Continuous warm blood cardioplegia pitfalls and solutions.

Continuous warm blood cardioplegia offers superior preservation in both routine and complicated cardiac cases. Management of continuous perfusion is an important task during each case.The authors have developed several specific techniques to ensure stable catheter insertion and placement for continuous coronary sinus or antegrade ostial perfusion.Over 3,800 patients have been operated on with continuous warm blood cardioplegia using catheter techniques as described in this article. The overall 30-day mortality was 3.9%.Safe application of continuous warm blood cardioplegia has many advantages over prior cold techniques, but surgeons must know certain technical modifications to be able to universally apply continuous techniques safely.

Related Organizations

Centre Cardiologique du Nord
France

Keywords

Male, Hot Temperature, Myocardial Reperfusion Injury, Risk Assessment, Sensitivity and Specificity, Survival Rate, Blood, Treatment Outcome, Heart Arrest, Induced, Humans, Female, Prospective Studies, Cardioplegic Solutions

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