Effects of optimized bypass systems with retrograde autologous priming during extracorporeal circulation in high-risk patients [Auswirkungen von optimierten bypass-systemen mit retrogradem autologen priming während der extrakorporalen zirkulation bei hochrisikopatienten]
Dreizler T.,Herzzentrum Bodensee GmbH |
Herbrechtsmeier T.,Furtwangen University of Applied Sciences |
Born F.,Herzzentrum Bodensee GmbH |
Lipps C.,Herzzentrum Bodensee GmbH |
And 4 more authors.
Kardiotechnik | Year: 2010
This study was part of a thesis submitted in 2008 and now appears in a condensed form. It has been suggested that the use of a minimized bypass system in combination with Retrograde Autologous Priming (RAP) can reduce the postoperative damage in high-risk patients. The aim was to find out how such a system in the Extracorporeal Circulation (ECC) has impact on high-risk patients. 23 high-risk patients from the year 2008, in which we operated with a minimized open system with Retrograde Autologous Priming (RAP group) compared with a historical group of 26 high-risk patients from the year 2003, in which we used the open standard system (standard group). The definition of risk was based on euroSCORE. The statistical analysis revealed that the patient group which has been treated with the minimized open system and RAP had significantly lower consumption of Red Packed Cells. Haemorrhage was significantly lower than in the standard group. The length of stay in intensive care and the duration of ventilation also decreased.