Platelet Dysfunction During Cardiopulmonary Bypass Assessed by a Novel Whole-Blood Aggregometer

Yoshifumi Kotake, Naomi E. Ogawa, Nobuyuki Katori, Ryohei Serita, Hiroshi Morisaki, Junzo Takeda

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Objective: The purpose of this study was to assess perioperative platelet function with 2 types of monitors (a whole-blood aggregometer [WBA analyzer; Mebanix, Tokyo, Japan]) and the Sonoclot monitor [Sienco, Wheat Ridge, CO]) in patients undergoing hypothermic cardiopulmonary bypass (CPB). Design: Prospective, observational study. Setting: Single-center study at a university hospital. Participants: Twenty-six patients who underwent coronary artery bypass grafting or valve replacement under hypothermic CPB without platelet transfusion or fresh frozen plasma administration. Interventions: Blood sampling was performed at the following time periods: after anesthetic induction, after CPB, and on the first postoperative day. These samples were assessed with the WBA analyzer and the Sonoclot. Measurements and Main Results: Significant attenuation of adenosine diphosphate-induced platelet aggregation was detected shortly after CPB by 2 WBA analyzer-derived parameters: a decrease in the filtration pressure rate and an increase in the platelet aggregatory threshold index. Platelet aggregation returned to the preoperative level on the next day. There was no correlation between the amount of postoperative mediastinal drainage and defects in platelet aggregation. On the other hand, time to peak obtained by the Sonoclot did not show any significant changes. Conclusions: Whole-blood aggregation measured with the WBA analyzer detected transient platelet dysfunction shortly after CPB, whereas the Sonoclot was less sensitive to this change.

Original languageEnglish
Pages (from-to)536-540
Number of pages5
JournalJournal of Cardiothoracic and Vascular Anesthesia
Volume20
Issue number4
DOIs
Publication statusPublished - 2006 Aug 1

Keywords

  • Sonoclot analysis
  • aggregation
  • bleeding
  • cardiopulmonary bypass
  • platelet
  • viscoelastic

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

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