Is Modified Del Nido Cardioplegia as Effective as Del Nido Cardioplegia in Patients With Isolated Coronary Artery Bypass Surgery?

Authors

  • Kemal Karaarslan Department of Cardiovascular Surgery, Saglik Bilimleri University, Izmir Tepecik Training and Research Hospital, Izmir, Turkey
  • Ibrahim Erdinc Department of Cardiovascular Surgery, Saglik Bilimleri University, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey

DOI:

https://doi.org/10.1532/hsf.4491

Keywords:

Modified del Nido cardioplegia, coronary artery bypass grafting, myocardial protection, rhtym

Abstract

Objective: Is modified del Nido cardioplegia superior to del Nido cardioplegia in coronary artery bypass patients?

Material and methods: All patients underwent cardiopulmonary bypass and retrospectively were analyzed. A total of 70 patients were included in the study. Thirty-four patients who were given cold (+ 4-8C ') modified del Nido cardioplegia antegrade were evaluated. Other patients received classical del Nido cardioplegia. Hot shot warm blood cardioplegia was given to all patients before the cross-clamp was removed. The results of both groups were compared.

Results: There was no significant difference between cardiac arrest times in both groups. A statistically significant difference was found in the modified del Nido cardioplegia group in the working of the heart. Less fibrillation was observed in the modified del Nido cardioplegia group. No difference found between the groups, regarding myocardial preservation. No decrease in hemoglobin was observed in the modified del Nido group on the postoperative first day.

Conclusions: We know that return to spontaneous sinus rhythm and fibrillation reduces ischemia-reperfusion injury. At the same time, we can see that epicardial edema was less in the modified del Nido group. We think that less anemia is an advantage of modified del Nido cardioplegia.

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Published

2022-02-28

How to Cite

karaarslan, kemal, & Erdinc, I. (2022). Is Modified Del Nido Cardioplegia as Effective as Del Nido Cardioplegia in Patients With Isolated Coronary Artery Bypass Surgery?. The Heart Surgery Forum, 25(1), E163-E167. https://doi.org/10.1532/hsf.4491

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