Combined use of ante- and retrograde cardioplegia: limited efficacy in elective coronary artery bypass

K. Hashimoto, K. Onoguchi, T. Sasaki, T. Hachiya, H. Takakura, M. Oshiumi, S. Takeuchi

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Abstract

One Hundred and twenty-four patients undergoing elective coronary bypass surgery were retrospectively selected and divided into two groups according to their difference of cardioplegic methods, either antegrade (AC) only (n = 65) or combination of ante- and retrograde (AC + RC) cardioplegic delivery (n = 64). Myocardial blood flow in the right (RV) and left ventricles (LV) was measured during the cardioplegia by a laser Doppler. Peak CPK-MB levels were compared postoperatively between the two groups and more in detail according to extent of coronary obstructive disease. 1) The antegrade administration of cardioplegic solution provided preferential flow to the RV compared to the LV, whereas the retrograde administration resulted in the opposite result (AC; LV 6.9 +/- 4.7, RV: 8.6 +/- 5.3, p < 0.05, RC; LV: 9.0 +/- 4.9, RV: 5.9 +/- 4.6 ml/min/100 g, p < 0.05). This result suggested that the combination of both administrations was meaningful to obtain uniform distribution of cardioplegic solution. 2) The peak CPK-MB, compared in the entire two groups, was slightly low in the combination use (AC; 48 +/- 16, AC + RC; 43 +/- 15 IU/l, p = 0.08), but the clinical meaning did not exist. However, in the severe cases, which involved two of following criteria (left main disease, severe occlusion of left or right coronary), the max CPK-MB level was statistically decreased by the combined use of ante- and retrograde cardioplegia (AC; 50 +/- 16, AC + RC; 40 +/- 12 IU/l, p < 0.05). We concluded that the merit of combined use was limited to the cases with severely extended coronary obstructive disease.

Original languageEnglish
Pages (from-to)1105-1109
Number of pages5
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume53
Issue number13
Publication statusPublished - 2000 Dec

ASJC Scopus subject areas

  • Medicine(all)

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    Hashimoto, K., Onoguchi, K., Sasaki, T., Hachiya, T., Takakura, H., Oshiumi, M., & Takeuchi, S. (2000). Combined use of ante- and retrograde cardioplegia: limited efficacy in elective coronary artery bypass. Kyobu geka. The Japanese journal of thoracic surgery, 53(13), 1105-1109.