alexa Blood Loss and Intraoperative Salvage Procedure in Patients Underwent Coronary Artery Bypass Reoperative Surgery
ISSN: 2155-9880

Journal of Clinical & Experimental Cardiology
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Research Article

Blood Loss and Intraoperative Salvage Procedure in Patients Underwent Coronary Artery Bypass Reoperative Surgery

Stojkovic B1, Jovanovic T1, Vukovic P2, Calija B2, Milojevic P2, Maravic-Stojkovic V2* and Djukanovic B2
1Institute of Physiology, Belgrade University School of Medicine, Belgrade, Serbia
2Dedinje Cardiovascular Institute, Belgrade University School of Medicine, Belgrade, Serbia
Corresponding Author : Vera Maravic-Stojkovic, MD, PhD
Head of Laboratiry Services, Dedinje Cardiovascular Institute
M. Tepica 1, 11 000 Belgarde, R Serbia
Tel: +381113601675
Fax: +381113601676
E-mail: [email protected]
Received: November 08, 2012; Accepted: December 17, 2012; Published: December 19, 2012
Citation: Stojkovic B, Jovanovic T, Vukovic P, Calija B, Milojevic P, et al. (2013) Blood Loss and Intraoperative Salvage Procedure in Patients Underwent Coronary Artery Bypass Reoperative Surgery. J Clin Exp Cardiolog 4:243. doi:10.4172/2155-9880.1000243
Copyright: © 2013 Stojkovic B, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Preoperative patients` characteristics can predict the need for perioperative blood component transfusion in cardiac operations. Currently, a large number of patients are on antiplatelet therapy. A group of these patients require reoperative surgery (redo) after coronary artery bypass grafting (CABG). We aimed to compare blood loss in patients having CABG with patients undergoing reoperative CABG surgery. Fifty-four patients (16% female, 84% male; ages 60.5 ± 6 vs. 66.2 ± 7 years) were divided in: Group 1–CABG, and Group 2–redo CABG. Blood samples were collected: 24h prior, 6h and 24h after the operation. We measured hematological parameters and total amount of blood products substituted. Preoperative clopidogrel and aspirin therapy were not statistically significant (p=0.094), while platelet count (p=0.002) was significantly lower in Group 2. Although we have found some differences in the blood drained (868.5 ± 587 vs. 1088 ± 819 mL) it was not statistically relevant (p=0. 28). Allogenic erythrocytes substituted intraoperatively were not statistically different (p=0.61), while autologous blood salvage procedure was weakly significant (p=0.05). Platelets transfused (p=0.88), fresh frozen plasma (p=0.68), and packed red blood cells transfused postoperatively (p=0.32) have not reached statistical significance. Length of stay in intensive care unit (ICU) was not influenced by used blood components transfusion, either allogenic or autologous. We have found positive correlation between blood loss and ICU stay (r=0.49, p=0.021). Monitoring of these parameters offers an important addition to the preoperative risk assessment.

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