermia and cardiac arrest using cold crystalloid cardioplegia mixed with blood. After 20 cases, the blood-transfusion rate dropped from 69% to 44%. The overall median number of transfusions was 1 (0-21). The following pre- and intra-operative factors showed a strong association with the application of packed red blood cells (PRBCs): preoperative haemoglobin level (p < 0.001), female gender (p < 0.001), shorter height (p < 0.001), low...Continue Reading

References

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Citations

Jul 9, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Da ZhuKe Lin
Jul 16, 2013·Journal of Cardiothoracic and Vascular Anesthesia·Jesse Michael Raiten
May 16, 2013·Journal of Cardiothoracic and Vascular Anesthesia·Seema P DeshpandeAlina M Grigore
Oct 20, 2012·The Journal of Thoracic and Cardiovascular Surgery·Johannes BonattiBartley Griffith
Dec 16, 2011·The Journal of Thoracic and Cardiovascular Surgery·Richa DhawanMark A Chaney
Jan 9, 2015·Annals of Cardiac Anaesthesia·Wendy K Bernstein, Andrew Walker
May 26, 2017·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Markus KoflerNikolaos Bonaros
Mar 25, 2017·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Feras KhalielBob B Kiaii
Aug 5, 2017·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Markus KoflerNikolaos Bonaros
Mar 9, 2019·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Laszlo GöbölösJohannes Bonatti
May 12, 2012·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Johannes BonattiEric J Lehr
Nov 25, 2011·Current Opinion in Anaesthesiology·Aryeh Shander, Mazyar Javidroozi

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