Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Emergency coronary artery bypass grafting: does excessive preoperative anticoagulation increase bleeding complications and transfusion requirements?
Autore:
Grubitzsch, H; Wollert, HG; Eckel, L;
Indirizzi:
Clin Cardiothorac & Vasc Surg, Heart & Diabet Ctr Mecklenburg Vorpommern, Karlsburg, Germany Clin Cardiothorac & Vasc Surg Karlsburg Germany ern, Karlsburg, Germany
Titolo Testata:
CARDIOVASCULAR SURGERY
fascicolo: 5, volume: 9, anno: 2001,
pagine: 510 - 516
SICI:
0967-2109(200110)9:5<510:ECABGD>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE MYOCARDIAL-INFARCTION; EARLY REVASCULARIZATION; CARDIAC OPERATIONS; CARDIOGENIC-SHOCK; BLOOD-LOSS; ANGIOPLASTY; ABCIXIMAB; SURGERY; TRIAL; THROMBOLYSIS;
Keywords:
emergency coronary artery bypass grafting; bleeding; transfusion; antithrombotic drugs;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Grubitzsch, H Klin Herz Thorax & Gefasschirurg, Klinikum Karlsburg, Greifswalder Str 11 A, D-17495 Karlsburg, Germany Klin Herz Thorax & Gefasschirurg Greifswalder Str 11 A Karlsburg Germany D-17495
Citazione:
H. Grubitzsch et al., "Emergency coronary artery bypass grafting: does excessive preoperative anticoagulation increase bleeding complications and transfusion requirements?", CARDIOV SUR, 9(5), 2001, pp. 510-516

Abstract

Patients requiring urgent surgical revascularization due to unstable coronary artery disease are usually pretreated with multiple antithrombotic drugs. The perioperative risks of this type of treatment were investigated in 123 patients who underwent emergency coronary artery bypass grafting (CABG) at our institution. Eighty-two patients (group A) received heparin and acetylsalicylic acid solely and 41 patients (group B) received additionally ADP-receptor antagonists (82.9%), glycoprotein IIb/IIIa inhibitors (12.2%) or thrombolysis (14.6%) preoperatively. Both groups were similar regarding demographic data and overall clinical status. Preoperative coagulation parameters and intraoperative characteristics were comparable. Blood loss via chest tubes was not significantly different between groups. Transfusion of red blood cells and fresh frozen plasma were slightly, but not significantly increased in group B. Transfusion of pooled platelets was low in general and similar in both groups. Re-exploration rate, medium intensive care unit and hospital stay as well as perioperative mortality were comparable. Excessive antithrombotic pretreatment seems to bear no additional risk in emergency CABG and may be beneficial in this setting. (C) 2001 The International Society for Cardiovascular Surgery. Published by Elsevier Science Ltd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 18:39:58