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Fundamental and Clinical Medicine
Article . 2018 . Peer-reviewed
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Fundamental and Clinical Medicine
Article . 2018
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CYTOKINE MODULATION IN CARDIAC SURGERY: CASE SERIES

ЦИТОКИНОВАЯ МОДУЛЯЦИЯ В КАРДИОХИРУРГИИ: СЕРИЯ СЛУЧАЕВ
Authors: DMITRIY L. Shukevich; ARTEM S. Radivilko; EGOR S. Sardin; ROMAN A. Kornelyuk; MIKHAIL S. Rubtsov; VERA G. Matveeva; EVGENIY V. Grigoriev;

CYTOKINE MODULATION IN CARDIAC SURGERY: CASE SERIES

Abstract

Аim. Extracorporeal circulation, temporary aortic cross-clamping, cardioplegic arrest, perioperative heart failure, and comorbidities all are among the leading risk factors of a systemic inflammatory response syndrome (SIRS), which in some cases progresses to multiple organ failure (MOF). It has been recently suggested that sorption of inflammatory mediators using selective cytokine sorbents can prevent the development of MOF. We tested the efficacy of interleukin-6 (IL-6) sorption in pa-tients who underwent coronary artery bypass graft surgery requiring extracorporeal circulation with the subsequent development of sepsis (n = 9) and patients who was subjected to preventive adsorption during perfusion (n = 3). Materials and Methods. In addition to stan-dard clinical and biochemical parameters, we measured levels of serum IL-6 prior to the procedure, after the procedure and 24 hours after the sorption.Results. We noted a decrease in norepinephrine support and serum IL-6 as well as regression of MOF severity, particularly in patients with a preventive adsorption during the perfusion.Conclusions. IL-6 sorption is a promising method for correcting SIRS and MOF in patients who underwent coronary artery bypass graft sur-gery, particularly if applied in a preventive manner during the perfusion.

Keywords

кардиохирургия, extracorporeal circulation, Medicine (General), системный воспалительный ответ, сепсис, cytokine adsorption, systemic inflammatory response, сорбция цитокинов, sepsis, R5-920, искусственное кровообращение, полиорганная недостаточность, сardiac surgery, multiorgan failure

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
gold